Latest posts

In this emergency medicine toxicology blog, Gregory Yates takes us through a few recent papers on nitazenes, a group of (potent) synthetic opioids with high overdose potential.

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.

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.