Anton Helman, Author at Emergency Medicine Cases

Ep157 Neuromuscular Disease for Emergency Medicine

There is a long list of rare neuromuscular diseases. Nonetheless, there are a few that you are likely to see in the ED, that are relevant to Emergency Medicine because they require timely diagnosis and treatment. In this Part 2 of our 2-part series on acute motor weakness with Roy Baskind and George Porfiris, we keep it short and simple by limiting our discussion to the key clinical clues and management strategies of two of the more common acute life-threatening neuromuscular diseases, myasthenia gravis and Guillain Barré syndrome, and how to distinguish them from their mimics...

By Anton Helman|2024-07-17T18:35:00-04:00June 1st, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: GBS, Guillain Barre, myasthenia gravis, neuromuscular disease|4 Comments

Ep156 ED Approach to Acute Motor Weakness

In this Part 1 of our 2-part podcast on Acute Motor Weakness we introduce a five step approach to acute motor weakness with Dr. Roy Baskind Dr. George Porfiris: 1. Does the complaint of weakness represent a true loss of motor power? 2. The geography of weakness - patterns of motor power loss 3. Timing, course and fatigability of acute motor weakness 4. Distinguish upper versus lower motor neuron weakness by degree and speed of movement 5. Differentiate the types of lower motor neuron lesions - peripheral neuropathy vs neuromuscular junction vs myopathy, as well as review the indication for endotracheal intubation for the patient with neuromuscular weakness...

By Anton Helman|2024-07-17T18:35:49-04:00May 18th, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: Dr. George Porfiris, Dr. Roy Baskind, myopathy, neuromuscular disease, neuropathy|11 Comments

EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety

In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pregnant patients, Hans Rosenberg & Michael Gottlieb on PoCUS in airway management, Menaka Pai on VIPIT following AstraZeneca COVID-19 vaccination, Brit Long & Michael Gottlieb on Angiotensin II for emergency clinicians, Michael Schull on tips on the safety of short-term steroid use....

By Anton Helman|2024-11-30T13:34:51-05:00May 4th, 2021|Categories: Cardiology, COVID-19, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Obstetrics & Gynecology, Resuscitation, Ultrasound|Tags: airway, angiotensin, cardiogenic, COVID-19, POCUS, pregnancy, radiation, shock, steroids, VIPIT|1 Comment

Ep 155 Treatment of Bradycardia and Bradydysrhythmias

In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM doc Tarlan Hedayati. In this, part 2, we discuss details of treatment. We answer questions such as: When should pacing be prioritized over medications and vice versa? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? How is the treatment of bradycardia different in the patient with hypothermia? Cardiac ischemia? Myxedema coma? AV nodal blocker overdose? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing? and many more...

By Anton Helman|2024-07-18T10:59:21-04:00April 20th, 2021|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: atropine, dopamine, epinephrine, isoproterenol, transvenous pacer, transvenous pacing|2 Comments

Ep 154: 4-Step Approach to Bradycardia and Bradydysrhythmias

How do we figure out when bradycardia is due to a medical illness and when it is a primary cardiac problem? What are the 4 immediate life threatening diagnosis that we have to entertain and address in the first few minutes of the sick bradycardic patients? What are some key ECG patterns that are sometimes missed by ED docs that can have devastating consequences? How can we better understand Torsades de Pointes by understanding AV blocks? How can we better understand Mobitz l and ll using 'The Dorian' approach? What is BRASH syndrome and how can we recognize it? In this main episode podcast 4-step Approach to Bradycardia and Bradydysrhythmias with electrophysiologist, educator and researcher Dr. Paul Dorian and Chair of Education for the ED at Cook County Hospital Dr. Tarlan Hedayati, we dig deep into bradycardia...

By Anton Helman|2024-07-18T10:59:21-04:00April 6th, 2021|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: AV block, BRASH syndrome, junctional bradycardia, tachy-brady syndrome, Torsades|1 Comment

EM Quick Hits 27 Colchicine for COVID, Bicarb in Cardiac Arrest, Troponin in CKD, GHB Withdrawal, Iloprost for Frostbite, Patient Complaints

In this month's EM Quick Hits podcast: Justin Morgenstern on colchicine for COVID pneumonia, Victoria Myers on sodium bicarbonate in cardiac arrest, Brit Long on troponin in chronic kidney disease, Michelle Klaiman on GHB overdose, Ian Walker on iloprost for frostbite, Sarah Reid on tips on avoiding patient and parent complaints....

By Anton Helman|2024-11-30T13:36:46-05:00March 23rd, 2021|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Resuscitation, Toxicology|Tags: colchicine, COVID-19, frostbite, GHB, iloprost, patient complaints, troponin|0 Comments

Ep 153 Pediatric Minor Head Injury and Concussion

Recent literature suggests that pediatric patients take longer to recover from mild traumatic brain injury compared to adults, and persistent post-concussive symptoms (PPCS) after 1 month occur in up to 30% of children after minor head injury. These children can and should be identified in the ED based on the PPCS clinical risk score. In this EM Cases main episode podcast "Pediatric Minor Head Injury and Concussion" Dr. Sarah Reid and Dr. Roger Zemek discuss how best to incorporate the PECARN and CRASH2 decision tools into your practice, the role of Fast MRI, how to identify children who are at risk for long term sequelae after a minor head injury and how to manage persistent concussion symptoms when a child returns to the ED after a minor head injury...

By Anton Helman|2023-02-06T12:40:37-05:00March 9th, 2021|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: CATCH2, consussion, PECARN, PPCS risk score, return to sport, VOMS|0 Comments

POCUS Cases 10 Limitations, Pitfalls and Accuracy of POCUS for Ruptured AAA

Dr. Rob Simard discusses one of the most important uses of POCUS in the ED, and that is for AAA. He reviews the literature on the accuracy of POCUS for AAA as well as demonstrates the limitations and the common pitfalls in this POCUS Cases video....

By Anton Helman|2021-03-08T16:43:14-05:00March 8th, 2021|Categories: EM Cases, Emergency Medicine, Medical Specialty, POCUS Cases, Ultrasound|Tags: AAA, abdominal aortic aneurysm, bedside ultrasound, Dr. Rob Simard, POCUS, ruptured AAA, RUSH exam|0 Comments

EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID

Anand Swaminathan on LAST prevention, recognition and management, Emily Austin on sodium nitrite suicide kit poisoning, methemoglobinemia and methylene blue, Hans & Erin Rosenberg on post-intubation analgesia and sedation, Salim Rezaie on short-term tetracaine for corneal abrasions new evidence, Jesse MacLaren on differentiating ST deviation in occlusion MI from other causes, Robert Maunder on a 3 step approach to coping and building resilience during the COVID pandemic...

By Anton Helman|2024-11-30T13:39:08-05:00February 23rd, 2021|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Toxicology|Tags: coping with COVID, corneal abrasion, LAST, local anesthetic, methemoglobinemia, methylene blue, occlusion MI, postintubation sedation, sodium nitrite|1 Comment

POCUS Cases 9 Abdominal Free Fluid in Trauma

Rob Simard explains how to incorporate abdominal POCUS into your assessment of the trauma patient, he reviews the literature on accuracy of POCUS for assessment of abdominal free fluid, reviews the key POCUS steps and cautions us about interpretation of your findings in trauma patients who have sustained an injury to their abdomen...

By Anton Helman|2021-03-08T16:19:16-05:00February 23rd, 2021|Categories: EM Cases, Emergency Medicine, Medical Specialty, POCUS Cases, Trauma, Ultrasound|Tags: abdominal POCUS, bedside ultrasound, Dr. Rob Simard, free fluid, Morrison's pouch, trauma POCUS|0 Comments

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