About Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.
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Rapid Reviews Video – Asymptomatic Hypertension

While asymptomatic hypertension is rarely an emergency, many patients are referred to the ED for very high blood pressure readings. We need to know which of these patients have end organ damage and how to treat them without causing harm. In this Rapid Reviews Video Dr. Nick Clarridge discusses how to categorize hypertension in the ED, the key history and physical data points to look for, appropriate investigations as well as rational treatment options and controversies....

By |2022-01-10T20:54:44-05:00October 23rd, 2018|Categories: Cardiology, EM Cases, Emergency Medicine, Medical Specialty, Rapid Reviews Videos|Tags: , , , , |0 Comments
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POCUS Cases 6 Pericardial Effusion POCUS

In this POCUS Cases Dr. Simard reviews the literature on accuracy of POCUS for pericardial effusion diagnosis, compares and contrasts the two cardiac views for determining a pericardial effusion, explains how to distinguish between pericardial fluid vs epicardial fat and pericardial fluid vs pleural effusion, explains the findings of cardiac tamponade and electrical alternans, and reviews the false positives of pericardial effusion on POCUS...

By |2022-01-10T20:53:57-05:00October 23rd, 2018|Categories: EM Cases, Emergency Medicine, Medical Specialty, POCUS Cases, Ultrasound|Tags: , , , , |0 Comments
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BCE 76 Opioid Withdrawal

In anticipation of EM Cases Episode 116 on Opioid Misuse, Overdose and Withdrawal, Dr. Michelle Klaiman, Addictions and Emergency Medicine specialist, tells her Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come - even when they present with simple, run-of-the-mill diagnoses - by thinking outside the box and doing brief screening and interventions for patients with opioid use disorder. She discusses alternative pain control options as well as the use of suboxone to treat opioid withdrawal and opioid addiction.Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come, even when they present with simple, run-of-the-mill diagnoses, by thinking outside the box and doing brief screening and interventions for patients with opioid use disorder.

By |2023-05-14T17:51:07-04:00October 9th, 2018|Categories: Best Case Ever, EM Cases, Emergency Medicine, Medical Specialty, Special Populations, Toxicology|Tags: , , , , , |0 Comments
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CritCases 11 LVAD Management in the GI Bleed Patient

In this CritCases blog Mike Misch presents a case of a patient with a left ventricular assist device (LVAD) with a postoperative acute lower GI bleed and answers practical questions such as:  How do you measure blood pressure in a patient with an LVAD? What are the common complications of LVADs that we must be aware of? What information can the LVAD controller provide? Why are LVAD patients at high risk for bleeding? and many more...

By |2018-10-09T15:42:50-04:00October 9th, 2018|Categories: Cardiology, CritCases, EM Cases, Emergency Medicine, Gastroenterology, Medical Specialty|Tags: , , , , , |1 Comment
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EMU 365 Pediatric Elbow Nightmares with Arun Sayal

This is the 2nd instalment of The Emergency Medicine Update Conference's recently launched EMU 365 video series. In this EMU 65 video, Dr. Arun Sayal, an emergency physician who runs a weekly minor fracture clinic at NYGH discusses his approach to pediatric elbow injuries, the importance of good lateral images, common and uncommon missed elbow injuries and clinically important epicondylar fractures that can mimic normal ossification centers and more...

By |2018-10-09T16:45:56-04:00October 9th, 2018|Categories: Conference, EM Cases, Emergency Medicine, EMU 365, Medical Specialty, NYGH EM Update, Orthopaedics, Pediatrics|Tags: , , , |0 Comments
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Ep 115 Emergency Management of the Agitated Patient

Managing acutely agitated patients can cause anxiety in even the most seasoned emergency doctor. These are high risk patients and they are high risk to you and your ED staff. It’s important to understand that agitation or agitated delirium is a cardinal presentation – not a diagnosis. There is pathology lurking beneath - psychiatric, medical, traumatic and toxicological diagnoses driving these patients and we just won’t know which until we can safely calm them down...

By |2022-10-16T10:48:01-04:00September 25th, 2018|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Psychiatry, Resuscitation, Toxicology|Tags: , , , , , , |6 Comments
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BCE 75 Reuben Strayer’s Agitated Patient

In anticipation of Episode 115 Management of the Agitated Patient, Dr. Reuben Strayer tells the story of the case that got him interested in developing an expertise around management of the agitated patient that includes an important simple pitfall and pearl about physical restraint. It that could prevent a death in your ED...

By |2023-05-14T17:52:09-04:00September 11th, 2018|Categories: Best Case Ever, EM Cases, Emergency Medicine, Medical Specialty, Psychiatry, Special Populations, Toxicology|Tags: , , |1 Comment
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POCUS Cases 5 – Small Bowel Obstruction

In this POCUS Cases 5 - Small Bowel Obstruction, Dr. Simard explains the limitations of x-rays for small bowel obstruction, the three signs of small bowel obstruction on POCUS including the "keyboard sign", the most important literature on the topic and the limitations of using POCUS for the diagnosis of small bowel obstruction...

By |2018-08-28T17:08:23-04:00August 28th, 2018|Categories: EM Cases, Emergency Medicine, Gastroenterology, Medical Specialty, POCUS Cases, Ultrasound|Tags: , , |0 Comments
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JJ 13 Regional Nerve Blocks for Hip Fractures

In this EM Cases Journal Jam podcast with Anton Helman, Justin Morgenstern, Rory Spiegel, and special guest Jacques Lee we explore the evidence for femoral nerve blocks and fascia iliaca blocks as well as discuss the practical implementation of them in your ED. We answer questions such as: Do regional nerve blocks for hip fractures effectively reduce pain? Do they decrease opioid use? Are they safe compared to standard pain management? Should the block be done prior to x-ray confirmation? and many more...

By |2023-05-14T18:17:47-04:00August 28th, 2018|Categories: EM Cases, Emergency Medicine, Journal Jam, Medical Specialty, Orthopaedics, Trauma|Tags: , , , , |1 Comment
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Ep 114 Pulmonary Embolism Challenges in Diagnosis 2 – Imaging, Pregnancy, Subsegmental PE

In Part 1 of Pulmonary Embolism Challenges in Diagnosis Drs. Helman, Lang and DeWit discussed a workup algorithm using PERC and Wells score, the bleeding risk of treated pulmonary embolism, pearls in decision making on whether or not to work up a patient for pulmonary embolism, how risk factors contribute to pretest probability, the YEARS criteria and age-adjusted D-dimer. In this Part 2 we answer questions such as: what are the important test characteristics of CTPA we need to understand? Which patients with subsegmental pulmonary embolism should we treat? When should we consider VQ SPECT? What is the best algorithm for the work up of pulmonary embolism in pregnant patients? How best should we implement pulmonary embolism diagnostic decision tools in your ED? and many more…

By |2022-10-16T11:15:02-04:00August 28th, 2018|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Respirology|Tags: , , , , |0 Comments
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