Download Medical Toxicology: Antidotes and Anecdotes by Steven M. Marcus PDF

By Steven M. Marcus

A number of demanding and strange situations from the author's huge event as a clinical Toxicologist, those circumstances display scientific challenge fixing and differential prognosis in motion from the viewpoint of an skilled clinician. Written in an enticing kind and giving a desirable account of a few advanced circumstances from actual perform, this e-book will offer a great supplementary studying textual content for graduate scholars or these at an early degree of their specialist career.

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Sample text

If the air keeps moving, the conduction continues and the surface of the skin cools down. The heat can literally radiate off of the body as long as the body is not covered with some form of insulating material. In addition there may be currents of air away from the body as the result of convection produced by the hot skin surface. Additionally, evolution has provided us with the sweating mechanism. Our sweat glands release sweat onto the surface of our skin. It takes energy to convert the liquid sweat into gaseous water, the heat of vaporization.

The toxin produces neurological and, potentially, cardiac abnormalities, by interfering with the way nerve impulses are transmitted. A normal nerve or muscle cell stays in its resting stage through several means of balancing the concentration of certain metallic ions on both sides of the cell membrane. There are a series of tiny pumps and channels which are responsible for maintaining the status quo of the cells in the body, particularly the central nervous system. Virtually every cell in the body contains what is termed the sodium-potassium ATPase pump.

When I asked the treating staff if they knew what his temperature was, I received no answer. I recall them asking me, “Marcus, why are you bothering us with such a silly question? He is hypotensive, bradycardic—help us with that,” were the words from one of the intensive care physicians. ” In hypothermia—that is, when the body core or central temperature drops below that which is set by the internal mechanisms—metabolism slows down. Normal bodily functions decrease or stop altogether. There are animals that are capable of severely dropping their core temperature to hibernate (drop or nearly stop metabolism entirely).

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