Richard Hamilton MD @toxboardprep

Emergency Medicine & Medical Toxicologist #FOAMed #FOAMTox enthusiast tweeting board prep tips with the philosophy Ad Orbem per Venenum emtoxcast.com Philadelphia, PA Joined September 2015

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Richard Hamilton MD @toxboardprep

5 years ago

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

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Richard Hamilton @theToXfiles

6 years ago

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

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Richard J. Hamilton @RJHamiltonMD

6 years ago

bloomberg.com/news/articles/… Were they ignored or too sporadic to connect the dots?

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Richard J. Hamilton @RJHamiltonMD

7 years ago

The return of carbogen! FDA OKs ClearMate Device for Carbon Monoxide Poisoning medscape.com/viewarticle/91… via @Medscape

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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.

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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

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Richard Hamilton MD @toxboardprep

7 years ago

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?

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Richard J. Hamilton @RJHamiltonMD

7 years ago

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/full/10.10…

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Richard Hamilton MD @toxboardprep

7 years ago

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