Saturday with SMACC: The Art and Science of Fluid Responsiveness

September 7, 2014, 12:17 am

Haney Mallemat – The Art and Science of Fluid Responsiveness from Social Media and Critical Care on Vimeo.

From SMACC Gold: In a great talk, Haney Mallemat from the University of Maryland discusses the limitations of static indices of fluid responsiveness such as blood pressure and respiratory-induced changes in inferior vena cava diameter. He argues persuasively that dynamic indices …

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Must-read: consider hemodialysis in cases of massive acetaminophen overdose

September 5, 2014, 10:55 pm


Extracorporeal treatment of acetaminophen poisoning: Recommendations from the EXTRIP workgroup. Gosselin S et al. Clin Toxicol 2014 Aug 18:1-12. [Epub ahead of print]


These recommendations come from the Extracorporeal Treatments in Poisoning (EXTRIP) workgroup, a project established to provide some guidance on the use of hemodialysis and other techniques in toxicology cases, an area where high-quality evidence simply …

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Synthetic cannabinoid XLR-11 and driving

September 3, 2014, 11:32 pm




Driving Under the Influence of Synthetic Cannabinoid Receptor Agonist XLR-11. Lemos NP. J Forensic Sci  2014 Aug 3. doi: 10.1111/1556-4029.12550. [Epub ahead of print]


XLR-11 is one of the many different synthetic cannabinoid compounds found in samples of smokeable herbs sometimes sold as “Spice” or “Legal Marijuana.” Exposure to XLR-11 has been associated with cases of acute kidney

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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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