Month November 2018
ENT-Equivocation-LITFL-340

The True Angina

A 44 year-old man presents to the ED 2 days after having an infected left mandibular second molar tooth extracted by his dentist.

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Cyproheptadine

Cyproheptadine is a histamine and serotonin antagonist with anticholinergic properties. It has been advocated for control of symptoms in mild-to-moderate serotonin syndrome.

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Calcium

Calcium – useful antidote for calcium channel blockers, hydrofluoric acid exposure to skin or systemic fluorosis, ethylene glycol (hypocalcaemia), hyperkalaemia and iatrogenic hypermagnesaemia.

Atropine

Atropine is a competitive muscarinic antagonist, used to treat drug-induced bradycardia and poisoning by acetylcholinesterase inhibitors Organophosphate poisoning: Adult Dose = 1.2mg with further dosing every 2-3 mins, doubling the dose each time until there is drying of secretions. Paediatric…

EBM Gone Wild mountain 340

Bringing wilderness to the city

Most teaching faculty work at academic programs, which typically aren’t in areas considered “wilderness” by the average layperson. Thus, teaching wilderness and austere medicine in an urban environment is necessary for those of us who can’t get our departments to…

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Digoxin Immune Fab

Used for both the acute or chronic overdose. Typically this is from the pharmaceutical agent digoxin. Other cardiac glycosides such as Oleander can be treated with digoxin immune fab.

affluenza 340

Affluenza Season

With the proximity of Saturnalia celebrations already upon us, we are experiencing an early start to the affluenza season

EMCC Medical blogosphere 340

FOAM EMCC Blogs 2016

Since 2009 we have reviewed, revised and revitalised the Emergency Medicine and Critical Care blogs (EMCC) database. It has been a great way to add new resources

LITFL CCC SMILE2 340

Collective Competence

Collective competence is a complementary concept to individual competence that is relevant in healthcare as patient care is dependent on teams and networks of individuals working together within a complex system

ENT-Equivocation-LITFL-340

Just a sore throat

aka ENT Equivocation 002 A 38 year old male with a background history of type 2 diabetes presents with fevers, rigors and pain on swallowing. There is no sign of impending airway compromise; however, marked trismus is noted. The following…

Postcards from the edge LITFL 340

Help African Emergency Medicine Now!

This ‘postcard from the edge’ is by Swedish Emergency Physician Dr Katrin Hruska (@akutdoktorn), who writes a predominantly Swedish language blog called akutdoktorn. Immaculate Nagaddya is a registered nurse, working in Lugada Hospital in Uganda. It is a small hospital…