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.
JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency Read More
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.
JC: Salbutamol for Analgesia in Renal Colic – Worth a Puff or a Painful Disappointment? Read More
Notes from days two and three of the 2024 Paediatric Emergencies Update in Noosa. Topics include ENT emergencies, extended duty of care, sodium regulation, neuroradiology and the challenges of preparing for paediatric patients in disasters.
Paediatric Emergencies Update 2024 – Noosa Day 2 & 3 Read More
Should trauma resuscitation pay more attention to diastolic blood pressure? Simon Carley discusses a physiological argument for rethinking systolic targets, its links with cardiac-arrest research and the evidence still needed before clear diastolic targets can be established.
Is Diastolic Blood Pressure the New Resuscitation Target Read More
This second collection of research from The Big Sick 2025 brings together brief appraisals of trials covering transfusion in brain injury, preoxygenation, sepsis care and out-of-hospital cardiac arrest. The post considers what the findings might mean for practice and where uncertainty remains.
More trials from TBS 2025. (part 2) Read More
Do physician-led prehospital teams improve outcomes for critically ill or injured patients? This appraisal examines a systematic review and meta-analysis, the differences between the patients and services included, and why largely observational evidence makes the size of any benefit uncertain.
JC: Do physician led prehospital teams improve outcomes? Read More
How is anaesthesia maintained after prehospital intubation for trauma? A survey of services in Australia, New Zealand and the UK explores differences in sedation, analgesia and governance. This appraisal considers what self-reported practice can tell us, and why patient outcome data are still needed.
Maintenance of Prehospital Anaesthesia in Trauma Patients: Variability in Practice Read More
What are the longer-term risks after prehospital intraosseous access? This appraisal examines a Danish registry study of complications, including how follow-up, early deaths and the limitations of routinely collected data affect interpretation of the reported low complication rate.
What’s the long term complication rate of intraosseous access? Read More
