Illicit drug-induced hyperthermia presents difficult decisions under time pressure. This review discusses recognition, heat production, cooling and supportive care, drawing on clinical cases and examining the practical pitfalls of managing these uncommon emergencies.
Can salbutamol relieve pain in renal colic? We review a phase II randomised controlled trial exploring intravenous salbutamol as an adjunct analgesic in the emergency department.
Emergency Department Management
What changed in NHS England’s urgent and emergency care plan for 2025/26? This analysis examines its emphasis on shared accountability and care coordination, alongside concerns about funding, workforce capacity and the challenge of turning national ambitions into local improvements.
Gregory Yates responds to an EMCRIT discussion of serotonin syndrome and related hyperthermic drug reactions. He examines why both drug histories and neurological signs can be difficult to interpret, and why diagnostic uncertainty matters when these syndromes overlap.
A collection of trauma and resuscitation papers discussed at ICEM 2025 in Montreal, with summaries and critical appraisal. Topics include transfusion, oxygen strategies, paediatric cervical spine assessment, regional analgesia and emergency airway management.
A retrospective study describes emergency thoracotomy for penetrating trauma in two Cape Town district hospitals. We examine the reported outcomes, the constraints of these settings and why patient selection, timing and incomplete records matter when interpreting the results.
Practical perspectives on trauma care and team leadership.
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