Bark Scorpion Sting: Indications for Anascorp and dosing controversies
The genus Centruroides, also known as the Bark Scorpion, is found throughout the southwestern United States and northern Mexico. Many emergency medicine practitioners in the Southwest are exceptionally familiar with the treatment of envenomation from Centruroides as a quarter million are reported annually1,2. Although typically mild envenomations occur in adults, children and the elderly are at increased risk for severe complications3. The toxic syndrome consists of a sympathetic and parasympathetic storm that can result in myocardial damage, involuntary jerking, wandering eye movements, and most threatening – loss of airway.
Unlike the previous cardiology modules, the environmental module was comparatively under-represented in the top 50 sites of the 
To provide a resource for evidence-based Emergency Medical education, this list of must-read landmark articles was created to supplement the Emergency Medicine (EM) internship year of training. There are 52 articles so that one article can be read at leisure each week of the year. I searched national databases and polled faculty at the University of Washington to identify articles that faculty would expect any EM resident to be familiar with or that they felt were practice-changing in EM. Articles were selected for the final list based on the quality of study design, sample size, and relevance for EM residents.
These two videos continue on the theme of envenomations. Watch these great videos on the consequences and management of bites by spiders and Hymenoptera species (bees, wasps, ants). Hymenoptera bites can cause all sorts of complications, but one of the most worrisome includes anaphylaxis, which is also reviewed in the video.