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, […]

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 […]

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 […]

ACEM Winter Symposium – Marine envenoming

ACEM Winter Symposium

Marine Stinger Suits stinger suits work because they are non-organic material not because they provide an impenetrable barrier – does not stimulate tentacles only need to be millimeter thick to be effective if you irritate a box jellyfish with an electric shock itWeill sting you through a stinger suit! (not recommended) The Role of Vinegar […]

ACEM Winter Symposium – Irukandji

ACEM Winter Symposium

Irukandji is increasingly common – normal habitat is moving south – increasingly frequent sightings as far south as Fraser Island Clinical presentation Distressed and agitated – catecholamine storm – severe pain Often no visible signs of sting – no welts / weals Frequently latent period of 30 minutes before symptoms develop – may not immediately […]