Tactical Medicine News Blog

Take Home Points Lithium toxicity comes in a three flavors: acute, chronic and acute on chronic. Each form will have a different presentation as well as management. Lithium levels are often unreliable in terms of guiding management and must be taken in context with symptoms and time of ingestion (in acute overdose). IV fluids are a cornerstone of management as increasing intravascular volume and increasing renal elimination are critical. Hemodialysis is indicated for a lithium level > 5 mEq/L or a level > 4 mEq/L in a patient with renal failure. However, dialysis decisions should be made in conjunction with a toxicologist.

A 32-year-old female presents to the emergency department with right foot pain after rolling her ankle during dance class. On exam, there is mild swelling and tenderness over the 5th metatarsal. The above x-ray was obtained (Figure 1: Case courtesy of Dr. Henry Knipe, Radiopaedia.org, rID: 28104).

Mensaje simple: ¡no consuma drogas (ni conduzca) y no retire objetos empalados del lugar de la lesión! Deje eso en manos de los cirujanos: simplemente recorte y transporte.de @hidocdr¡El hombre logra sobrevivir al ser atravesado por un poste después de un accidente automovilístico!El conductor de 22 años junto con tres pasajeros sobrevivieron al devastador accidente. El conductor, que estaba bajo...

 Fuente https://www.youtube.com/watch?v=c85jkDfymfM

 Por Daniel P. Runde , MD, MME, University of Iowa Hospitals and ClinicsRevisado médicamente mar. 2022Las lesiones por rayos provocan paro cardíaco, pérdida de conciencia y déficits neurológicos temporales o permanentes; las quemaduras graves y las lesiones de tejidos internos son poco frecuentes. El diagnóstico es clínico; para la evaluación se precisa un ECG y monitorización cardíaca. El...