Severed snake head bites, kills chef in China

September 1, 2014, 3:34 pm

Indonesian spitting cobra

Indonesian spitting cobra

USA Today reports that a chef in China died recently after being bitten by the decapitated head of an Indonesian spitting cobra, possibly Naja sputatrix. Chef Peng Fan beheaded the snake in preparation for making traditional cobra soup at his restaurant in Guangdong province. Ten to twenty minutes later, when he was disposing of the head, …

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Tox Tunes #87: Cocaine Blues (Bob Dylan 1961)

August 31, 2014, 5:43 pm


This version of “Cocaine Blues” by a very young Bob Dylan was recorded in 1961, possibly shortly before he left Minnesota for New York City. It’s hard to believe that was over half a century ago.


Related posts:

Cocaine Blues (Dave Van Ronk)

Cocaine Blues (Roy Hogsed)

Cocaine Blues (Nick Drake)

Cocaine Blues (Townes Van Zandt)

Cocaine Blues

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Saturday with SMACC: Resuscitation Dogmalysis

August 30, 2014, 11:06 pm

Reid, Cliff — Resuscitation Dogmalysis from Social Media and Critical Care on Vimeo.

From SMACC Gold 2014: Cliff Reid demonstrates that everything you thought you knew about treating critically ill patients may not be true.…

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Treating digoxin toxicity: is less more?

August 29, 2014, 3:35 pm


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


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


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]


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


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.


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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