#Amanita phalloides toxin is not inactivated by heat. You can not solve the toxicity of this #mushroom by cooking it, aggressively or not.

In a @jem_journal case study, #tourniquet placement was used to prevent intubation paralytics from perfusing an extremity to assess #seizure status and sedation level. tinyurl.com/4f4vd6xw

Undomiciled patients experience longer #emergency dept wait times compared to domiciled patients, a disparity that exacerbates for urgent/emergent triage categories. #homelessness @jem_journal tinyurl.com/hcka8ve2

IV #haloperidol (0.05-0.1 mg/kg) is superior to #odansetron (8mg) for acute #cannabis-associated hyperemesis - providing new insight into pathophysiology @Qemerg #CAH @AnnalsofEM bit.ly/35zlL25

#Urushiol is a oily resin invoking the inflammatory reaction from #poisonoak, ivy, & sumac. "Urushiol", derived from Japanese 漆 (#urushi, lacquer tree), is used by artisans to coat pens elegantly. #Pilot845 @tokyostationpens @fudefan @_penaddictfm @dowdyism @imyke @Nurse_HTeng

As with all things in medicine, #intramuscular injections are not entirely risk free. #NicolauSyndrome (livedoid dermatitis) is a rare complication, associated with many drug class injections (steroid, penicillin, diclofenac, antipsychotics, anti-seizure, and vaccinations).

The rare condition named #Morgellons is poorly understood. Patients report itchiness and infested sores that contain fiber bundles. Dermatologists and psychiatrists have postulated Morgellons may be a variant of #DelusionalParasitosis. bit.ly/3wtkCUZ

#Lifestyle Medicine prescriptions suggested by Dr Raquel Harrison (@acute2root) should address one of the 6 pillars: nutrition, sleep, risky behavior reduction, stress reduction, social connectedness, and physical activityhttps://bit.ly/3faQVCb

New #PALS guidelines (tripling the ventilation rate in #pediatric #cardiacarrest cases) raises some questions in the community bit.ly/3wgJRcZ @CircAHA #resuscitation

#Redotex (not @US_FDA approved), a Mexican weight loss drug, contains: -tri-iodothyronine -atropine -diazepam -aloin -d-nor pseudoephedrine If that list isn't scary enough, #thyrotoxicosis, amongst other things, can ensue. #HardPass bit.ly/3u1TKKk @jem_journal

Once you've learned the #HINTS exam, you might want to arm yourself with the #BucketTest next. #posteriorstroke bit.ly/3tZXmfE @jem_journal

New study @jem_journal quantifies the interruptions due to #EKG review in the #EmergencyDepartment bit.ly/3yjkMAc

Blood (even venous) is red. Plasma is yellow. The plasma of women on oral contraceptives is slightly green, due to elevated #ceruloplasmin. bit.ly/3olMeZw bit.ly/3oqbLAM

Today, only 5 countries in the world permit the payment for #plasma: -Germany -Hungary -Czech Republic -Austria -#USA n.pr/33K1SnV @NPR @planetmoney

Anemia - Parvovirus, Malaria Eosinophilia - Parasites, Helminths, Allergies Hyponatremia - RMSF Thrombocytosis - Kawasaki #BoardReview

Left ventricular outflow tract opening during #CPR is associated with successful #resuscitation during #CardiacArrest. bit.ly/3ecbopU #LVOT #ROSC

In a retrospective study of >30,000 adults, elevated #bloodpressure readings in the #emergencydepartment are common but not associated with adverse cardiovascular outcomes 2 years post visit. @AnnalsofEM bit.ly/3ufRv72

Heart attacks after snake bites can happen - and not just after venomous #snakebites. #MI #ACS #venom @jem_journal bit.ly/3tki3ma

~3% of MI have a thrombus as the root cause - most of these are due to #atrialfibrillation. #Aspiration does not improve clinical outcome, and has association with #stroke @AnnalsofEM tinyurl.com/khnsewsh