Corrosive ingestion: Patients who are asymptomatic at 4 hours and tolerating oral fluids can be medically cleared. Symptomatic patients need to remain nil by mouth and are admitted for observation and further investigation within 24 hours. Management is then directed dependent on these findings.
Dressler syndrome: Fibrinous or fibrinohaemorrhagic secondary pericarditis that occurs as a result of injury to the heart or pericardium, either from myocardial infarction (MI) or cardiac surgery. Also known as post myocardial infarction syndrome
Tuohy Needle with Huber point: Non-coring type needle with a transversely curved wall and side hole giving it a long, sharp, curved tip. EB Tuohy (1946)
Some good old fashioned medical trivia FFFF, introducing the Funtabulous International Women's Day Quiz for 2019 with Dr Colleen Taylor
Funtabulously Frivolous Friday Five 191 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
An ECG case of pacemaker failure. Can you guess the underlying cause of the Pacemaker Panic?
Sir William Osler teaches us to treat the patient, not the disease. Even if the patient is difficult.
Brugada Syndrome - ECG abnormality with a high incidence of sudden death in patients with structurally normal hearts. Brugada - EKG Library
This 53 year old male presented to ED following an episode of collapse. Describe and interpret this ECG. LITFL Top 100 ECG Brugada
The ALiEM Faculty Incubator is a year-long professional development program for educators, which enrolls members into a mentored digital community of practice.
acute ingestion results in gastrointestinal irritation and then dose-related systemic toxicity potentially leading to death. Iron takes hours to reach from the GI tract to the intracellular space. This gives us the opportunity to prevent further absorption in large overdoses with decontamination and chelation.
Firstly, lets dispel a myth, organic arsenoids found in seafood are non-toxic. Other pathways to toxicity include the chronic exposure usually following the ingestion of artesian water. Subacute from industrial accidents, food contamination or arsenic-containing herbal medicines.