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'A thrilling front-line drama'

An ordinary day

Dr Julie Rees is working in the ER in downtown Vancouver when calls of an emergency come in – five teenagers have overdosed. Three died at the scene, two are in cardiac arrest and on their way to the hospital. It’s a race against time to try and save them, one that seems impossible to win.

A new drug

As Julie unpicks the harrowing events, she sees the unlikelihood of the kids’ deaths. How could they have all overdosed at once? How were none of them able to help each other? The answer is obvious – they must have died within seconds of each other. But how?

An epidemic in the making

The bloodwork from the patients confirms Julie’s worst fears – they were poisoned by an ultra-potent strand of the opioid fentanyl. When more and more people die from the same thing, the deaths begin to look deliberate, targeted – and the drugs are still out there, while the body count rises . . .

Fast-paced, tense and authentic, if you love the drama and tension of shows like Grey’s Anatomy and the skewed morality of Breaking Bad, then this is for you.


'Michael Crichton ought to be looking over his shoulder' The Chronicle Herald 

'A riveting thriller, The Last High features the most evil and insidious of villains: opioids. This important, must-read book is not only well-researched and entirely realistic, it gives a human face to a devastating epidemic'  ROBYN HARDING, internationally bestselling author of The Arrangement and The Party.

Michael Bednar Photography

Daniel Kalla is the internationally bestselling author of novels including The Last High and We All Fall Down. Kalla practices emergency medicine in Vancouver, British Columbia. His new novel, Lost Immunity, will be released in 2021. Visit him at or follow him on Twitter @DanielKalla.

  • Publisher: Simon & Schuster UK (September 1, 2020)
  • Length: 320 pages
  • ISBN13: 9781471177729

More books from this author: Daniel Kalla