This paper reviews the most common injuries related to winter sports. Over the past decades, there has been an increase in the variety of winter sports, as well as increased participation by individuals at all levels of fitness. There have also been some improvements made that reduce injuries. For example, breakaway ski boots have reduced the number of tibia and ankle fractures. With some sports becoming more dangerous with jumps and aerial moves, helmets are beginning to be more common, but sadly not fast enough.
The ECG shown above was obtained from an acutely ill but alert and hemodynamically stable patient. How certain are you that the rhythm is ventricular tachycardia (VT)? Might there be another explanation if the patient in question was a young adult with renal disease and diabetes?
The distress felt by patients with recurring bouts of Clostridium difficile diarrhea is so acute that they welcome the opportunity to accept anothers feces to bring them back to baseline. There have been more than 30 publications on the topic since it was first introduced in 1958,1 most of them in the last 10 years.
