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Education & training
Knowledge gaps in local anaesthetic dosing and LAST
Local Anaesthetic Dosing and Toxicity Knowledge in Australian Emergency Departments: A Multicentre Cross‐Sectional Survey
Emergency Medicine Australasia · Added 15 September 2026
Multicentre survey of 114 emergency clinicians across three Queensland EDs — fewer than half correctly identified the recommended maximum dose for any of four local anaesthetics, 21.9% couldn't recall any features of LAST, and only 10.5% could state the lipid emulsion dosing regimen.
- Study type
- Cross-sectional
- Design
- Multicentre cross-sectional survey
- Participants
- 114 emergency clinicians at three Queensland EDs
- Main finding
- Fewer than half correctly identified the recommended maximum dose for any of four local anaesthetics (18.4% for bupivacaine to 48.2% for lidocaine); 21.9% could not recall any features of LAST; 57.9% identified lipid emulsion therapy but only 10.5% stated a dosing regimen.
- Caveat
- ED clinician survey only (not paramedics), self-reported recall, three Queensland sites.
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Medium relevance). transferability — awareness-level for paramedics: lignocaine is ICP-only in ACTAS and lipid emulsion isn't carried, so management stays hospital-side
Learning goal
Strengthen my ability to recognise local anaesthetic systemic toxicity and apply safe maximum dosing in prehospital wound care.
More
- Topic: Education & training
- Daily scan: 15 September 2026
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