Well that's it, just like that the conference has come to end. The last few days have been a wild ride through the essentials of emergency medicine. Mel Herbert and his team have put on one hell of a show, and San Francisco played host superbly
A 67-year old male is brought to hospital by ambulance with severe chest pain, sweating, vomiting and syncope. LMCA Occlusion
The Ten Commandments of Clinical Research according to Stoller and Mireles-Cabodevila.
Could UCEM have found the panacea for some of the greatest challenges facing Waiting Room Medicine? You be the judge...
Jules Philippe Falret (1824 - 1902) was a French psychiatrist. 1877, along with Ernest-Charles Lasègue (1816-1883) first described the concept of Folie à deux, initially termed Lasègue-Falret syndrome.
78 yr old male presents with a 2 day history of lethargy and dizziness. Describe and interpret this ECG. LITFL Top 100 ECG
A 27 year old man had a dizzy spell and then collapsed while playing indoor soccer. Bystanders thought that he had a brief loss of consciousness but he woke up quickly and now feels well. Describe his ECG
Colchicine toxicity is rare but any intention overdose with colchicine is potentially lethal. Although resuscitation is a priority as with all toxicities, colchicine requires urgent decontamination due to the limited therapies we have once toxic serum levels develop.
Quinine causes cinchonism (nausea, vomiting and tinnitus) in overdose but also blindness which is delayed and sometimes not noticed until the morning after the acute toxicity has resolved. Think of it as aspirin (the salicylism) that causes blindness.
Acute digoxin poisoning manifests with vomiting, hyperkalaemia and brady-tachyarrhythmias potentially leading to death, whereas chronic digoxin toxicity is far more insidious, still with gastrointestinal symptoms but in addition bradycardia and automaticity on the ECG.
NSAIDs are generally benign in overdose unless a large amount is ingested which would take some effort. As 66% of NSAID overdoses are with ibuprofen we will use this as an example.
Hypoglycaemia can occur at therapeutic doses especially in those who develop renal impairment. In overdose these drugs cause a profound and prolonged hypoglycaemia, usually apparent within 8 hours post ingestion of a standard preparation.