Primary Survey
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Many of the EMJs readers will be familiar with the apparently increasingly frequent presentation of patients to the emergency services complaining that one of their drinks has been spiked. It is certainly something which has aroused some public concern, especially amongst those who enjoy going out for a drink. Many patients presenting with the claim that their drinks were spiked do appear to be rather unwell. However, the exact nature of the agent responsible has not been clear, until now, that is.
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Historical observers might be excused for concluding that it took rather a long time for those responsible for organising emergency medical services to wake up to the fact that the best outcome after out of hospital cardiac arrest lies with definitive prehospital care, not with rapid transfer to hospital. Having acknowledged this, arguments have focused upon the nature of skills required by paramedics. Woodall and
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