Environmental – JournalFeed

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Decompression sickness and arterial gas embolism can present similarly and have similar treatment protocols. Decompression illness is a term that can encompass both disease processes. Recompression and hyperbaric oxygen are definitive treatments for both conditions. If you need additional help, you should contact a 24-hour expert on the topic.

Source
Decompression Sickness and Arterial Gas Embolism. NEJM. 2022;386:1254-1264. DOI: 10.1046/NEJMra2116554

Feb 3 2022February 26, 2022

An Overview of Snake Envenomation

Environmental, Pharmacy/Pharmacology

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Snake envenomation has a large global health burden with a variety of clinical presentations from benign to life threatening. Early use of antivenom (if available), good supportive care, and admission for further treatment and observation is the best management regardless of the snake species involved.

Nov 19 2021February 28, 2022

Time = Brain in Carbon Monoxide Poisoning

Environmental, Toxicology

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Patients treated with hyperbaric oxygen therapy within 6 hours of carbon monoxide exposure had better 6-month neurocognitive outcomes than patients who received treatment within 6-24 hours. Poor outcomes increased as time-to-treatment increased.

Apr 7 2021March 1, 2022

Crotalid Envenomation – Spoon-Feed Version

Environmental, Pharmacy/Pharmacology, Toxicology

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This literature review of crotalid envenomation answers 8 clinical questions for ED docs.

Apr 22 2020March 3, 2022

Heat Stroke – The Fastest Cooling Methods

EMS, Environmental

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Cold water immersion resulted in significantly faster cooling rates for patients with exertional hyperthermia compared to passive cooling measures.

Apr 7 2020March 3, 2022

Cefepime-Associated Neurotoxicity – Who’s at Risk?

Critical Care, Environmental, Infectious Disease, Pharmacy/Pharmacology

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Patients with severe renal dysfunction receiving high dose cefepime may have higher risk of cefepime-associated neurotoxicity.

Oct 10 2019

Low-Dose Radiation and Cancer Risk in Kids

Environmental, Hematology/Oncology, Imaging, Pediatrics

The incidence of cancer was higher in children exposed to low-dose diagnostic radiation than to non-exposed children. Be circumspect in scanning kids.

Oct 8 2019

Are Bullet Fragments Causing Lead Poisoning?

Environmental, Toxicology, Trauma

Patients with retained bullet fragments are at risk for toxic lead levels and should probably be screened for the first year after ballistic injury.

Aug 15 2019

Heatstroke

Critical Care, Environmental

Heatstroke is a deadly triad of hyperthermia, CNS dysfunction, and multiorgan failure. Classic (or passive) heatstroke is due to environmental exposure and poor heat dissipation, whereas exertional heatstroke is related to strenuous physical activity. Prompt recognition and treatment can be life-saving and is focused on rapid cooling.

Oct 15 2018March 29, 2022

Triaging Children in Mass Casualty – Which Tool Is Best?

ED Operations, EMS, Environmental, Pediatrics, Trauma

Four mass casualty incident (MCI) triage sorting systems performed similarly in children, each 57-59% accurate. Those considered were SALT, JumpSTART, Triage Sieve, and CareFlight.