Clinical management of cocaine body packers: the Hillingdon experience. Beckley I et al. Can J Surg 2009;52:417-421.
This retrospective observational study looked at 5-years of experience with patients suspected of being cocaine body packers referred to Hilldingdon Hospital in Uxbridge, England. Since that hospital is located just outside of Heathrow Airport in London, the study…
Whole Bowel Irrigation and the Hemodynamically Unstable Calcium Channel Blocker Overdose: Primum non Nocere. Cumpston KL et al. J Emerg Med 2010;38:171-174.
As even its proponents admit, whole bowel irrigation (WBI) with high-molecular-weight polyethylene glycol (PEG) has never been proven to improve clinical outcomes in toxicology patients. Despite this, some physicians argue that the procedure is…
Thanks to Michelle Lin’s blog Academic Life in Emergency Medicine for pointing out that “Emergency Medicine Practice” has just made all their issues from 2007 and earlier freely accessible online. As a result, a monograph describing “A Rational Approach To Managing The Poisoned Patient” — written almost a decade ago by Drs. Erickson, Aks,…
The TimesOnline recently posted a review of James C. Whorton’s The Arsenic Century: How Victorian Britain was Poisoned at Home, Work, and Play. There seems to be a welcome spate of books looking at historical eras through specific poisons and the devastation they caused. Several days ago I mentioned Deborah Blum’s The Poisoner’s Handbook: Murder and the Birth of…
Acute Myocardial Infarction Related to Methylphenidate for Adult Attention Deficit Disorder. Thompson J et al. J Emerg Med 2010;38:18-21.
This case report describes at 27-year-old man who presented to the emergency department with an acute anterolateral myocardial infarction after taking several extra doses of methylphenidate (Ritalin®) prescribed for adult attention deficit disorder, along with pseudoephedrine. Cardiac…
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