Anton Helman, Author at Emergency Medicine Cases

EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI

On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-10T09:29:32-04:00September 10th, 2024|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Trauma|Tags: AI, DKA, EAH, ECG interpretation, Exercise Associated Hyponatremia, hypokalemia, hyponatremia, Mesenteric Ischemia, OMI, SCAD|0 Comments

Ep 197 Acute Heart Failure Risk Stratification and Disposition

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-07T12:12:26-04:00August 19th, 2024|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: BNP, clinical decision rule, Dr. Clare Atzema, Dr. Ian Chernoff, EHMERG score, Lung US, POCUS|0 Comments

EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma

In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast crisis in the ED, and Leah Flanagan & Liam Loughrey on the rise of nitrous oxide toxicity... Help Support EM Cases by Giving a Donation here: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-09-07T12:13:20-04:00July 30th, 2024|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Resuscitation, Toxicology, Trauma|Tags: blast crisis, hiv, HIV PEP, HIV PrEP, nitrous oxide, Pre-oxygenation, PREOXI, RSI, subactue combined degneration spinal cord, tumor lysis syndrome, vasopressors|2 Comments

Compassionate Care to Improve Patient Outcomes and Your Career from EMU 2024

As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation, and improve physician efficiency and resource utilization by reducing non-essential test ordering. A cultural shift emphasizing the importance of compassion in patient care needs to occur to improve outcomes of our patients and our job satisfaction; as such, compassion should be part of our training and CME...

By Anton Helman|2024-07-30T12:15:36-04:00July 30th, 2024|Categories: Conference, EM Cases, Emergency Medicine, Medical Specialty, NYGH EM Update|Tags: Dr. Anton Helman, medical error, physician burnout, physician compassion, resource utilization|0 Comments

EM Cases Summit ’24 Registration Now Open!

Registration is now open for the 2024 International EM Cases Summit November 21-23. Registration includes 3 days of talks, panel discussions, interactive discussions, procedural demos, an ebook and access to all the talks for 3 months after the conference. We also offer small group virtual simulation sessions, symposiums on EM Flow, Rural EM and Global EM plus a pre-conference HEARTS ECG course!

By Anton Helman|2024-07-16T10:16:04-04:00July 16th, 2024|Categories: Conference, EM Cases Summit, Emergency Medicine, Medical Specialty, News|Tags: CME, em cases summit, EM Conference|0 Comments

Ep 196 Pediatric Meningitis Recognition, Workup and Management

In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages? How does one differentiate between meningitis and retropharyngeal abscess on physical exam? How do the Canadian and American guidelines on work up of well-appearing febrile infants compare when to it comes to indications for lumbar puncture? Which patients with suspected meningitis require imaging prior to lumbar puncture? How do we best interpret the various CSF tests to help distinguish between viral and bacterial meningitis? What are the indications and timing of administering dexamethasone in the pediatric patient with suspected meningitis? and many more.... EM Cases is Free Open Access; please consider a donation to help ensure that EM Cases remains Free Open Access on our donation page https://emergencymedicinecases.com/donation/

By Anton Helman|2024-08-06T17:06:20-04:00July 8th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: dexamethasone, febrile infant, febrile seizure, lumbar puncture|0 Comments

Ep 195 Management of Subarachnoid Hemorrhage

Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr. Katie Lin and Dr. Jeff Perry we answer questions such as: what are the 4 critical priorities in the initial stabilization of the patient with a suspected massive subarachnoid hemorrhage? When is a CT plus CTA of the head indicated up front in the management of patients with suspected subarachnoid hemorrhage? What is the evidence for oral nimodipine in improving outcomes in patients with subarachnoid hemorrhage and how does it work? What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage? What are the simplest and best prognostic tools available for spontaneous subarachnoid hemorrhage to help counsel families and patients? and more...

By Anton Helman|2024-06-13T16:20:34-04:00May 28th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: Dr. Jeff Perry, Dr. Katie Lin, nimodipine, raised ICP, SAH|0 Comments

Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic? What is the role of NIPPV in the management of life-threatening asthma? What are the factors we should consider when it comes to indications for endotracheal intubation of the crashing asthmatic? What role do blood gases play in the decision to intubate? What are the most appropriate ventilation strategies in the intubated asthma patient? and many more... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-06-18T19:36:16-04:00April 2nd, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology, Resuscitation|Tags: airway management, Dr. Leeor Sommer, Dr. Sameer Mal, endotracheal intubation, fentanyl, ketamine, NIPPV, SABA, salbutamol, ventilation settings|3 Comments

Ep 192 ED Adult Asthma Management Strategies For Improved Prognosis – A Stepwise Approach

In this part 1 of our 2-part podcast series on Asthma Management we explore a systematic approach to managing patients presenting to the ED with asthma exacerbations. Our discussion will emphasize the critical role of a thorough history and physical examination in effectively stratifying patient risk and guiding treatment/disposition decisions. Additionally, we'll examine the importance of providing comprehensive discharge medications and instructions to mitigate both mortality and morbidity associated with asthma exacerbations. We answer questions such as: which patients, if any, require peak expiratory flow measurements in the ED? Why is it so important to add steroid MDI therapy to oral steroid therapy in patients being discharged from the ED after an asthma exacerbation? What are the most predictive variables to risk stratify patients with asthma exacerbations to help guide treatment and disposition? and many more. Stay tuned for Part 2, where we'll delve deep into the management of the crashing asthmatic. Please support EM Cases FOAMed with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-06-18T19:34:52-04:00March 19th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology|Tags: asthma action plan, asthma risk stratification, asthma severity, Dr. Leeor Sommer, Dr. Sameer Mal, ipatropium bromide, MDIs, SABA, salbutamol|3 Comments

Ep 191 The Future of EM – Systems Thinking

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to fix EM in 5 spheres: having a coordinated mission, optimizing access points, accountability, disaster preparedness and adaptation/evolution. They answer questions such as: What can we glean from how EM has evolved in the last few decades to help shape the future? How can we utilize virtual care to make it work for us and our patients well? How can we improve our EMS systems? How can we change the system to prevent emergency provider burnout? How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? and many more... -Support EM Cases with a Donation https://emergencymedicinecases.com/donation/

By Anton Helman|2024-02-13T11:44:56-05:00February 13th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: access block, accountability failure, disaster preparedness, Dr. Alecs Chochinov, Dr. David Petrie, ED overcrowding, health care system, virtual health care|0 Comments

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