Does Ibuprofen protect against Acute Mountain Sickness?

The issue of prevention of Acute Mountain Sickness (AMS) has been debated extensively on the high altitude walking tracks around the world and also in the literature. For any of you lucky enough to explore the world above the clouds, the questions surrounding the role of Acetazolomide (Diamox) and Dexamethasone far outweigh the answers. Nevertheless, […]

Exercise Associated Hyponatraemia

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A recent coroner’s finding about the death of a Tasmanian bushwalker has reinforced the need for awareness of Exercise Associated Hyponatraemia, particularly in those participating in prolonged exercise and ultra-endurance events.   What is EAH? Exercise associated hyponatraemia is a condition of low blood sodium (salt) levels which can occur with exercise.  It can cause […]

What is the dose of Australian snake antivenom?

Brown Snake at Rukenglen

When Commonwealth Serum Laboratories (CSL) developed the first Australian snake antivenom (Tiger Snake Antivenom) in the 1930′s, the recommended dose was 1 vial. Over time the recommended dose increased to 4 vials and there are many case reports of much higher doses being administered. This trend has not been specific to Tiger Snake Antivenom with […]

Lightning Injuries

An expert panel from last year’s Wilderness Medical Society Annual Meeting have produced Guidelines for the Treatment and Prevention of Lightning Injuries.  Of course, there is not a great deal of high quality evidence in this area but the guidelines are a good summary of expert opinion. To provide guidance to clinicians about best practices, […]

The Crystal Cave – Naica, Mexico

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It was hard to knock back the opportunity to join 60 Minutes Australia for a trip into The Crystal Cave in northern Mexico. After 2 years of (no doubt costly) negotiation, producer Danny Keens was given permission to take a crew into the the tightly guarded cave located a mile beneath the surface within the […]