Thunderstorm Asthma

It was only after it settled down that we realised what we had achieved. In a 24 hour period our emergency department would typically see around 200 patients. During “Thunderstorm Asthma,” over a 12-hour period between 7pm and 7 am we treated 296 patients; 208 of them had respiratory symptoms. Of these patients 170 went home, 36 were admitted including four that went to the intensive care unit. The peak occurred at 9pm, when 43 patients arrived in an hour.  It wasn’t until 2am before our numbers dropped below 20 an hour.

Source: Thunderstorm asthma: ‘It was like a war zone,’ emergency doctor says

Here`s why.

Source: Thunderstorm asthma – Australasian Society of Clinical Immunology and Allergy (ASCIA)

Emergency Medicine Clinics, August 2016, Volume 34, Issue 3 – Geriatric Emergencies

Source: Emergency Medicine Clinics, August 2016, Volume 34, Issue 3 – Geriatric Emergencies, Pages e25-e37, 435-694

Rather than link each individual article separately I’ve provided a link to the table of contents for this collection on geriatric emergencies.

What underwriter wouldn’t get excited about Evaluation of Syncope in Older Adults.  This is exciting stuff!

 

Early metabolic acidosis and coma in massive acetaminophen overdose | The Poison Review

KEY TAKE-HOME POINT: Always remember to include APAP on the differential diagnosis of high-anion-gap metabolic acidosis. A good mnemonic is A CAT MUDPILE:

  • Aspirin
  • Cyanide, carbon monoxide
  • Acetaminophen
  • Theophylline
  • Methanol, metformin
  • Uremia
  • Diabetic ketoacidosis (or alcoholic ketoacidosis)
  • Propylene glycol
  • Iron, INH
  • Lactic acidosis
  • Ethyelene glycol

via Early metabolic acidosis and coma in massive acetaminophen overdose | The Poison Review.

This is simply a fun blog post.