Anton Helman, Author at Emergency Medicine Cases

Global EM 4 Climate Change and the Impeding Impact on Emergency Medicine

With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example. Dr. Matt Douglas-Vail explains the need for Increased education on climate change and planetary health, Increased resource allocation in emergency departments for climate-related pathologies and increased disaster planning for climate-related emergencies on this month's Global EM blog...

By Anton Helman|2023-06-26T13:12:19-04:00June 26th, 2023|Categories: EM Cases, EM GEM, Emergency Medicine, Medical Specialty, Special Populations|Tags: asthma, climate change, disaster preparedness, Dr. Matt Douglas-Vail, drowning, environmental medicine, global EM, heat stroke|0 Comments

EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund

On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund...

By Anton Helman|2026-07-25T23:02:37-04:00June 6th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Pediatrics, Plastics, Trauma|Tags: CT radiation, emergency fund, endovascular therapy, GSW, intussusception, ischemic stroke, penetrating trauma, skin foreign body, slip lamp|2 Comments

Ep 183 STIs: Pelvic Inflammatory Disease and Genital Lesions – HSV, Syphilis and LVG

In this part 2 of our 2-part series on STIs with Dr. Catherine Varner and Dr. Robyn Shafer we answer such questions as: Why should we care about making the diagnosis of pelvic inflammatory disease (PID) in the ED? What combination of clinical features and lab tests should trigger a presumptive diagnosis and empiric treatment of PID? Which patients with PID require admission to hospital? What are the test characteristics of ultrasound for the diagnosis of PID and for Fitz-Hugh-Curtis Syndrome? When and how should we work up patients for syphilis in the ED? When should we suspect and empirically treat for lymphogranuloma venereum and granuloma inguinale? does an IUD need to be removed in patients with PID? and many more...

By Anton Helman|2024-06-18T19:49:55-04:00May 23rd, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Genitourinary, Medical Specialty, Obstetrics & Gynecology, Uncategorized|Tags: Chancroid, genital ulcers, granuloma inguinale, LGV, lymphogranuloma venereum, pelvic inflammatory disease, PID, syphilis|0 Comments

Ep 182 STIs: Cervicitis, Vulvovaginitis and Urethritis Emergency Recognition and Management

In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key...

By Anton Helman|2024-06-18T19:50:14-04:00May 9th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Genitourinary, Medical Specialty|Tags: bacterial vaginosis, chlamydia, gonorrhea, mycoplasma genitalium, STI, trichomoniasis|0 Comments

EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM

In this month's EM Quick Hits: Heather Cary on the use and misuse of abdominal FAST in pediatric trauma, Hans Rosenberg and Arleigh McCurdy on the diagnosis and management of Multiple Myeloma in the ED, David Jerome on practice tips for managing the drowning patient, Brit Long and Michael Gottlieb on the diagnosis and management of Alcohol-Induced Ketoacidosis, Navpreet Sahsi on his journey to becoming a humanitarian and global EM doctor...

By Anton Helman|2023-04-25T10:48:32-04:00April 25th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Oncology, Respirology, Resuscitation, Special Populations, Trauma, Ultrasound|Tags: AKA, alchohol ketoacidosis, drowning, FAST, global EM, multiple myeloma, pediatric trauma|2 Comments

Ep181 Cerebral Venous Thrombosis, Idiopathic Intracranial Hypertension, Giant Cell Arteritis and Peripartum Headaches

In this episode, Dr. Roy Baskind and Dr. Ahmit Shah answer such questions as: when is an opening pressure on LP required? When should we pull the trigger on ordering a CT venogram in the patient with unexplained headache? Which older patients who present with headache require an ESR/CRP? How do the presentations of cerebral venous thrombosis (CVT) and idiopathic intracranial hypertension (IIH) compare and contrast? When is it safe to start steroids in the ED for patients suspected of giant cell arteritis (GCA); will starting steroids affect the accuracy of a temporal artery biopsy? How soon should patients suspected of GCA get a temporal artery biopsy? When should we consider posterior reversible encephalopathy syndrome (PRES) and pituitary apoplexy in the peripartum patient? How should we think about the differential diagnosis of vascular headaches? and many more...

By Anton Helman|2025-12-07T15:58:23-05:00April 11th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Neurology|Tags: cerebral venous thrombosis, CT venogram, CVT, Dr. Ahmit Shah, Dr. Roy Baskind, GCA, giant cell arteritis, idiopathic intracranial hypertension, IIH, peripartum headache, PRES, vascular headaches|1 Comment

EM Quick Hits 47 HFNC, Dissection Drugs, ADJUST-UNLIKELY for PE, Antibiotic Course Duration, Skin Glue Hacks, ESP Block, Learner Oversight

In this month's EM Quick Hits podcast: Anand Swaminathan on 3-pronged approach to aortic dissection management, Jonathan Wallace on rural practice tips for glue removal and ESP block for renal colic, Sara Gray on everything you need to know about High Flow Nasal Cannula but were afraid to ask, Maria Ivankovic on reducing the duration of antibiotic therapy for uncomplicated common bacterial infections, Tahara Bhate on handover and learner oversight on QI corner and Kerstin De Wit on the ADJUST-UNLIKELY tool for pulmonary embolism...

By Anton Helman|2026-07-17T22:55:30-04:00March 28th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Respirology|Tags: adjust unlikely, antibiotic duration, antibiotic stewardship, aortic dissection, esmolol, ESP block, handover, HFNC, high flow nasal canulae, learner oversight, patient handoff, QI Corner, renal colic, ROX index|0 Comments

Global EM 3 So you want to be a humanitarian doctor?

Dr. Nav Sahsi gives us a quick primer on Doctors Without Borders, explains the difference between humanitarian work and development work and describes the motivation, personal skills, education, time commitment and flexibility required for humanitarian work for all those with an interest in Global EM...

By Anton Helman|2023-11-26T09:36:28-05:00March 28th, 2023|Categories: EM Cases, EM GEM, Emergency Medicine, Medical Specialty, Special Populations|Tags: Doctors without Borders, humanitarian work, MSF, NGOs|3 Comments

Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management

In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning. Dr. Emily Austin and Dr. Margaret Thompson answer questions such as: how is massive acetaminophen overdose a totally different toxidrome compared to non-massive overdose? Which patients are the ones that we are most likely to miss and have poor outcomes? What are the common ways in which we misinterpret the Rumack-Matthew nomogram? What are indications for fomepizole and dialysis after acetaminophen poisoning? Is hyperphosphatemia the best predictor of need for liver transplant in acetaminophen poisoning? and many more... Please support EM Cases by giving a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-04-02T22:30:17-04:00March 14th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Toxicology|Tags: APAP, fomepizole, massive overdose, N-acetylcysteine, NAC, Rumack-Matthew nomogram|0 Comments

Ep 179 Hand Injuries – Finger Tip Injuries, Jersey Finger, PIP Dislocations, Metacarpal Fractures, Thumb Injuries, Tendon Lacerations

ED recognition and management of some commonly missed or mismanaged hand inuries including finger tip avulsions and amputations, nailbed injuries, PIP dislocations, metacarpal fractures, hand tendon lacerations, Stener lesions, Seymour fractures, mallet fingers, jersey fingers, skier's thumb, Bennet fractures and Rolando fractures with masters Dr. Arun Sayal and Dr. Matt Distefano...

By Anton Helman|2024-07-11T15:27:05-04:00February 28th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Plastics|Tags: Bennet fracture, finger tip amputation, finger tip avulsion, Finger Tip Injuries, Jersey Finger, Metacarpal Fractures, nailbed injury, PIP Dislocations, Rolando fracture, Seymour fracture, Tendon Lacerations, Thumb Injuries|1 Comment

About Anton Helman