Environmental

Frostbite | Spoon Feed Version – In a Heat Wave :)

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The incidence of frostbite is shifting from exploration to urban environments and requires prompt recognition and often presents with other disease processes. Standard treatment is supportive and conservative, but new therapies including direct and systemic thrombolysis, and anticoagulation may be the future.

Source
Diagnosis and Treatment of Frostbite. NEJM. 2022;386(26):2213-2220. Doi:10.1056/NEJMra1800868

Decompression Sickness | Arterial Gas Embolism – Spoon-Feed Version

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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

An Overview of Snake Envenomation

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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.

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