[toxnews] Toxicology Case Conference for November 17, 2022 (1:00-3:30 PM)

[Christine Stork]

Upstate NY Poison Center

Toxicology Case Conference

November 17, 2022

Time: 1300-1530

Location

JH 5th Floor



Zoom:

https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!JTdznGUq33fmDEU3hUoM8QPp3dH_5QAXSYyGnpsVDMymxStWh_MYxpOKeoy6NQy0v7Li1fzMJmRzLLcdoQO7fmj2$ 

password: caseconf

Leader

Kayla Bourgeois, PharmD, and Sarah Mahonski, MD




ACMT national case conference from 1-2 PM

Cases after National Conference:

  1.  A 51-year-old F with a history of atrial fibrillation presents to the emergency department after an intentional suicide attempt with 40 tablets of her own medication. On exam, she has a heart rate of 47 beats/min, and a blood pressure of 73/35 mmHg.
  2.  A 2-year-old male presents to the emergency department with generalized malaise and feeling unwell per mom. Three days ago, he was seen in the emergency department for vomiting and diarrhea after exploratory ingestion and was discharged home. On exam today, he is tachycardic at 164 beats/min, and O2 Sat is 87% on RA. Labs are notable for a hemoglobin of 8.1 g/dl.

Journal club: we will discuss these two papers below which are also attached:


1) Kirstin Acus, Jessica Krizo, Spencer Prete, Thomas Langlois, Ashley Pajela, Caroline Mangira, Erin Simon, Amy Raubenolt, Do Higher Doses of Naloxone Increase the Risk of Pulmonary Complications?, Journal of Emergency Medicine (2022), doi: https://urldefense.com/v3/__https://doi.org/10.1016/j.jemermed.2022.10.017__;!!GobTDDpD7A!JTdznGUq33fmDEU3hUoM8QPp3dH_5QAXSYyGnpsVDMymxStWh_MYxpOKeoy6NQy0v7Li1fzMJmRzLLcdoeX7tEN-$ <https://urldefense.com/v3/__https:/doi.org/10.1016/j.jemermed.2022.10.017__;!!GobTDDpD7A!NbH2l8T4bv-RQhMogC5tse4KwB0dlcRUCrgB8q9-gAzRFHBalowuV5iX1sLmUP7FVBDKnYg7PVYx62rg8Vw$>


      For this article, we will briefly discuss the Chi Square and Fisher's exact test statistic (to be assigned to two rotators).



2) Mills CA, Flacke JW, Miller JD, Davis LJ, Bloor BC, Flacke WE. Cardiovascular effects of fentanyl reversal by naloxone at varying arterial carbon dioxide tensions in dogs. Anesth Analg. 1988 Aug;67(8):730-6. PMID: 3134834.




Christine M. Stork, BSPharm, PharmD, MPH, DABAT, FAACT

Professor, Department of Emergency Medicine

Clinical Director, Upstate NY Poison Center

Upstate Medical University

Syracuse, NY


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