Twitter | Search | |
Anton Helman
Founder, Chief Editor & host of EM Cases Podcast. Assistant Prof U of Toronto. Education Innovation Lead SREMI. supporter. Opnions my own.
3,920
Tweets
407
Following
7,433
Followers
Tweets
Anton Helman 9h
Salicylate poisoning can sometimes be difficult to identify. There are many nuances in management. All nicely reviewed in this infographic by & on this podcast with
Reply Retweet Like
Anton Helman Jan 20
agree that multifactorial...."opioid overdose itself can result in APE, which is observed in most fatal opioid overdoses, even those occurring before the widespread use of naloxone".
Reply Retweet Like
Anton Helman Jan 20
"The total doses of naloxone given prior to the development of APE range from 0.08 mg to 0.4 mg, and include cases where naloxone was carefully titrated in small increments or given as a single bolus. In most cases, the edema quickly resolved"
Reply Retweet Like
Anton Helman Jan 20
No evidence that APE is caused by naloxone. Multifactorial in opioid overdose patients. V weak association.
Reply Retweet Like
Anton Helman Jan 20
Agree re restraints for all pts receiving naloxone. Perhaps a reasonable approach is 0.4mg for suspected massive overdose/sick pt vs 0.04mg for others I.e. “it depends”.
Reply Retweet Like
Anton Helman Jan 20
Trends as per OPC are that we are seeing more and more massive overdoses, hence higher dose recommendations. Better to err on the side of causing some opioid withdrawal which is almost never fatal vs death due to underdosing naloxone.
Reply Retweet Like
Anton Helman Jan 20
Not if the’re RR=2 and sats in the boots and/or took massive overdose. The sickest pts require higher 1st dose.
Reply Retweet Like
Anton Helman Jan 20
Replying to @First10EM
Great review and reminder that experienced clinician gestalt is often as good as CDR. Agree that the list of factors in CDR is useful. Current recommendations as per Ontario Poison Control for naloxone dosing is to start at 0.4mg, not 0.04mg.
Reply Retweet Like
Anton Helman retweeted
Lauren Westafer Jan 18
New recommendation: STOP giving hypotonic maintenance IV fluids to patients >28 days Policy is
Reply Retweet Like
Anton Helman Jan 19
Preparation is everything...
Reply Retweet Like
Anton Helman retweeted
Salim R. Rezaie, MD Jan 19
Reply Retweet Like
Anton Helman Jan 17
Registration for EM Cases Course June 24th now open Taking EM Cases to the next level, in person Register @: Details @:
Reply Retweet Like
Anton Helman Jan 16
EM Cases Course Redux June 24th 2019 tickets on sale tomorrow at 10am EST: 45 tickets only Round table small group discussions with EM Cases experts
Reply Retweet Like
Anton Helman retweeted
EM Ottawa Jan 16
Way back Wednesday! When a trach patient presents to the ED, do you wildly look around for the RT? Does it matter if it is cuffed or un-cuffed? Can you replace it? What about other complications? Dr. Lee has an great summary on these complex patients:
Reply Retweet Like
Anton Helman retweeted
Christopher Hicks Jan 16
Fibrinogen as a therapeutic target for bleeding: a review of critical levels and replacement therapy And should our target be higher than 1 g/L in the actively bleeding patient?
Reply Retweet Like
Anton Helman Jan 16
Reply Retweet Like
Anton Helman Jan 15
Does your ED have a zero-tolerance policy for violence against staff? In the latest Waiting to Be Seen blog eloquently describes the delicate balance of protecting staff while ensuring patient access, with concrete solutions.
Reply Retweet Like
Anton Helman retweeted
Anand Swaminathan Jan 15
Check out EM Quick Hits Episode 1 via Massive PE Management Gabapentin in EtOH w/d Peds Eye Exam Dental Avulsions 0.9% Saline vs Balanced Solutions
Reply Retweet Like
Anton Helman Jan 15
First ever EM Cases EM QUICK HITS podcast launches today! With Next EM Quick Hits@arunsayal1 & more! Thanks to all the fantastic experts Weeeehooooo!
Reply Retweet Like
Anton Helman retweeted
TREKK Jan 13
In these 6-10 minute videos, the team reviews the key take home points from the EM Cases main episode podcasts. Check out the RapidReviews for emergency conditions here |
Reply Retweet Like