Health workers frontline in the ice battle

They are the drug users who staff working in Perth's hospital emergency departments most dread.

Some come in literally tearing their flesh out to try to prove there are bugs or worms crawling under their skin or behind their eyeballs.

Angry young men punch and kick at anyone who comes near and young women strip off their clothes, desperate to have sex with anyone they can grab.

This is the world of methamphetamine colliding with our hospitals - patients incredibly hyped up and far more dangerous to themselves and others than users of other illicit drugs.

It is a sight Royal Perth Hospital emergency medicine doctor Daniel Fatovich sees firsthand and is well-documented in some of his department's security camera vision, including a video of a young woman struggling outside the hospital doors.

"She doesn't have much on in the way of clothes because one of the effects of methamphetamines is a hypersexual effect," Professor Fatovich says as he watches the blurry images.