The pesticide aluminum phosphide (AlP) is a common agent used for suicide in developing countries. AlP is a strong gastric irritant, causing severe vomiting and abdominal distress. Phosphine — a colorless, flammable, highly toxic gas — is formed when AlP comes …
Life in the Fast Lanerecently posted a neat clinical challenge featuring a young man with abnormal liver enzymes. Light up your meerschaum and see if you can make the diagnosis.…
Lipid Emulsion Therapy for Verapamil Overdose. Franxman TJ et al. Ann Intern Med 15 February 2011;154:292.
No abstract available
This letter to the editor really does not add much to the clinical literature regarding use of lipid emulsion therapy (LET) to treat calcium channel blocker overdose. The letter describes a 39-year-old woman who ingests 17 tables of sustained-release verapamil (240 …
White phosphorus poisoning by oral ingestion of firecrackers or little devils: Current experience in Ecuador. Gonzalez-Andrade F, Lopez-Pulles R. Clin Toxicol 2011;49:29-33.
This paper comes from Ecuador, where illegal “little devil” firecrackers (diablillos) — contain highly toxic white phosphorus (WP) — are frequently ingested in suicide attempts. The authors report on 85 cases of ingestion of these …
This intriguing article describes two patients in India who subjected themselves voluntarily to being bitten by snakes as a way of getting high. Both patients had long histories of substance abuse, including opioids.
In Slate today, the brilliant Dahlia Lithwick — their legal correspondent and one of my very favorite writers on any topic — reports on the oral arguments in the U.S. Supreme Court case we discussed yesterday: Bond v. United States, the one involving purported chemical weapons, sex, jealousy, revenge, an injured thumb, and states rights. (You can’t make this …
The Supreme Court of the United States today heard oral arguments in a legally interesting case that also involves jealousy, marital infidelity, and poisoning. Here are the facts: Carol Bond, a Pennsylvania resident, became upset upon learning that her best friend, Myrlinda Haynes, had carried on an affair with Bond’s husband Clifford and had become pregnant with his child. In …
Residual neurocognitive features of long-term ecstasy users with minimal exposure to other drugs. Halpern JH et al. Addiction. 2010 Oct 26. doi: 10.1111/j.1360-0443.2010.03252.x. [Epub ahead of print]
Unaccustomed as I am to borrowing phrases from Sarah Palin, I’d have to say that the “lame stream” media (and the blogosphere) got the story about this paper all wrong. Bear …