With so many high quality, worthwhile medical podcasts available online — and more coming it seems every day — a big problem I’ve found is keeping track of them all and knowing when a new post is available. The iTunes store is, frankly, a pain — cumbersome, cluttered, and not user-friendly.
I’ve just discovered Instacast, an app that makes it …
Clinical toxicology of newer recreational drugs. Hill SL, Thomas SHL Clin Toxicol 2011;49:705-719.
This essential article will probably be of most interest to chemical structure geeks (like me) and academics, but it is the best review I know that gets granular about the pharmacology of the many new designer drugs.
The authors did a comprehensive review of published medical …
From pre-trial hearings and yesterday’s opening arguments in court, it is apparent that the defense team for Dr. Conrad Murray — the physician accused of manslaughter in the death of Michael Jackson — plans to argue that Jackson administered the fatal dose of propofol to himself, possibly by swallowing it. This contention is certainly based in part on the forensic …
Clinical experience with and analytical confirmation of “bath salts” and “legal highs” (synthetic cathinones) in the United States. Spiller HA et al. Clin Toxicol 2011 Jul;49:499-505.
The title of this article grossly overstates what it contains. It is a retrospective review of “bath salt” exposure not in the “United States”, but rather as reported to two state-wide poison control …
Former University of Pennsylvania Medical School classmates Dr. Mehmet Oz and Dr. Richard Besser went at it today on “Good Morning America” over the issue of whether arsenic in apple juice constituted a potential toxic risk for children.
A recent episode of “The Dr. Oz Show” revealed test results measuring levels of arsenic in samples of different brands of apple …
As I mentioned in yesterday’s post, my Emergency Medicine News column on “Dabigatran Toxicity: The Top 10 Questions” has just been posted online. Test yourself on these questions — just click on the question to reveal the answer:
1)
Pradaxa is actually not dabigatran, but rather the inactive pro-drug dabigatran etexilate. …
Cannabinoid Hyperemesis Syndrome: Literature Review and Proposed Diagnosis and Treatment Algorithm. Wallace EA et al. Southern Med J 2011 Sep;104:659-664.
Last month we reviewed a diagnosis TPR had not heard of before: narcotic bowel syndrome. This paper describes another diagnosis new to us: cannabinoid hyperemesis syndrome (CHS). Although cannabis has well-known anti-emetic properties, frequent chronic use can produce …
Narcotic Bowel Syndrome. Grover CA et al. J Emerg Med 2011 June 28; [Epub ahead of print]
There are a number of patients who present to the emergency department with a history of chronic abdominal, and still do not have a diagnosis after multiple work-ups and interventions — CTs, MRIs, ultrasounds,colonoscopies, endoscopies, multiple blood tests, multiple admissions, sometimes laparotomy …
Blood Purification in Toxicology; Nephrology’s Ugly Duckling. Ghannoum M et al. Adv Chronic Kidney Dis 2011 May;18:160-166.
This essential article should be read by all toxicologists, nephrologists, and other physicians who deal with poisoned patients. Having recently reviewed the literature on the use of enhanced elimination techniques such as hemodialysis (HD) in poisoned patients for a column in Emerrgency …
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