PRIMARY SURVEY
Primary survey
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Internal time bombs
Emergency physicians are not infrequently faced with individuals who are suspected of having swallowed packages of drugs or having inserted them into the rectum and/or vagina. Such actions may reflect an organised attempt to smuggle drugs across a border or simply to conceal drugs immediately prior to apprehension by the police or other authorities. The risks of drug leakage and rapid overdose can be considerable and are discussed in the review article in this issue. The emergency management of individuals suspected of having concealed internal packages is complicated by the legal process. There are few other presentations to the emergency department where emergency medicine, the law and ethical issues collide in such a potentially tricky fashion. For this reason, the review will be of great interest to specialists in both emergency and clinical forensic medicine (see page 316).
Helicopters in Tehran
Many readers will think of HEMS (helicopter emergency medical system)
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