Recreational nitrous oxide (N2O) use is widespread, and complications associated with its use are increasingly common. We sought to identify risk factors, clinical features and outcomes in individuals presenting with effects of chronic N2O abuse to develop an approach to clinical assessment and management. A systemic literature review was completed with searches conducted across EMBASE,...
Dear Editor, An 18 year old woman with an altered level of consciousness presented with friends at 03:00 to the ED having consumed alcohol throughout the evening and ingesting two tablets at midnight that she presumed to be 3,4-methylenedioxy methamphetamine (MDMA). She had no past medical history and was not on any regular medications. On arrival, she was haemodynamically normal (heart rate 81...
AbstractMan has used hallucinogenic plants and mushrooms for centuries. The characteristics of these plants that led to their incorporation into important ritualistic and spiritual traditions, however, have also resulted in their widespread propagation and abuse. Hallucinogenic plants have long been depicted as innocuous substances, yet their unpredictable nature makes intoxication potentially...