SARMed

10/06/2026

https://www.lunduniversity.lu.se/publication/d823c8dc-c689-49ee-a56b-9a3750430e9d

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09/22/2026

What meds do you carry in your IFAK?

09/05/2026

Time to come back to this case study.

30 year old female stung numerous times (over 15 stings detected so far) by bees.

Presenting one hour after stings as confused, short of breath with audible wheezes, urticaria and nausea/vomiting. GCS 4/5/5-14 154/100 heart rate 130 sinus tach room air sats 98%.

We can all agree this is anaphylaxis. It’s more than 2 systems so it’s obvious.

What is your first line treatment?

09/05/2026

A rock climber’s sinking vital signs on Shortoff Mountain in North Carolina triggered an emergency call. Burke County EMT Will Soper answered with a run carrying life-saving blood up 1,000 vertical feet. Here’s his story.

08/27/2026

A great post about Apple iPhone sat comms from Lions Bay Search and Rescue

08/18/2026

Sunday August 16 at 18:20 PRSAR was tasked with the rescue of an injured kayaker at Tenedos Bay, in Desolation Sound. The subject had sustained a head laceration ducking under a log while hiking in the area.

Our team accessed the location thanks to the Access Point Marine water taxi. The kayaker was transported back to Powell River by water taxi, and dropped off at the hospital for further assessment.

We thank the staff of Access Point Marine Transport for making themselves available on short notice and late in the evening to support this rescue.

08/16/2026

Let’s talk about airway management for a minute. The last 2 days we have seen 2 different cases. One case, a complete obstruction secondary to a food bolus. Back blows and abdominal thrusts cleared the obstruction. Second case, a patient has a partial esophageal obstruction which is a very different presentation. One possible wilderness or remote treatment option, not for a complete airway obstruction to be clear, but for the partial esophageal obstruction, is a Coca Cola bolus. Studies don’t clearly define, nor understand the mechanism but the prevalent thought process is that Coke causes smooth muscle relaxation, allowing the cause of the obstruction to migrate to the stomach. Some studies say it works, others say it doesn’t. My experience has been positive. https://pmc.ncbi.nlm.nih.gov/articles/PMC6399995/

08/11/2026

More happy SARMed patches!

08/08/2026

Yesterday I treated a patient who endured 21 bee stings. Stings were in his scalp, face, shoulders, arms and legs. Once we treated his reaction, we focused on the stingers sites. It’s important to remove the stingers in a manner that does not inject more bee venom. Bees are defensive and if they sting a human, the stingers and venom sack will be torn out and the bee will die. The venom sack can accidentally be squeezed, injecting more into the patient. I used my paramedic license card to remove each stinger, which was quite difficult in the patients hair.