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Emergency Medicine Journal 2008;25:442-443; doi:10.1136/emj.2008.061713
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 5: IS DANTROLENE THE BEST WAY TO TREAT HYPERTHERMIA IN PATIENTS WITH COCAINE ABUSE?

Joanne Probert, Clinical Fellow Emergency Medicine, Jacqui Macnair, Clinical Fellow Emergency Medicine

Bristol Royal Infirmary, Bristol, UK

The first 150 words of the full text of this article appear below.

Report by Dr Joanne Probert, Clinical Fellow Emergency Medicine

Search checked by Dr Jacqui Macnair, Clinical Fellow Emergency Medicine

Institution: Bristol Royal Infirmary, Bristol, UK

CLINICAL SCENARIO

A 26-year-old man attends the emergency department having recently used cocaine. He is hyperthermic. You have heard that dantrolene may have a place in the management of hyperthermia in other situations and wonder whether it would be useful now.

THREE-PART QUESTION

In [patients who are hyperthermic following cocaine abuse] is [adding dantrolene more effective than benzodiazepines alone] at [reducing temperature].

SEARCH STRATEGY

Ovid MEDLINE(R) 1950 to March Week 2 2008. OVID EMBASE 1980 to 2008 Week 11 [dantrolene.mp. or exp Dantrolene/or benzodiazepines.mp. or exp Benzodiazepines/or exp Diazepam/or diazepam.mp.] AND [fever.mp. or exp Fever/or exp Temperature/or temperature.mp. or exp Body Temperature/or exp Hyperthermia, Induced/or hyperthermi$.mp. or pyrexia.mp.] AND [exp Cocaine-Related Disorders/or cocaine.mp. or exp Cocaine/]. The Cochrane Library Issue 1 2008. MeSH descriptor Dantrolene explode all trees 27 . . . [Full text of this article]


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