
Emergency Medicine Board Bombs
211. Marine exposures: something's fishy
Feb 5, 2024
In this podcast, the hosts discuss marine exposures in emergency medicine, focusing on scombroid and improperly stored fish. They explore symptoms, mechanisms, and treatments. They also cover shellfish toxins and marine bacterial infections like Vibrio parahaemolyticus and Vibrio vulnificus, discussing symptoms, treatment options, and supportive care.
21:30
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Quick takeaways
- Scombroid poisoning is an allergic reaction to improperly stored fish, presenting with metallic taste and flushing, treated with antihistamines.
- Vibrio parahemolyticus causes cholera-like symptoms and is treated with doxycycline and supportive care.
Deep dives
Summary of Scombroid and Ciguatera Poisoning
Scombroid poisoning is an allergic reaction that occurs within minutes of eating improperly stored fish. Symptoms include a metallic or peppery taste in the mouth, flushing, and non-specific GI symptoms. Treatment involves antihistamines and supportive care. Ciguatera poisoning, on the other hand, is a neurotoxic reaction that occurs hours after eating certain types of fish. Common symptoms include parasthesia and a reversal of hot and cold temperatures. Supportive care is the mainstay of treatment for this condition.
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