Archive for the ‘Medical’ Category

Saturday with SMACC: Scott Weingart on Cutting Edge Intra-Arrest Care

December 20, 2014, 3:03 pm

The main theme of this extremely thought-provoking talk by Scott Weingart (@emcrit) is that CPR should not be limited to the cookbook algorithms taught in the American Heart Association’s ACLS course. Scott argues that ACLS teaches what can be done easily, not necessarily what’s needed to achieve an optimal outcome. He covers everything from the laryngeal mask airway to …

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Surely the NEJM could do a better review of delirium tremens

December 17, 2014, 10:25 pm

delirium_tremens_label_2★★½☆☆

Recognition and Management of Withdrawal Delirium (Delirium Tremens). Schuckit MA. N Engl J Med 2014 Nov 27;371:2109-2113.

No abstract available

This is an amazingly inept paper, even by the traditionally low standards of the New England Journal‘s  “Review Article” section. It was written by a psychiatrist who — on the basis of this piece — seems not to …

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Patient complains of bugs on her skin — could it be tox?

December 13, 2014, 1:45 pm

★★½☆☆

Case 37-2014: A 35-Year-Old woman with Suspected Mite Infestation. Beach SR et al. N Engl J Med 2014 Nov 27;371:2115-2123.

No abstract available

This case — part of the Journal‘s “Case Records of the Massachusetts General Hospital” series — describes a 35-year-old woman had presented to the emergency department complaining of a parasitic skin infection:

“During the 10 days

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Tox on the Web: deadly cocaine/fentanyl combination, the rising price of naloxone, and more

December 8, 2014, 12:53 am

 

Cocaine/Fentanyl Kills 3 in North Carolina: WTVD-ABC Eyewitness News in Raleigh, North Carolina reports that 3 people local Chatham County died over the weekend — and another 6 were taken to hospital — after using cocaine that had been surreptitiously adulterated with fentanyl. This is somewhat unusual, although many deaths in the past have been caused by fentanyl-laced heroin. …

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Saturday SMACCdown: Should Real Airway Docs Use a Checklist?

December 7, 2014, 1:35 am

In this verbal cage match from the 2014 SMACC Gold conference, Dr. Tim Leeuwenburg (@KangarooBeach) goes up against Dr. Minh Le Cong (@ketaminh) to debate the question: “Should real airway docs use checklists?” Very entertaining, and both sides make good points.

Remember, SMACC Chicago takes place June 23-26, 2015. Many of the pre-conference workshops have already sold out, and registration …

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Palytoxin: deadlier than fugu?

December 5, 2014, 1:22 am

Palytoxin

Palytoxin

★★★☆☆

Hyperkalemia, Hyperphosphatemia, Acute Kidney Injury, and Fatal Dysrhythmias After Consumption of Palytoxin-Contaminated Goldspot Herring. Wu M: et al. Ann Emerg Med 2014 Dec;64:633-6.

Abstract

Palytoxin, a huge heat-stable molecule, is one of the most deadly of all the marine toxins. Fortunately, cases of severe palytoxin poisoning are relatively rare. This paper from Taiwan describes 4 patients from a single …

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Best paper yet on screening suspected body packers

December 2, 2014, 10:33 pm

Body packer

Body packer

★★★★½

Body packing: a review of general background, clinical and imaging aspects. Bert FH et al. Radiol Med 2014 Oct 10 [Epub ahead of print]

Abstract

I’d say this is the best article on imaging suspected body packers we’re likely to see, but with the rapid evolution of radiological technology it will likely need to be updated every year …

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Infants eliminate ethanol at rate comparable to that in adults

December 1, 2014, 9:53 am

vodka-baby-bottle★★½☆☆

Accidental Acute Alcohol Intoxication in Infants: Review and Case Report. Minera G, Robinson E.  J Emerg Med 2014;47:524-526

Abstract

This case report describes a 9-week-old 9.5 kg boy who was brought to the emergency department when he was observed to be “acting strangely.”  He smelled of alcohol.

History revealed that the grandmother had inadvertently prepared the infant’s formula with vodka …

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Haff Time: fish-induced rhabdomyolysis

November 24, 2014, 3:06 pm

Buffalo fish

Buffalo fish (Ictiobus cyprinellus)

★★★☆☆

Haff Disease: Rhabdomyolysis After Eating Buffalo Fish. Herman LL, Bies C. West J Emerg Med 2014 Sept;15:664-6.

Abstract

Haff Disease was first described in 1924 after an outbreak of acute muscle rigidity accompanied by dark  urine among patients living near the Königsberger Haff shores along the Baltic Coast.  Similar cases occurred in the following summers along …

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