If you like a story about extensive testicular traction and hammering shins then this is the episode for you.  This FRCA Primary Podcast episode explores cocaine and the exposure patients have to it in the clinical environment, chiefly courtesy of the ENT surgeons. The episode explores mechanism, side effects, onset, implications, but also the history of spinal anaesthesia and treatment of cocaine toxicity in the A&E department.  Show notes at: https://gasgasgas.uk/episode-32-cocaine-local-anaesthetics-series/ A podcast for the Primary FRCA Exams ———————— Donations to keep the lights on willingly accepted! Dr Gas Lurks on:  BlueSky: Gas Gas Gas (@gasgasgaspodcast.bsky.social) X / Twitter: GasGasGasFRCA (@GasGasGasFRCA) / X FaceBook: Facebook - Gas Gas Gas Website: www.gasgasgas.uk   Disclaimer / Sage Advice All content is educational in nature, but is never intended to be acted upon independent of organised educational and training structures, and under appropriate supervision for your stage of training.  This information is not a suitable substitute for medical advice and requests for medical advice will not be acted upon. Whilst the body of medical knowledge is slowly shifting and expanding, there are often differing numerics and notions for these core concepts, as such, accuracy of the content is not guaranteed. Where deemed sensible by the author, numerical ranges for technical data and references where reasonable will be present. #FOAMed #frcaprimary #frca #Anaesthetics #Anaesthesia  #Pharmacology #primaryFRCA #GasGasGas