Brown recluse bites
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,…
Trauma! Genitourinary Injuries
A Q&A overview of the assessment and management of a sometimes neglected area of major trauma: genitourinary injuries.
Ice vs chemical cold packs
Heat illness needs fast treatment, and to accomplish this many EMS agencies carry chemical cold packs. These are convenient in that they have long shelf lives, don’t require cold storage, and don’t leak or drip fluids. According to this article,…
Jellybean 099 with Prof Michael Pinsky
Professor Michael Pinsky. Giant of North American and International Intensive Care research and practice. Jellybean 99 and CICMxJB 7
Trauma! Abdominal Injuries
A Q&A overview of abdominal injuries resulting from major trauma. Can you recognise and manage the common and important abdominal organ injuries in the ED?
Afterdrop
Snow burial is often used experimentally to simulate avalanche burials. In this paper, they used snow burial to allow measurement of core temperature cooling and afterdrop. The authors were attempting to compare the afterdrop rate of patients who were immediately…
Trauma! Assessing the Abdomen
A Q&A approach to the assessment of abdominal trauma with a focus on the role the FAST scan, diagnostic peritoneal lavage and the CT abomen.
Adolph Kussmaul
Adolph Kussmaul (Adolf Kußmaul) (1822 – 1902) was a German physician. Eponym Kussmaul breathing in Diabetic ketoacidosis (1874)
Lewis Conner
Lewis Atterbury Conner (1867-1950) was an American cardiologist. Conner sign (1926) - dull percussion R lower posterior lung field in pericardial effusion
Biot respiration
Description Biot respiration History 1876 – Biot studied patients with Cheyne–Stokes respiration at l’Hôtel-Dieu de Paris. In a 16-year old male with tuberculous meningitis he observed a previously undescribed pattern of breathing which he termed ‘rhythme meningitique‘. He found the…
Camille Biot
Camille Biot (1850 – 1918) was a French physician. Most famous for describing Biot breathing. Biography Born 19 December 1850 Chatenoy-le-Royal, France Intern at Hôtel Dieu Hospital in Lyon, France Practiced in Maçon in 1875 Became member of L’Académie de…
Toxicodendron dermatitis
First of all, you can transfer urushiol from one skin part to another. However, only in the first 30 minutes after contact, and the only times it has been reported are from hands to genitalia. Thus, wash your hands before…