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We are live from Maine while at our podcast retreat (yes that's a thing). Let's talk about a classic envenomation. Plus we have a surprise guest join us. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 238. Stabbed at the beach? October 28th, 2024. Accessed [date].
In the January episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the consequences of envenomation and acute vision loss. As always, you'll hear about the hot topics covered in CDEM's regular features, including persistent dysuria in an adolescent girl in Clinical Pediatrics, an unusual case of osteomyelitis in Critical Cases in Orthopedics and Trauma, tungsten carbide ring removal in The Critical Procedure, cellullitis and abscess in the emergency department in the LLSA Literature Review, and GI bleeding in The Critical Image.
In the January episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the consequences of envenomation and acute vision loss. As always, you'll hear about the hot topics covered in CDEM's regular features, including persistent dysuria in an adolescent girl in Clinical Pediatrics, an unusual case of osteomyelitis in Critical Cases in Orthopedics and Trauma, tungsten carbide ring removal in The Critical Procedure, cellullitis and abscess in the emergency department in the LLSA Literature Review, and GI bleeding in The Critical Image.
In this episode of the Prolonged Fuel Care Podcast, Dr. Ben Abo and Jordan Benjamin discuss snake envenomation. They debunk common myths about snakebite treatment, such as using tourniquets, extractors, ice, or cutting into the wound. They emphasize the importance of preparing for deployment in snake-infested areas by researching the local hazards and having the appropriate equipment. They provide a standardized snake bite assessment method, which involves a bottom-up top-down approach to identify the type of venom and the severity of the envenomation. They also discuss the decision-making process for airway management and the use of antivenom. The solution to snakebite envenomation is early and appropriate treatment with antivenom. It is important to irrigate the bite site and dilute the venom as quickly as possible. The use of tourniquets is not recommended, and if one is already applied, it should be slowly released. Pain management is crucial, and opioids and ketamine are effective options. Monitoring the progression of symptoms is more important than assigning a grade to the envenomation. Early intervention and proper training in snakebite management can lead to better outcomes. Takeaways Do not use tourniquets, extractors, ice, or cutting into the wound for snakebite treatment. Research the local hazards and have the appropriate equipment when deploying to snake-infested areas. Use a standardized snake bite assessment method to identify the type of venom and the severity of the envenomation. Make decisions about airway management based on the patient's symptoms and use tools like capnography and pulse oximetry. Antivenom is the key treatment for snake envenomation, and there are no absolute contraindications to its administration. The solution to snakebite envenomation is early and appropriate treatment with antivenom Irrigate the bite site and dilute the venom as quickly as possible Avoid using tourniquets, but if one is already applied, slowly release it Pain management is crucial, and opioids and ketamine are effective options Monitor the progression of symptoms rather than assigning a grade to the envenomation Early intervention and proper training in snakebite management can lead to better outcomes Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
#33: Marine Envenomation by Wilderness Medical Society
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine envenomations and trauma. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
In this episode of PICU Doc On Call, Dr. Pradip Kamat and Dr. Rahul Damania discuss a case of a 4-year-old girl with bite marks and swelling of her foot, presenting with concerning vital signs and abnormal labs. They explore snake envenomation and its management in the pediatric critical care setting.Classifying Snake EnvenomationSnakes with venom-delivering fangs, primarily Elapidae and Viperidae, are responsible for most human envenomations and fatalities. We're focusing on Pit Vipers today, including rattlesnakes, cottonmouths, and the copperhead. Elapids, such as the coral snake, differ by having round pupils, short fangs, and no facial pit.Risk Factors for Pediatric SnakebitesSnakebite incidents can happen when toddlers unintentionally disturb snakes, particularly in low-light conditions or grassy areas. Teenagers trying to capture snakes are another frequent group presenting with upper extremity bites. Pathophysiology of Snake EnvenomationSnake venoms contain toxic proteins that affect various physiological systems, leading to neurotoxic, hemotoxic, myotoxic, or cytotoxic effects. Envenomation can happen immediately or be delayed, presenting with various clinical and laboratory anomalies.Syndromes Observed After Snake EnvenomationThe impact of a snakebite depends on the snake type, fang size, and venom injection site. Effects may include cytotoxicity, lymphatic system damage, platelet dysfunction, neurotoxicity, cardiotoxicity, hypotension, and nephrotoxicity.General Management FrameworkIn snakebite cases, prehospital care involves immediate EMS call and ensuring airway, breathing, and hemodynamic stability. In the hospital, general supportive care is crucial, and antivenin administration depends on clinical presentation and snake type.Antivenin ConsiderationsAntivenin dosage is challenging due to unknown venom load, and its choice depends on safety, kinetics, cost, and the specific snake involved. Smaller fragments of antivenin have larger distribution volumes and shorter half-lives. Recurrence, anaphylaxis, and serum sickness are potential side effects of antivenin.Clinical PearlsA high index of suspicion is required to diagnose snake envenomation.Antivenin is the mainstay of therapy, and rapid transport to a facility with antivenin is crucial.Patients should be educated about recurrence, serum sickness, and lifestyle adjustments after a pit viper bite.Thank you for listening to this episode on snake envenomation in the PICU. For more episodes, visit our website picudoconcall.org. Stay tuned for our next episode! Don't forget to share your feedback and subscribe to our podcast.
Learn How to Naturally Improve Your Health and Wellness from Dr Peter Glidden, NDhttps://riseupintohealth.com/?via=baalbustersFor Dr Ardis: https://theDrArdisShow.com Subscribe to my RUMBLEhttps://rumble.com/c/c-1121444For Invites onto streams Join the Group https://t.me/BaalBustersStudiosVISIT and Support the Efforts so I can do these shows.https://www.tipeeestream.com/baal-busters/donationor https://paypal.me/BaalBustershttps://SemperFryLLC.com Use Code: HSFAMILY for 11% Off plus a free bonus 2 oz on orders of 3 bottles or more.Support the Show, Feel Better about YourselfShirts and Merch:https://my-store-c960b1.creator-spring.com/Get COPPERINE From Dr Tau Braun:Https://BioChemScience.com Use Code BB2022 for FREE SHIPPINGFull UNCENSORED Channel: https://BaalBuster.JoshWhoTV.com https://GiveSendGo.com/BaalBusters
What do scorpions and meth have in common? Tune in as Drs. Rebecca Gragg and Daniel Brooks share their insights in this tox episode Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 79 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.Support the show
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Tuesday on the Stew Peters Show, Dr. Aryiana Love brings the patents and receipts PROVING Dr. Ardis' claims in the Stew Peters Network exclusive documentary "Watch The Water", exposing a long term plot to envenomate the world. RECEIPTS: WO2021155323A1 Janssen Pharmaceuticals, Inc. WO2021178971A1 US Military US20210346492A1 Janssen Pharmaceuticals WO2021229448A1 Janssen Pharmaceuticals WO2021188969A2 Biontech Us Inc. https://patents.google.com/patent/WO2021155323A1. Watch the Watch editor, award winning documentarian Nicholas Stumphauzer, joins Stew to discuss the Fauci family snake crest, and the spiritual warfare he endured to deliver the hard hitting truth. WATCH THE WATER DOCUMENTARY, SHARE NOW! https://rumble.com/v10miez-world-premiere-watch-the-water.html And, James Tracy Guy shares his testimony about taking the fight to the courts with the corrupt, Covid-nazi schools that force our children to wear dirty rags on their faces for 8 hours. Don't miss a moment of Tuesday's edition of the Stew Peters Show, live on StewPeters.com Get Dr. Zelenko's Anti-Shedding Treatment, NOW AVAILABLE FOR KIDS: http://zStackProtocol.com Go Ad-Free, Get Exclusive Content, Become a Premium user: https://redvoicemedia.com/premium Follow Stew on Gab: https://gab.com/RealStewPeters See all of Stew's content at https://StewPeters.TV Watch full episodes here: https://redvoicemedia.net/stew-full-shows Check out Stew's store: http://StewPeters.shop Support our efforts to keep truth alive: https://www.redvoicemedia.com/support-red-voice-media/
It's the JournalFeed Podcast for the week of January 31-February 4, 2022. We cover treatment of olecranon bursitis, program director perspectives on pass/fail USMLE Step 1, videolaryngoscopy 2.0. snake envenomation, and computer vs emergency physicians ECG interpretation.
Theme: Christmas SpecialParticipants: Pramod Chandru, Kit Rowe, Caroline Tyers and Shreyas Iyer. Discussion:Snake Bites - a case from The Australiasian Medical Gazette (from the late 1800s). Presenter:Kit Rowe. Credits:This episode was produced by the Emergency Medicine Training Network 5 with the assistance of Dr Kavita Varshney and, Deepa Dasgupta. Music/Sound Effects We Wish You A Merry Christmas by Alexander Nakarada | https://www.serpentsoundstudios.com, Music promoted by https://www.free-stock-music.com, Attribution 4.0 International (CC BY 4.0), https://creativecommons.org/licenses/by/4.0/. Sound effects from https://www.free-stock-music.com. Time by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Time by Mike Leite | https://soundcloud.com/mikeleite, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time,Caroline, Kit, Pramod, Samoda, and Shreyas.~
Artigo "Assessing the Efficacy of First-Aid Measures in Physalia sp. Envenomation, Using Solution- and Blood Agarose-Based Models" - Link Sugestão musical: Carnaval del Barrio - Link IN THE HEIGHTS - Official Trailer - Link
Global warming and the Jellyfish toxidrome. From #CodaZero Live, Alice Young provides a brief update on the presentation, complications and management of Irukandji syndrome; and why we all need to know about it. With ocean temperatures rising we are seeing an increasing number of Irukandji jellyfish and subsequent stings in waters further and further south. On average there are approximately 50-100 people stung every year in Australia. Reports show that people typically experience symptoms between five minutes and two hours post sting. Symptoms include systemic symptoms, severe pain, headaches, shortness of breath and often what is described as an impending sense of doom. Irukandji jellyfish have the potential to cause Irukandji syndrome - a life threatening envenomation syndrome that causes severe pain, heart failure and intracranial haemorrhage. As these jellyfish stings are becoming more and more common in southern regions of Australia, it is important that healthcare workers understand the characteristics of the sting and how to respond with treatment. Listen to the full episode "Global warming and the Jellyfish toxidrome" wherever you get your podcasts. For more head to: codachange.org/podcasts
Dangerous snakes can be found both while training at home and far away while deployed. It may be a rare occurrence, but a catastrophic event when it does happen. Some austere providers may be aware of outdated treatments, and don't know where to start when it comes to identification and management of a snake bite. Feel free to ask yourselves these questions, or bring them up in a group discussion before listening to the podcast: 1.) Which type(s) of snakes would you put a tourniquet on? 2.) Under what conditions would you apply ice, cut into, or use an extractor on the wound? 3.) Before you deploy to “country x”, how can you find out dangerous fauna and flora? How can I prepare, equipment wise? 4.) How important is it to identify the snake? What if it cannot be found? 5.) How do I assess a snake bite patient and tell a difference between the various types of venom? 6.) How can you tell if it's a “dry bite”? 7.) You receive a patient with a Tourniquet already applied by a non-medic or junior medic… what now? 8.) When do I give anti-venom, of what type and quantity? What are the side effects? 9.) When would you take the airway in a patient with snake envenomation? When would you have MSMAID ready? 10) How do you handle a patient with venom sprayed into their eyes? 11) What are concerns with compartment syndrome in these patients? 12) How do you administer a push dose pressor or dirty epi drip for anaphylactic reaction? 13) If you have a confirmed snake bite but NO antivenom… how can you manage a patient, if at all? 14) What are your pain management considerations for these patients? Do you know the onset and durations for the medications you push or TIVA? What happens if the patient has breakthrough pain before the expected time?
Summertime means snakebite time, and with it comes the critical decisions pharmacists and clinicians are faced with when choosing antivenins. In this episode, we will look at the differences and similarities between the two latest antivenins for snakebites. Guest speaker: Philippe Mentler, PharmD, BCPS Consulting Director, Pharmacy Vizient Moderator: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence Show Notes: [00:54] A quarter of all snakebites are dry bites [01:24] Venomous snakes are everywhere in the United States except in Alaska and Hawaii [01:24] Most common venomous snakes in North America are pit vipers (rattlesnakes, copperheads, cottonmouths) [02:00] Clinical manifestations of snakebites [02:40] In 2019, American poison control reported more than 4,000 pit viper snakebites [02:55] History of antivenins [03:50] The development of a new antivenin, CroFab [04:55] In 2019, FDA approved Anavip for North American Rattlesnakes, and in April 2021 FDA updated its approval for all North American pit vipers [05:26] Variances between antivenins Anavip and CroFab [06:13] Clinical trials focusing on blood dyscrasias for Anavip and CroFab [07:15] The original approval for Anavip was exclusively in rattlesnakes and did not consider copperheads and cottonmouths because of the limited incidence of blood dyscrasias in those species in the trial [07:58] Cottonmouths and copperheads typically don't cause blood dyscrasias and tissue injury. This was not specifically addressed in the original study. Now, Anavip updated their information to the FDA, and with that the FDA approved antivenin for all pit viper snakes [08:45] Should a hospital carry both products? [09:25] There's no national guidelines for antivenins. The American Academy of Emergency Medicine published a clinical statement about antivenin drugs, but that's obsolete now that the FDA has updated its antivenin approval Links | Resources: ANAVIP, crotalidae immune F(ab)2 (Equine): Click here CroFab crotalidae polyvalent immune fab (ovine): Click here American Association of Poison Control Centers: National Poison Data System Click here NCBI: Rattle Snake Toxicity Click here USDA, Forest Service: “Snakes” Click here Centers for Disease Control and Prevention, The National Institute for Occupational Safety and Health: “Venomous Snakes” Click here Alaska Department of Fish and Game: “No snakes in Alaska” Click here Subscribe Today! Apple Podcasts Google Podcasts Spotify Stitcher Android RSS Feed
It’s the JournalFeed Podcast for the week of Apr 5-9, 2021. We cover leadership basics, “reverse” Valsalva, managing crotalid envenomation, cardiac transplant emergencies, and the SALSA RCT on correction of hyponatremia.
In todays episode we are talking about Venom, Bites, and Stings with Coyote Peterson from Brave Wilderness as well as Wilderness Medicine and ER Physician Dr. Dalal. We get some interesting insight and first hand knowledge from Coyote about the effects of venom on the human body. Dr. Dalal shares his knowledge and expereince on how to treat venemous bites and stings. As well as some cool behind the scene stories from Coyote Peterson about filming some of his most iconic episodes from his YouTube channel and Television series on Animal Planet! This is a VERY EXCITING episode, so don't miss out!Want to watch some tarantula, scorpion and invert videos? Subscribe to my youtube channel as well! https://www.youtube.com/thetarantulacollective or check out my website: www.thetarantulacollective.comSupport the show (https://www.patreon.com/The_Tarantula_Collective)
Things get spicy this week as the Gays discuss poisonous and venomous animals! There'll be sickness, death and plastic bags. The Gays will also answer that most enduring of questions... spit or swallow? Alexa, play "Toxic" by Britney.
The PoisonBoy posse is back - this time we stay in our own backyard and address the question on everyone's mind - just what do the Kardashians and crotalidae snakes have in common?
JAMAevidence The Rational Clinical Examination: Using Evidence to Improve Care
Dr David Simel discusses Does This Patient Have a Severe Snake Envenomation? with Dr Charles Gerardo
This episode takes you thorough what to do if you suffer a sting or bite from a stonefish, octopus, or sea snake. It discusses the life cycle, the type of venom, and what to do when you encounter one.
A board certified physician takes you through what to do if you come in contact with venomous marine creatures. This is part one of a 3 part series. This one deals with jellyfish, sea urchins, and stingray.
https://www.snakebitefoundation.org/
Dr Peter Pereira: Tropical envenomation. From CICM ASM PROGRAM 2019.
Today’s podcast guest is Sam Alfred, Emergency Medicine Consultant and Clinical Toxicologist. Sam and I discuss his role as a toxicologist, that is the management of envenomations and of poisonings, including self-harm via overdoses of prescription or illicit drugs. For those of you who love hiking, trail running and mountain bike riding, we focus much of our discussion on snake bite, which is a very real risk, especially during the warmer months. Sam allays some of my fears about snakes when he explains that snakes most definitely do not want to come into contact with humans; they would much rather avoid us. Snakes do not actually attack and only bite if they are startled or threatened e.g. if you were to accidentally step on them. Should you unfortunately get bitten, which is actually rare in Australia, the level of care is excellent and there are very, very few deaths. Sam also offers some first aid tips if you do happen to get bitten - knowledge that is really useful to have.We touch on Sam’s involvement in an aid project in Myanmar where snake bite is tragically common; an interesting project seeing positive results.I hope you enjoy my discussion with Sam and hopefully, unlike most of my guests, contacting him is not something you actually want to do.
In the wilderness there is an obvious danger of being bitten by snakes, insects and arthropods. Dr. Susanne Spano offers advice on what to do in case you meet are bitten by a venomous creature far from medical help. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32546]
In the wilderness there is an obvious danger of being bitten by snakes, insects and arthropods. Dr. Susanne Spano offers advice on what to do in case you meet are bitten by a venomous creature far from medical help. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32546]
In the wilderness there is an obvious danger of being bitten by snakes, insects and arthropods. Dr. Susanne Spano offers advice on what to do in case you meet are bitten by a venomous creature far from medical help. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32546]
In the wilderness there is an obvious danger of being bitten by snakes, insects and arthropods. Dr. Susanne Spano offers advice on what to do in case you meet are bitten by a venomous creature far from medical help. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32546]
This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week. Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best.... Anyway they wanted to know about things that might kill you in Broome... so apart from humans, this is the most dangerous things I can think of at short notice. I am joint don this episode by my favourite marine biology enthusiast - Julius Parker, he is 7 years old, in Year 2 and knows more about animals than most postdoc students!
From The Ground Up Reptile Podcast - Where we talk everything cold-blooded (Snake Podcast)
On this podcast we talk about upcoming projects? Scaleless or Palmetto corn snake. Also, just random snake and life stuff
Mark Little builds a framework for the clinical approach to patients with suspected poisoning or envenomation. Particularly useful in a country where everything is trying to kill you.
Toxicologist, Mark Little dives into marine envenomation, with particular attention to the dangers of jellyfish. This talk was recorded at BCC4. Don't miss out on the fantastic upcoming BCC5 this September 29th- October 3rd in gloriously sunny Cairns. http://bedsidecriticalcare.com/
Chris has been into envenomation ever since I've known him, when we met in Darwin. He has worked with some world experts in this area, been involved with important research and been exploring places such as Sri Lanka looking for some of the world’s most dangerous snakes, which worries me a bit as I’m going back there next month. This talk was given at the Bedside Critical Care conference 2012. See here for the ICN article with slides and credits.
Chris (@precordialthump)'s interest in tropical medicine and envenomtion has lead to him becoming a national expert on the matter. This talk on spider bites and marine envenomation covers the latest research on the subject. Best watched with the accompanying slides. This talk was given at the Bedside Critical Care conference 2012. The slides and credits are on Intensive Care Network here
Host: Matt Birnholz, MD Presenting this session of Grand Rounds is Dr. Leslie Boyer, founding director of the VIPER Institute in the College of Medicine at the University of Arizona. This is Part 3 of a lecture in three parts. Part 1 >> Part 2 >> To view the complete video recording of this and other Grand Rounds sessions from the University of Arizona College of Medicine, visit their website.
Host: Matt Birnholz, MD Presenting this session of Grand Rounds is Dr. Leslie Boyer, founding director of the VIPER Institute in the College of Medicine at the University of Arizona. This is Part 2 of a lecture in three parts. Part 1 >> Part 3 >> To view the complete video recording of this and other Grand Rounds sessions from the University of Arizona College of Medicine, visit their website.
Host: Matt Birnholz, MD Presenting this session of Grand Rounds is Dr. Leslie Boyer, founding director of the VIPER Institute in the College of Medicine at the University of Arizona. This is Part 1 of a lecture in three parts. Part 2 >> Part 3 >> To view the complete video recording of this and other Grand Rounds sessions from the University of Arizona College of Medicine, visit their website.
Guest: Simon Jensen, MBChB, FACEM, BSc(Hons), MSc(Dist) Host: Mary Leuchars, MD How common are snake bites in various parts of the world, and how many of these are venomous? What are the symptoms of envenomation, and how widely does the venom vary among snake species? Dr. Simon Jensen, founding director of the Global Snake Bite Initiative and clinical research supervisor at the University of Papua New Guinea's snake bite research project, discusses methods and treatments for snake bites. Dr. Mary Leuchars hosts.