emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections
Today Alexis Koda is back and takes us through marine ingested poisons and infections.
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Environmental
emDOCs Podcast – Episode 91: Marine Envenomation and Trauma
Today on the emDOCs cast Alexis Koda covers marine envenomations and trauma.
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Lightning Strike Injuries
How should you evaluate and manage the victim of a lightning strike?
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EM@3AM: Hypothermia
A 37-year-old female with history of alcohol and drug abuse is brought in after being found asleep on a bench on a cold winter morning. She is unresponsive. Vital signs are notable for HR 45, BP 85/40, SaO2 90%, rectal temperature 29C. Naloxone is given with no improvement, and the patient is intubated. On exam she is unresponsive, pulses show irregular rhythm, and extremities are cool. POC glucose is 65. What is the likely diagnosis, and what is the first step?
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EM@3AM: Heat Stroke
A 72-year-old female is brought to the ED during a heat wave. Her daughter found her confused in her home. She believes the power has been out for several days. The patient appears lethargic and is intermittently confused. A rectal temperature reads 105.1F. The patient’s skin is warm and dry. She is confused, but the rest of her exam is unremarkable. What is the patient’s diagnosis? What’s the next step in your evaluation and treatment?
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EM Boards Survival Guide: Environmental 1
This week’s EM Board Survival Guide covers Environmental Emergencies.
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Brrr! ED Presentation, Evaluation, and Management of Cold Related Injuries
Sure, it’s spring, but winter is coming. What do you know about cold-related injuries?
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EM@3AM – Hypothermia
A 42-year-old female presents with altered mental status after being found outside. She is bradycardic and hypotensive, and your normal thermometer reads “Error”. You ask for a core monitor, which provides a reading of 27C.
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Exercise-Induced Emergencies in the Heat: Rhabdomyolysis & Exertional Heat Stroke
With the increasing popularity of high-intensity exercise regimens, visits to the Emergency Department among otherwise young and healthy individuals may be more common. The majority of metabolic abnormalities that occur after an extreme exercise event, whether a marathon or a new high-intensity exercise class, may resolve within a few days with rest and hydration. But for some, symptoms can be quite severe.
This article will examine the pathophysiology and management of two prevalent exercise-associated injuries: rhabdomyolysis and exertional heat stroke, which may be encountered in the ED.
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