What do you do if a puma attacks?
Pumas (Puma concolor) are large feline predators that have been known to attack humans. Do the warning signs give good advice?
Nightland – a tribute
"Are you on f*%king nightshift tonight, mummy?" ...a toddler utterance I hope to never hear again
Pneumothorax Case 4
A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.
Pneumothorax Case 3
A 31 year old male presents after what is thought to be a superficial penetrating chest wound. You perform an ultrasound. What does this show?
Copperheads don’t cause coagulopathy
Copperheads are common across the southeastern US, and are responsible for a significant number of crotalid envenomations in areas where they are endemic. However, they have the least potent venom of all the pit vipers, and often bites are self-limiting.…
Warm summer nights
It was summer 2006, long days and warm summer nights, and I was an intern, living by the beach and working a rotation in emergency.
Mastering Intensive Care 036 with Hayley Gershengorn
Hayley Gershengorn: Allocating ICU resources to optimise patient outcomes and job satisfaction. Mastering Intensive Care Podcast - Andrew Davies
Pyroglutamic Acidosis
Pyroglutamic acidosis is a rare cause of high anion gap metabolic acidosis (HAGMA). When glutathione levels are low, the activity of γ-glutamyl cyclotransferase is increased, resulting in pyroglutamic acid accumulation in glutathione-depleted states
D-Lactic acidosis
D-Lactic acidosis aka D-lactic encephalopathy. Rare cause of high anion gap metabolic acidosis (HAGMA), typically occurs in patients short bowel syndrome or following jejuno-ileal bypass surgery
ABG changes in Cardiac Arrest and CPR
The degree of acid-base abnormality during cardiac arrest and cardio-pulmonary resuscitation (CPR) is dependent on a number of variables
Arterial Blood Gas in Hypothermia
Arterial Blood Gas in Hypothermia. The solubility of oxygen and carbon dioxide is increased at low temperatures.
Big cats and you
Many people own pets. Somewhere around 30% of US households have dogs, and nearly the same amount have cats. There is certainly some overlap. However, these are the normal people. There are also between 5000 and 7000 tigers in captivity,…