Abstract

Recreational gamma-hydroxybutyrate (GHB) use is rising in Australia. We aimed to describe ED presentation patterns related to GHB over time and the impact this has on ED resource use. Retrospective review of prospective data collection from two clinical toxicology units based in Queensland and New South Wales. There were 751 GHB-related presentations to the two units (Newcastle, 127; Princess Alexandria, 624), with marked increases in presentations occurring in 2019 and 2023. The major intervention was intubation, with 95 (13%) patients intubated. GHB presentations to ED are rising and the impact on acute bed space and clinical resources is significant.

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