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Bringing wilderness to the city
Most teaching faculty work at academic programs, which typically aren’t in areas considered “wilderness” by the average layperson. Thus, teaching wilderness and austere medicine in an urban environment...
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TexMed 2014 talk
Slides from my presentation at the annual meeting of the Texas Medical Association. The post TexMed 2014 talk appeared first on EBM Gone Wild.
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Anticoagulants bad for the woods
As I have written about before, more and more people are taking oral anticoagulants for various medical conditions. For better or for worse, they aren’t then staying at home in a padded room, but...
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Simulation on a budget
When you are teaching procedures, most educators prefer for the first couple of attempts to be simulations, and not on actual patients. But if you’re going to be teaching wilderness procedures, there...
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More dangers of centipedes?
Sometimes, when you’re in Rome, you shouldn’t act like Romans. This case report comes from Taiwan, where the authors got to take care of this intriguing case. A 49 year old male patient presented to...
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Centipedes, Caterpillars, and Other Creepy Crawlers
This is my talk from the 2nd Annual Houston Venom Conference. The post Centipedes, Caterpillars, and Other Creepy Crawlers appeared first on EBM Gone Wild.
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Ranger IVs decrease flow
When you’re out in the field, IV access is precious. So you do everything you can to prevent losing a good line. In concept, Ranger IVs are perfect. They are a ruggedized field IV system in which an IV...
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Is there anything magnesium can’t do?
I’ve often extolled the virtues of magnesium to my residents as well as on twitter. It’s a sign of a well seasoned emergency physician to take any medical problem, and say “a little magnesium couldn’t...
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Has the bell tolled for redback antivenom?
Redback Redback spider bites are of decent medical importance, if you live in Australia or any of the places they’ve been carried to by humans. Their venom inflicts you with pain that can be local,...
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Stroke after crotalidae antivenom
When it first came out, crotalidae polyvalent immune Fab (CroFab), was seen as a godsend by many. It didn’t cause anaphylaxis or serum sickness to nearly the same degree as the old product. There was...
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International traveling with medications?
It’s something that most don’t think about. Many readers of this blog are lucky enough to not have chronic medical problems, but not all are. Still, most of us regularly interact with an increasing...
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Big Cats and You
Many people own pets. Somewhere around 30% of US households have dogs, and nearly the same amount have cats. There is certainly some overlap. However, these are the normal people. There are also...
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Copperheads don’t cause coagulopathy
“CopperheadInLeavesCU“. Licensed under Public domain via Wikimedia Commons. Copperheads are common across the southeastern US, and are responsible for a significant number of crotalid envenomations in...
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What do you do if a puma attacks?
Licensed under CC BY 2.0 via Wikimedia Commons. Pumas (Puma concolor) are large feline predators that have been known to attack humans. Slightly more concerning is that most attacks on humans are as...
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Predicting survival after avalanches
More than 150 people die each year after being buried in an avalanche, and mortality is greater than 50% for this condition. Unfortunately, a large amount of resources are used on patients who...
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Do they really have to be “warm and dead”?
The classic teaching is that nobody is dead until they are warm and dead. But as discussed last week, knowing which patients are likely to survive (and thus warrant lifesaving efforts) is difficult to...
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Wear the helmet anyway
Helmets continue to be recommended or required by multiple ski resorts worldwide. The main thinking is that prevention of traumatic causes of death will directly reduce mortality from avalanches and...
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Deep breathing to prevent AMS
Mountain sickness can effect even the fittest among us. It is so prevalent that there are myriads of studies showing the lowest effective dose of acetazolamide, as it has unwelcome side effects. While...
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Does paper tape prevent blisters?
Feet get blisters, and the longer distances you move, the more likely they are to get them. While nuisances by themselves, blisters can lead to more concerning conditions such as cellulitis. Then they...
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What leads to rock climbing rescues?
Rock climbing is a popular sport, but most rock climbing areas are either remote or sparsely populated with climbers, leading to poor data collection with regards to rescue events.The US National Park...
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