Richard Hamilton MD

Emergency Medicine & Medical Toxicologist #FOAMed #FOAMTox enthusiast tweeting board prep tips with the philosophy Ad Orbem per Venenum

[Richard Hamilton MD @toxboardprep]

A little nugget for APAP liver failure and when to transfer or transplant #FOAMTox #FOAMcc

[Richard Hamilton MD @toxboardprep]

@PulmCrit Every overdose is a study with an n=1

[Richard Hamilton @theToXfiles]

Welcome to my new blog https://t.co/IOmtYlUnpC - 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 J. Hamilton @RJHamiltonMD]

https://t.co/STtoFjHrUs
Were they ignored or too sporadic to connect the dots?

[Richard Hamilton MD @toxboardprep]

@rbaselt One wonders if the Dig assay is in fact binding to the myriad of glycosides in plants and giving a false positive. 🤔 Also, the assay is notorious for false positives.
https://t.co/8gySEtcx08

[Richard Hamilton MD @toxboardprep]

@ToxNyu appropo for today’s consultant conference

[Richard Hamilton MD @toxboardprep]

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 @toxboardprep]

@mcyarema I’ve been trying tp purchase a copy of the first edition for my own collection for years. It’s a wonderful paperback with case vignettes and discussion that established the rubric for the book. Have you seen it?

[Richard J. Hamilton @RJHamiltonMD]

The return of carbogen!
FDA OKs ClearMate Device for Carbon Monoxide Poisoning https://t.co/xIOV4K5C8n via @medscape

[Emily Cohen, MD @ETontox]

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.

[Richard Hamilton MD @toxboardprep]

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. https://t.co/bNwtU0iSgd

[Richard Hamilton MD @toxboardprep]

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

[Richard Hamilton MD @toxboardprep]

Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus | RadioGraphics https://t.co/HdfPNqWlHY

[Richard Hamilton MD @toxboardprep]

Great paper on diff dx of bilateral basal ganglia abnormalities seen on neuroimaging in severe CO, CH3OH, and CN cases
https://t.co/swadJcUj7l

[Richard Hamilton MD @toxboardprep]

While evaluating a patient with sudden blindness after IVDU, you recommend cardiac echo. What is your specific concern?

[Richard Hamilton MD @toxboardprep]

@FengSing ABV BACH 🎵🎶 (?)

[Richard Hamilton MD @toxboardprep]

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

[Richard Hamilton MD @toxboardprep]

A husband and wife who operate a cleaning service arrive with sudden onset fever, cough, and rash. What’s the likely culprit? #FOAMTox #Toxboardreview

[Richard Hamilton MD @toxboardprep]

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

[Richard Hamilton MD @toxboardprep]

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 J. Hamilton @RJHamiltonMD]

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 https://t.co/RQh85yqyH1