November 12th, 2009 by Paul Auerbach, M.D. in Better Health Network, News
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In a recent issue of Wilderness & Environmental Medicine (Volume 20, Number 2, 2009), Anne-Michelle Ruha and Steven Curry have written an article entitled “Recombinant Factor VIIa for Treatment of Gastrointestinal Hemorrhage Following Rattlesnake Envenomation.” This is a “case report,” meaning that this is a description of a particular medical event, rather than a study.
To open the piece, the authors observe that North American rattlesnakes possess venom with properties that can cause severe physiological effects, such as low platelet count and, on occasion. bleeding. In this report, we learn about a 44 year old man who was bitten on the index finger by an unidentified (unknown for this case) species of rattlesnake. The victim developed massive gastrointestinal bleeding that was treated eventually with a product known as recombinant factor VIIa. His initial clinical presentation included an altered level of consciousness, profoundly low blood pressure (shock), sweating, and vomiting of bright red blood. Read more »
This post, Man Dies Of Internal Bleeding After Rattlesnake Bites His Finger, was originally published on
Healthine.com by Paul Auerbach, M.D..
October 24th, 2009 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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This is the next post based upon my presentation given at the Wilderness Medical Society Annual Meeting held in Snowmass, Colorado from July 24-29, 2009. The presentation was entitled “Just When You Thought It Was Safe to Go Back in the Water.”” The topic was an overview of hazardous marine animals and it was delivered by me. In the previous post, there was information about shark attacks. In this post, there is information about envenomations incurred in the marine environment.
Marine venoms, similar to other toxins and poisons that originate in the animal and plant kingdoms, may cause a wide range of human physiological derangements. It is very important to remember that certain of these venoms, such as that elaborated by jellyfish, may invoke a serious allergic reaction.
Stingrays are a commonly incriminated group of envenoming animals. There are more than 10 species found in U.S. coastal waters, with from 1 to 4 venomous “stings” found on the top of the caudal appendage (“tail’). The spine is a serrated cartilaginous structure that houses venom glands covered by a fragile tissue sheath. Thus, when the spine enters a human victim, most commonly on the lower limb (ray is stepped upon) or upper limb (ray is handled), the tissue sheath is disrupted and venom enters the wound. Thus the injury is just a puncture/cut and an envenomation. Read more »
This post, How To Treat Stingray Envenomation, was originally published on
Healthine.com by Paul Auerbach, M.D..
August 15th, 2009 by GruntDoc in Better Health Network, True Stories
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Allegedly for “not writing a prescription”…
Dr. Paul Arnold turned his back for a moment on a patient who was upset because the doctor wouldn’t write him a prescription.
That’s when the patient, Gregory S. Powell, 45, of Fort Myers, allegedly attacked Arnold, 65, biting off part of one of the doctor’s fingers.
As my tipster says “…probably wasn’t about refusing an amoxicillin script…”.
In custody; no word on the doc, and best wishes.
Thanks to Glenn (a true homie) for the tip.
*This blog post was originally published at GruntDoc*
