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Category Archives: General
CPR: When is Enough Enough?
If you heard about the man who survived a cardiac arrest by receiving 96 minutes of cardiopulmonary resuscitation (CPR), you might be wondering how I feel now about our position on when to discontinue CPR. Continue reading
Q: We routinely use Silvadene for burn treatment at our hospital. I understand that you are not too keen on it. Why?
We have steered away from silver sulfadiazine (e.g., Silvadene) at work for years. We have found that products like a vasoline-type gauze, e.g., Xeroform, is more comfortable and easier to maintain requiring fewer banadage changes. Continue reading
Posted in Ask the Expert, General, In Dr Johnson's opinion
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Heat Stroke Treatment: What is the best way to cool off a heat stroke victim?
What is the best way to cool off a heat stroke victim? The simple answer? Using the resources at hand, aggressively lower the person’s body temperature to 39°C (102.2°F) as quickly as possible. Anything longer than 30 minutes has the … Continue reading
Posted in Ask the Expert, General, Risk Management
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Q: Can ingestion of a steroid cream be equivalent to ingested prednisone for acute asthma or anaphylaxis?
If there was nothing else available, would ingestion of a steroid cream be a suitable and effective alternative for prednisone?
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Posted in Anaphylactic Reaction, Ask the Expert, General
Tagged allergic reactions, asthma, prednisone
1 Comment
Are Smaller Venomous Snakes More Dangerous?
Some people are insistent that smaller snakes are more dangerous. This idea has always felt counterintuitive to me. The explanations seem fanciful at best. Continue reading
Posted in Check This Out!, General
Tagged envenomation, johnson, medicine, snake bites, wilderness medicine myths
2 Comments
Epinephrine, Not Antihistamines, Remain the Treatment for Anaphylaxis
Q: I have noticed that some outdoor organizations are moving away from carrying injectable epinephrine into the field. Would an antihistamine (e.g., Benadryl) work just as effectively to treat allergic reactions? What do you think about the Benadryl strips? Even … Continue reading
Posted in Anaphylactic Reaction, Ask the Expert, General
2 Comments
Q: What are your thoughts regarding Quickclot?
If the stuff works, it seems it may reduce possible contact with blood borne pathogens to staff.
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Posted in Ask the Expert, Discussions, General, In Dr Johnson's opinion
Tagged bloodborne pathogens, clot enhancers, hemorrhage, johnson, medicine
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Thoughts and Tips Regarding the Risk of H1N1
It is difficult to know how to respond to H1N1. Last spring schools were closing with the first whiff of a possible infection. Now, kids who are sick are segregated until they can be sent home. Schools are unlikely to … Continue reading
Posted in General, In Dr Johnson's opinion
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Q: Is There a Standard in Wilderness Medicine Training?
Is there a standard in wilderness medicine training? Authors of an editorial and article that appeared in the Wilderness and Environmental Medicine Journal earlier this year (Vol 20, 106 and 113-117) argued that there is no standard in wilderness medicine … Continue reading
Posted in Ask the Expert, Curriculum, Discussions, General
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Where’s the Man?: In the Jungles of Irian Jaya
Instructor for Wilderness Medical Associates and Expat Paramedic Advisor for International SOS, Arien Herrmann, submitted this great photo. This week the man is in the jungles of Irian Jaya! Don’t forget! At the end of the year, we will select … Continue reading
Posted in General, Where's the Man?
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