Richard Hamilton MD retweeted
Welcome to my new blog theToXfiles.com - an exploration of the toxic dangers past and present that surround us on this planet. The first installment - Lake Nyos, Cameroon, 1986 #FOAMTox @toxboardprep
Richard Hamilton MD retweeted
bloomberg.com/news/articles/…
Were they ignored or too sporadic to connect the dots?
Medics arrive with a buprenorphine overdose that has not responded to 0.4 mg of naloxone. What dose of naloxone should you not exceed in treating this case? #FOAMTox
Richard Hamilton MD retweeted
The return of carbogen!
FDA OKs ClearMate Device for Carbon Monoxide Poisoning medscape.com/viewarticle/910… via @medscape
Richard Hamilton MD retweeted
It’s workshop day at the @ToxNyu tox conference. Antidote pearl: glucarpidase is an enzymatic antidote that chops up methotrexate, but it chops up leucovorin, too. Separate administration of these antidotes by at least 2 hrs.
Manganese toxicity can manifest as clinical features of Parkinson’s disease. In addition, Mn toxicity can also display a form of spinocerebellar ataxia called “cock-walk” gait. youtu.be/6pRh039ejLE
A middle aged male presents with hypotension, GI distress, and bloody emesis after consuming an ayurvedic cleansing juice. Lots of culprits possible - but here’s one that you should consider! #foamtox
Great paper on diff dx of bilateral basal ganglia abnormalities seen on neuroimaging in severe CO, CH3OH, and CN cases
preview.tinyurl.com/y7buvph2
Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus | RadioGraphics pubs.rsna.org/doi/full/10.11…
While evaluating a patient with sudden blindness after IVDU, you recommend cardiac echo. What is your specific concern?
On toxicology rounds, there are certain educated guesses that are usually at least half correct - like “Na channel effects”. There are more than a few Na Channel Blockers - can you name the Na Channel OPENERS? #FOAMTox
A husband and wife who operate a cleaning service arrive with sudden onset fever, cough, and rash. What’s the likely culprit? #FOAMTox #Toxboardreview
You are asked to provide treatment options for a large overdose of dabigatran. Besides activated charcoal and 4 factor PCC - what else could you suggest? #FOAMTox #ToxBoardReview
getting back to #ToxBoardReview for the next month up to recert/qualifying exam
#FOAMTox
What are the FDA REMS and what distinguishes them from other efforts to promote drug safety?
Richard Hamilton MD retweeted
Interesting research explains why this guy might do well after a button battery ingestion #FOAMtox
pH‐neutralizing esophageal irrigations as a novel mitigation strategy for button battery injury - Anfang - - The Laryngoscope - Wiley Online Library onlinelibrary.wiley.com/doi/…
An easy one for the mycologists out there - but how about my tox friends? #FOAMTox
The risk benefit of intralipid emulsion therapy for a sick poisoned patient needs to consider the potential adverse effects of the therapy - what are they? #FOAMTox
