GEMC:Environmental Disorders

This the main page for the Global Emergency Medicine Curriculum Project's Environmental Disorders section. For point of care treatment information see the respective category page and non-GEMC notes.

Bites and Envenomations: Arthropods, Insects, Spiders, Mammals, Marine Organisms, Reptiles

Journal Articles - Open Access

• Lavonas, EJ, Ruha, AM, Banner, W, et al. Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop. BMC Emergency Medicine 2011, 11:2 doi:10.1186/1471-227X-11-2. http://www.biomedcentral.com/1471-227X/11/2 Last accessed Aug 2013.
• Lewin MR, Bickler P, Heier T, et al. Reversal of experimental paralysis in a human by intranasal neostigmine aerosol suggests a novel approach to the early treatment of neurotoxic envenomation. Clinical Case Reports. 2013 July DOI: 10.1002/ccr3.3. http://onlinelibrary.wiley.com/doi/10.1002/ccr3.3/full Last accessed Sept 2013.

Blogs and Websites

• Terry P. Antibiotics in non venomous snake bite. BestBETs. Alexander M. Last Modified: March 2002. http://bestbets.org/bets/bet.php?id=155 Last accessed Aug 2013.
• Rosengren D. What is the dose of Australian snake antivenom? Adventure Medicine. Sep 2012. http://www.adventuremedicine.net/2012/09/dose-of-australian-snake-antivenom/ Last accessed Aug 2013.
• Levine M. New snakebite recs from an unlikely source. Emergency Physicians Monthly. Oct 2011. http://www.epmonthly.com/subspecialties/toxicology/new-snakebite-recs-from-an-unlikely-source/ Last accessed Aug 2013.
• Rosengren D. ACEM Winter Symposium-Irukandji Adventure Medicine. Aug 2012. http://www.adventuremedicine.net/2012/08/acem-winter-symposium-irukandji/ Last accessed Sept 2013.
• Rosengren D. ACEM Winter Symposium-Box Jellyfish Adventure Medicine. Aug 2012. http://www.adventuremedicine.net/2012/08/acem-winter-symosium-box-jellyfish-update/ Last accessed Sept 2013.
• Hensley J. Stop peeing on it! EBM Gone Wild. Aug 2013. http://ebmgonewild.blogspot.com/2013/08/stop-peeing-on-it.html Last accessed Sept 2013.
• Hensley J. Along came a spider. EBM Gone Wild. Aug 2013. http://ebmgonewild.blogspot.com/2013/08/along-came-spider.html Last accessed Sept 2013.
• Hensley J. And now for something completely different. EBM Gone Wild. Aug 2013. http://ebmgonewild.blogspot.com/2013/08/and-now-for-something-completely.html Last accessed Sept 2013.
• Hensley J. See you later, alligator. EBM Gone Wild. Aug 2013. http://ebmgonewild.blogspot.com/2013/08/see-you-later-alligator.html Last accessed Sept 2013.

Podcasts

• Wax P. Update on Antivenoms. 2012. From 2012 Toxicology World Congress. Accessed 19 Aug 2013. http://freeemergencytalks.net/2012/11/paul-wax-usa-update-on-antivenoms/ (40m43s)
• Epter M. I pulled off a tick. 2012. From AAEM Scientific Assembly 2012. Accessed 19 Aug 2013. http://freeemergencytalks.net/2013/01/mike-epter-i-pulled-off-a-tick/n-3-1040-i-pulled-off-a-tick-mike-epter/ (31m07s)

Videos

• Wright J, Smith L, and Castle L. Snakebite: What would Samuel do? 2013. Social Media and Critical Care. Accessed 19 Aug 2013. http://vimeo.com/57166701 (6m57s).
• Patwari R. Spider Bites. 2013. Academic Life in Emergency Medicine. Accessed 19 Aug 2013. http://youtu.be/9MhCYRFj6nI (8m31s)
• Patwari R. Hymenoptera Stings. 2013. Academic Life in Emergency Medicine. Accessed 19 Aug 2013. http://youtu.be/6HHxHS5_oAY (5m29s)
• Patwari R. Snakebites Intro. 2013. Academic Life in Emergency Medicine. Accessed 19 Aug 2013. http://youtu.be/Ew-ieJd26PU (4m10s)
• Patwari R. Rattlers. 2013. Academic Life in Emergency Medicine. Accessed 19 Aug 2013. http://youtu.be/DNPYHqhoGUU (5m20s)
• Patwari R. Elapid Bites. 2013. Academic Life in Emergency Medicine. Accessed 19 Aug 2013. http://youtu.be/5fAtkQtaKnM (5m12s)

Electrical Injury / Lightning

Journal Articles - Open Access

• Cohen MA. Clinical Pearls: Struck by Lightning. Academic Emergency Medicine 2001 Sep;8(9):893, 929-31. http://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.2001.tb01150.x/abstract Last accessed Sept 2013.
• Davis C, Engeln A, Johnson E, et al. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Lightning Injuries. 'Wilderness & Environmental Medicine' 2012 Sep;23(3):260-9. doi: 10.1016/j.wem.2012.05.016. Epub 2012 Jul 31. http://www.wemjournal.org/article/S1080-6032(12)00180-9/fulltext Last accessed Sept 2013.

Blogs and Websites

• Nickson C. Lightning Injury. Life in the Fast Lane. http://lifeinthefastlane.com/education/ccc/lightning-injury/ Last accessed Sept 2013.
• Lightning Injuries. WikEM. Last modified 16 Oct 2011. http://www.wikem.org/wiki/Lightning_Injuries Last accessed Sept 2013.
• Rothwell S. Lightning Injuries Adventure Medicine. Sept 2012. http://www.adventuremedicine.net/2012/09/lightning-injuries/ Last accessed Sept 2013.
• Hensley J. What? I can't hear you! EBM Gone Wild. Sept 2013. http://ebmgonewild.blogspot.com/2013/09/what-i-cant-hear-you.html Last accessed Sept 2013.

Podcasts

• Lex J. Electrical Misadventures-Microwaves,Cords,Plugs,TASERs, and Lightning. 2010. From Giant Steps in Emergency Medicine. Accessed 8 Sept 2013. http://freeemergencytalks.net/2010/08/joe-lex-electrical-misadventures-microwaves-cords-plugs-tasers-and-lightning/ (54m20s)

High-Altitude Illness: Acute Mountain Sickness, Barotrauma of Ascent, High-Altitude Cerebral Edema, High-Altitude Pulmonary Edema

Blogs and Websites

• Hensley J. The brain wants oxygen. EBM Gone Wild. Aug 2012. http://ebmgonewild.blogspot.com/2013/08/the-brain-wants-oxygen.html Last accessed Sept 2013.
• Hensley J. Climbing? Trouble sleeping? EBM Gone Wild. Aug 2012. http://ebmgonewild.blogspot.com/2013/08/climbing-trouble-sleeping.html Last accessed Sept 2013.

Submersion Incidents: Cold Water Immersion, Near drowning

Videos

• • Schmidt A. Drowning: Critical Points for Care in the Field. 2013. Social Media and Critical Care. Accessed 19 Aug 2013. http://vimeo.com/57826732 (6m41s).

Temperature-Related Illness: Frostbite, Hypothermia

Videos

• • Oosterloo M. Dead cold, winter can be murder. 2013. Social Media and Critical Care. Accessed 19 Aug 2013. http://vimeo.com/57872537 (6m24s).