[toxnews] Toxicology Case Conference for 11/3/22 (1300-1600)

[Christine Stork]

Please note that we will attend remotely the NYC Consultants Case Conference. The meeting information is below:


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Consultants' Conference is a monthly meeting attended by medical toxicologists, emergency physicians, pharmacists and other learners from all over the Northeast. It is an educational activity in which the Consultants (renowned experts in various medical specialties) provide insight into the analysis and approach to the diagnosis and treatment of interesting toxicologic cases. The cases are presented mostly by the NYU Toxicology fellows in training, but anyone can present their case if deemed appropriate. Learners of all levels can benefit from the rich and often dynamic discourse.



The next NYC PCC Grand Rounds and Consultants’ Conference will be held on November 3, 2022. Grand Rounds will start at 1PM EST and Consultants’ Conference will follow immediately. The topic and speaker will be:





The Leading Edge of Psilocybin Therapeutics:

 Psychiatric & Existential Distress in Advanced Cancer,

Major Depression, & Alcohol Use Disorder





Stephen Ross, MD

Research Associate Professor of Psychiatry and Child & Adolescent Psychiatry
Associate Director, NYU Langone Center for Psychedelic Medicine

Director, Psychedelic Medicine Research Training Program

Bellevue Hospital Center & NYU Langone Health

NYU Grossman School of Medicine



Consultants’ Conference will take place from 2 PM - 4 PM EST.



We will be broadcasting both the Grand Rounds lecture and Consultants’ Conference via the same link on WebEx AND WE HAVE RESUMED THE LIVE CONFERENCE in the auditorium at the Public Health Laboratory. Please click here<https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YT64gUAD&programname=NYC*20poison*20control&center__;JSU!!GobTDDpD7A!PKtOt6r3rr75lp4I-JQaN3I6vGChxeolBZXciqYqKLeprZecDnJcxaseT8jJWO9b3SHQsXkVXJRnoANHtIXfCQ$> to register and download the WebEx outlook file.



Please Note: If you would like to receive this monthly announcement on a regular basis, please register for the conference at the link above, even if you are unable to attend.



Please post and distribute.

All are welcome.



Cases to be discussed for Consultants’ Conference include:







1.     A 13-year-old girl with a past medical history of major depression and prior history of suicidal ideation is found next to a half-empty pill bottle. She is non-verbal and her parents drive her to the hospital; en route, she has a witnessed generalized tonic-clonic seizure. Her initial vital signs in the ED are: BP, 146/84 mmHg; HR, 140 beats/minute; RR 37, breaths/minute; T, 97.7 degrees Fahrenheit; O2 Sat, 99% (RA)





2.     A 30-year-old man with a history of polysubstance abuse presents to hospital with “intoxication” and is admitted to the hospital for “detox.” While boarding in the ED, he becomes agitated and is given a dose of 5mg intravenous haloperidol. Eight hours after ED arrival, he is found obtunded in his hospital bed and is intubated for airway protection. His post-intubation arterial blood gas shows: pH, 6.896, PCO2 38.9 mmHg, bicarbonate 7.5 mmol/L, and lactate > 24 mmol/L.









3.     A 62-year-old woman with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presents to the ED with left-sided neurologic deficits that began approximately four hours ago; she is subsequently diagnosed with a cerebrovascular accident. While in the ED, she develops upper lip swelling approximately 1 hour after a medication is administered. She is otherwise in no acute distress. Her vital signs at this time are: BP, 121/73 mmHg; HR, 72 beats/minute; RR, 13 breaths/minute; T, 37 degrees Celsius; O2 Sat, 97% (RA).


Christine M. Stork, PharmD, MPH, DABAT
Clinical Director, Upstate NY Poison Center
Professor, Department of Emergency Medicine
Upstate Medical University
Syracuse, NY
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