Publications by authors named "A M Ruha"

Article Synopsis
  • The study reviewed data on Mohave rattlesnake bites from the North American Snakebite Registry between 2015 and 2021, focusing on patient demographics, symptoms, and treatment outcomes.
  • There were 20 cases analyzed, primarily from Arizona and California, with varying symptoms; Arizona patients mostly experienced local swelling while some California patients exhibited neurological effects and hypotension.
  • The findings suggested that while Mohave rattlesnakes can cause serious local and systemic effects, severe neurotoxic symptoms were largely absent, indicating differences in toxin presence across geographic areas.
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Article Synopsis
  • Intravenous lipid emulsion has been proposed as a potential antidote for toxic drug overdoses based on the "lipid sink" theory, which suggests it can help sequester lipophilic drugs in the bloodstream.
  • The study analyzed 134 cases from a toxicology registry to see if the survival rate after lipid therapy was related to the lipophilicity of the intoxicants involved.
  • Results showed that 80.6% of patients survived, but there was no significant link between the intoxicant's lipophilicity and survival; however, systolic blood pressure improved for both groups after treatment.
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Importance: The US and Canada currently have no formal published nationwide guidelines for specialists in poison information or emergency departments for the management of acetaminophen poisoning, resulting in significant variability in management.

Objective: To develop consensus guidelines for the management of acetaminophen poisoning in the US and Canada.

Evidence Review: Four clinical toxicology societies (America's Poison Centers, American Academy of Clinical Toxicology, American College of Medical Toxicology, and Canadian Association of Poison Control Centers) selected participants (n = 21).

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Introduction: Compartment syndrome (CS) is a rare but serious complication after crotalid envenomation in the United States. Few data are available regarding the epidemiology and management of these cases. Significant controversy and misunderstanding over best practices, including measurement of compartment pressures and use of fasciotomy, exist for this syndrome.

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