The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

We hope you find something of interested to you, please use the search bar on top to narrow down what you are looking for.

As always, all credit is given to the original author and origin publication.


ACMT Toxicology Visual Pearl: Questions about green pee? Urine luck!

Clare Gunn, MD | May 26, 21

Which of the following medications is likely responsible for this urine discoloration in an intubated and sedated ICU patient?

  1. Fentanyl
  2. Ketamine
  3. Lorazepam
  4. Midazolam
  5. Propofol

Continue reading
Bryan Ross, MD | Apr 07, 21
ACMT Toxicology Visual Pearls – In “Spore” Taste

puffball mushroom spore

A 15-year-old male presents symptomatic several hours after inhaling spores of this mushroom as a home remedy for epistaxis. What is the presentation and pathophysiology of the toxic syndrome associated with this mushroom?

For a video of this mushroom in action:

  1. Dyspnea and cough from hypersensitivity alveolitis
  2. Flushing, nausea and vomiting from acetaldehyde accumulation
  3. Nausea, vomiting and hepatoxicity from RNA synthetase inhibition
  4. Seizures from reduced GABA production in the central nervous system

Continue reading
Michael Simpson, MD | Feb 10, 21
ACMT Toxicology Visual Pearls – Necrotic Spider Bite

A patient bitten by the pictured creature with the pictured lesion should be screened for which pathology?

  1. Acute liver failure
  2. Ascending paralysis
  3. Hemolysis
  4. Meningitis
  5. Myocarditis

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Caitlin Baldwin, DO | Jan 20, 21
ACMT Toxicology Visual Pearls – A Poke in the Belly

Which component of the pictured plant is the cause of gastrointestinal symptoms when ingested?

  1. Histamine
  2. Lectins
  3. Oxalates
  4. Ribosomal inhibiting proteins
  5. Saponin glycosides

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Nicholas Titelbaum, MD | Nov 09, 20
ACMT Toxicology Visual Pearls: Case of a Toxic Tea

The plant pictured is used as a tea, powder, or capsule by individuals looking to self-treat pain or opioid use disorder.  Patients may develop nausea, vomiting, hallucinations, or other serious clinical effects after ingestion.  What compound is contained in this plant? Arecoline from Areca catechu Kava lactone from Piper methysticum Mitragynine from Mitragyna speciosa [+]

The post ACMT Toxicology Visual Pearls: Case of a Toxic Tea appeared first on ALiEM.

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Brian Lewis, MD | Oct 05, 20
ACMT Toxicology Visual Pearls: “I have a nanging feeling about this”

nitrous oxide

Chronic exposure to which substance can cause this finding on a Cervical Spine MRI?

  1. Arsenic
  2. Carboplatin
  3. Nitrous Oxide
  4. Toluene

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Kregg Laundon, MD | Sep 14, 20
ACMT Toxicology Visual Pearls: Awake Seizures?

Which of the following rodenticides, often used to kill the rodent pictured, causes seizure-like activity without altered mental status or a postictal period?

  1. Barium
  2. Brodifacoum
  3. Carbamate
  4. Strychnine
  5. Zinc phosphide

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