<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<style><!--
/* Font Definitions */
@font-face
{font-family:Helvetica;
panose-1:2 11 5 4 2 2 2 2 2 4;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:"Script MT Bold";
panose-1:3 4 6 2 4 6 7 8 9 4;}
@font-face
{font-family:"Helvetica Neue";}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri",sans-serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:#954F72;
text-decoration:underline;}
span.EmailStyle17
{mso-style-type:personal-compose;
font-family:"Calibri",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;
font-family:"Calibri",sans-serif;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="MsoNormal"><span style="font-size:12.0pt">Upstate NY Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Toxicology Case Conference<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">November 19, 2020<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">1:00 – 3:30 pm<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Hodgman<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Location: Virtual: Zoom meeting # 799237884, passcode “conference”<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">LINK: </span><span style="font-size:10.5pt;font-family:"Helvetica",sans-serif;color:#232333;background:white"> </span><span style="font-size:12.0pt"><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/799237884?pwd=N2htbGRCZnpyQVJ6aHhsNnJFZXFSQT09__;!!GobTDDpD7A!an92ibfcGYrMKDLcrOzh73OU_Ium7ucSW_HGR-t3QAKmijFafVx_McSOOSCviMCkV2XrDkY$" target="_blank"><span style="font-size:10.5pt;font-family:"Helvetica",sans-serif;color:#0E71EB;background:white">https://upstate.zoom.us/j/799237884?pwd=N2htbGRCZnpyQVJ6aHhsNnJFZXFSQT09</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">National Case Conference (ACMT)</span></b><span style="font-size:12.0pt"> 1:00-2:00 PM<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Cases for Discussion: </span>
</b><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">Case
Discussion</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">1.
A 75 yo female is brought to the ED by EMS after family found her altered and confused. Per family she has been ill with a cold and has been using aspirin and a cough syrup for this.
</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">2.
A 54 yo homeless male with history alcohol use disorder is brought to ED following two seizures, the second while in route to ED. He received 2.5 mg midazolam in route. He is post-ictal on arrival but becoming more responsive.
</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">3.
A 60 yo female is discovered unresponsive in a hotel room in the early afternoon with an empty pill bottle at her bedside.
</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Journal Club: Immediately Following Case Conference<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">1.
Carpenter J, Murray BP, Atti S, Moran TP, Yancey A, Morgan B. Naloxone Dosing After Opioid Overdose in the Era of Illicitly Manufactured Fentanyl. J Med Toxicol. 2020 Jan;16(1):41-48. doi: 10.1007/s13181-019-00735-w.</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">2.
Langston JL, Moffett MC, Makar JR, Burgan BM, Myers TM. Carfentanil toxicity in the African green monkey: Therapeutic efficacy of naloxone. Toxicol Lett. 2020 Jun 1;325:34-42.</span><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple">3.
Banner W, Yin S, Burns MM, Lucas R, Reynolds KM, Green JL. Clinical characteristics of exposures to liquid laundry detergent packets. Hum Exp Toxicol. 2020 Jan;39(1):95-110. </span><span style="font-family:"Helvetica Neue",serif;color:black;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Christine M. Stork, PharmD, DABAT, FAACT<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Professor, Department of Emergency Medicine<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Clinical Director, Upstate NY Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Upstate Medical University<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Syracuse, NY<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</body>
</html>