Archive for the ‘Medical’ Category

Treating digoxin toxicity: is less more?

August 29, 2014, 3:35 pm

Digifab★★★☆☆

Digoxin-specific antibody fragments in the treatment of digoxin toxicity. Chan BSH, Buckley NA. Clin Toxicol 2014 Aug 4 [Epub ahead of print]

Abstract

This long detailed paper seems to be a manifesto masquerading as a review article. It is quite informative and well worth reading. But I’d keep in mind that the authors appear to have a (not so) hidden …

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Hydrogen peroxide ingestion: can bedside ultrasound help?

August 29, 2014, 12:21 am

★★★☆☆

Young Woman With Epigastric Pain and Vomiting. Manning EP et al. Ann Emerg Med 2014 Sep;64:330.

Full Text

This brief case is part of the Annals of Emergency Medicines‘s series “Image of the Month.” A 23-year-old woman develops epigastric pain and vomiting after investing a cleaning agent. Abdominal exam was unremarkable. a CT of the abdomen demonstrated gas in …

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Blowguns, poison darts, and tajem

August 27, 2014, 3:53 pm

This interesting short film illustrates the meticulous care that goes into making a poison dart blowgun. The poison mentioned in the video — tajem — is made from latex obtained from the bark of a specific tree. I was not able to find out details about how it acts, but it appears to be cardiotoxic and produce fatal arrhythmias. One …

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Body packers: can CT determine the number of drug packets?

August 26, 2014, 1:24 pm

Body packer

Body packer

★★½☆☆

Sensitivity and specificity of CT scanning for determining the number of internally concealed packages in ‘body-packers.’ Asha SE et al. Emerg Med J 2014 Feb 19. doi: 10.1136/emermed-2013-203389. [Epub ahead of print]

Abstract

Although the abdominal CT scan has been shown to be relatively accurate for determining the presence or absence of drug packets in suspected body packers, …

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CPC: salicylate toxicity

August 25, 2014, 2:58 pm

aspirin★★★½☆

A 21-Month-Old Boy with Lethargy, Respiratory Distress, and Abdominal Distention. Klig JE et al. N Engl J Med 2014 Aug 21;371:767-773.

Reference

This case discussion — part of the New England Journal‘s Case Records of the Massachusetts General Hospital series — makes a number of important points about managing salicylate toxicity. It is not a complete review; since the …

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Tox Tunes #86: Let’s Go Get Stoned (Big Mama Thornton)

August 24, 2014, 10:10 pm

Big Mama Thornton (1926-1984) was a powerful rhythm and blues singer who recorded and/or wrote a number of songs that were big hits for other artists. “Let’s Go Get Stoned” — written by Nickolas Ashford, Valerie Simpson, and Josephine Armstead — went to the top of th eR&B charts when Ray Charles released his version in 1966. Thornton …

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Saturday with SMACC: 17 Minutes

August 23, 2014, 1:21 pm

17 Minutes from Social Media and Critical Care on Vimeo.

It’s been 5 months since I returned from Brisbane and Australia’s Gold Coast where I attended the 2014 SMACC Gold conference — by far the most inspiring and creative medical conference I’ve ever been to. This brilliant video presentation from one of the plenary sessions is a perfect example …

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California counties sue makers of opioid analgesics

August 22, 2014, 5:34 pm

In May, two counties in California sued 5 pharmaceutical companies that make opioid analgesic medication, claiming that they waged a battle to create a “sea-change in medical and public perception” about the relative risks and benefits of these drugs by establishing a “deeply deceptive marketing campaign.” My Emergency Medicine News  column about this suit is online and can be read …

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Case series: 9 patients with acute kidney injury after smoking a synthetic cannabinoid

August 21, 2014, 11:13 pm

orgazmo★★★½☆

Acute kidney injury associated with smoking synthetic cannabinoid. Buser GL et a. Clin Toxicol 2014;52:663-673.

Abstract

In the summer of 2012, two patients presented to emergency departments in western Oregon complaining of nausea, vomiting and flank pain that started shortly after smoking a synthetic cannabinoid product. Both patients had elevated serum creatinine levels and hypertension. Renal biopsy revealed acute tubular …

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