Slides from my presentation on Marine Injuries at the annual meeting of the Texas Medical Association. EBM Gone Wild Lectures Spider Bites that aren’t MRSA Fish Poisoning Centipedes, caterpillars and other creepy crawlies Toxmed 2014 Diabetic Ketoacidosis (DKA) TCEP
Redback spider bites are of decent medical importance, if you live in Australia or any of the places they’ve been carried to by humans. Their venom inflicts you with pain that can be local, regional, or generalized. It can also…
Antivenom is widely used for Australian envenoming syndromes. Antivenoms are generally perceived, by both clinicians and the general public, as highly effective treatments. However, there is little evidence to support this widely held view, in fact, the weight of evidence suggests that some antivenoms are ineffective in clinical practice.
The box jellyfish is found in tropical Australian waters. Most stings are benign and respond to supportive measures. Severe envenoming has been associated with at least 67 deaths in Australia, the last 12 being children.
Last October, a report of death by loxoscelism was reported in Annals. It’s a sad story about a previously healthy 3 year old girl who was bitten by a witnessed brown recluse in Tennessee. She went to a rural ED,…
Expanding on my comments from the ALiEM Patwari Academy post on snakebites, here is some data behind neostigmine use in elapidae bites.
Many beach locations recommend the use of vinegar for jellyfish stings, and some go so far as to stock it at lifeguard(surf rescue) stations. But why did they decide to do that? Were there lots of studies performed?
The Case. A sunny Saturday morning in Sydney and your 56 year old patient was just outside doing some gardening when they feel a rather sharp bite on their right hand (on webspace between thumb and index finger). He arrives…