Legal highs and caffeine lows

It’s Friday, 11pm and you are in need of a strong coffee, just as it is served your radio bursts into life “Emergency call. Manhattan Nightclub. 18-year old male overdose, acting bizarrely.” On arrival there are actually two people in need of attention and each is reported to have taken some form new psychoactive substance (NPS), ‘legal highs’ although they are neither legal nor guaranteed to cause a high.

There are hundreds (possibly now thousands) of individual NPS drugs, common forms include ‘Spice’ and mephedrone. This issue provides guidance for pre-hospital clinicians to help them respond to this evolving situation and gain understanding and expertise in the risks and the management of intoxication through NPS.

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