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Spider Bites that aren’t MRSA
Spider Bites that aren’t MRSA from EBMGoneWild The post Spider Bites that aren’t MRSA appeared first on EBM gone Wild.
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Acute mountain sickness is more than one syndrome
I know what you’re thinking, but I’m not just talking about HAPE and HACE here. But when acute mountain sickness affects up to half of those who ascend beyond 4500m, it’s something we really don’t know...
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Death by caterpillar or: Consider zebras, but don’t memorize them
I’ve given lectures on lepidoptera before. There are between 200-3500 envenomations from lonomia spp reported every year in Brazil, but they’ve increased yearly since 2000. This is most likely from...
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Everything you know about snakebites is wrong
Well, maybe. The 6 T’s though? Testosterone, Tank, Teasing, Tequila, Tattooed, and Tanktop? Yeah, they’re not correct. The terms “legitimate” and “illegitimate” as pertaining to snakebites imply a...
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Are you using the heel hook? Should you?
As climbing has progressed from simple vertical faces to more complex topography of the rock wall, largely brought on by recreational bouldering, so too have the techniques. One of these is the heel...
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Venom extraction kits. Seriously, just don’t.
I learned from a speaker at this years Wilderness Medicine conference that while we as clinicians mostly know about venom extractors and why they don’t work, this hasn’t trickled down to the lay public...
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A novel prevention for acute mountain sickness
Every now and then someone thinks outside the box and causes a change in medical care. This is one of those things. I was alerted to this letter to the editor by the always excellent R&R in the...
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A talk on fish poisoning
Here are the slides from my talk at the 3rd Annual Houston Venom Conference. The post A talk on fish poisoning appeared first on EBM Gone Wild.
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Necessity is the mother of tourniquet invention
A lot of wilderness medicine teaching is geared towards bringing the right tools for the circumstances, but sometimes you end up in a situation where you don’t have the best tool for the job. Thus,...
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Want to repel mosquitoes?
Mosquitoes. Mozzies. Whatever name you want to use for them, they’re a nuisance to you when you’re outdoors. And even worse, if you are in certain areas, they can transmit a large number of serious...
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Use hematoma blocks for wilderness anesthesia
You’re on a simple hiking expedition and suddenly a member of the group takes a wrong step on the trail and collapses in pain. You examine them carefully and discover a gnarly ankle...
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Femoral traction splints, helpful or not?
It’s been awhile since the FOAM twitter community got together and discussed the utility of femoral traction splints. Thus, forgive me for not remembering all the finer details of everyone’s points of...
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If you don’t use it, you lose it
It’s a common perception that “book knowledge” does not give on the ability to perform skills. People can answer the questions correctly on a test, but not do the right thing in a real life scenario....
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How you wash your utensils matters
When you’re out in the wild for extended periods of time, you’re always reminded of the need to eat. Some get around this by only carrying pre-prepared foods. Others decide to cook, which inevitably...
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Maybe clothing technology really hasn’t gotten better
Early in the 20th century, explorers were busy trying to reach the poles and climbing mountains, simply because they were there. The casual observer from modern times must wonder how they were able to...
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Just how clean is that water container?
If you’re drinking water when recreating (and you should be), how important is choice of container to the cleanliness of the water? Proponents of water bottles certainly show how much easier they are...
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Think it’s just the flu? Think again.
You learn early in medicine that you will never diagnose a disease that you don’t consider. We all suffer from tunnel vision, and this can result in misdiagnosis and ultimately significant morbidity...
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Sailing expeditions gone wrong
Ah, sailing. The joy that can be had utilizing just the wind to move effortlessly across the water. At least, that’s what it looks like to the untrained observer. Even casual sailing requires a bit of...
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Don’t believe what you read on the internet
While my tongue is planted firmly in my cheek with regards to the title of this blog post, this is a topic that is sadly all too common. Many of us in the medical field are aware of patients coming to...
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Fever in the returning traveler
The patient who returns from vacation with a fever is often a diagnostic dilemma. Unfortunately, up to 1 in 5 travelers to the developing world will get one within a few weeks of their trip. So how do...
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