<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=windows-1257">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<style><!--
/* Font Definitions */
@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:ArialUnicodeMS;
        panose-1:0 0 0 0 0 0 0 0 0 0;}
@font-face
        {font-family:"Script MT Bold";
        panose-1:3 4 6 2 4 6 7 8 9 4;}
/* 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;}
/* List Definitions */
@list l0
        {mso-list-id:1011491183;
        mso-list-template-ids:-1641642892;}
@list l0:level1
        {mso-level-tab-stop:.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level2
        {mso-level-tab-stop:1.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level3
        {mso-level-tab-stop:1.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level4
        {mso-level-tab-stop:2.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level5
        {mso-level-tab-stop:2.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level6
        {mso-level-tab-stop:3.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level7
        {mso-level-tab-stop:3.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level8
        {mso-level-tab-stop:4.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l0:level9
        {mso-level-tab-stop:4.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1
        {mso-list-id:1618025605;
        mso-list-type:hybrid;
        mso-list-template-ids:-1122214360 67698703 67698713 67698715 67698703 67698713 67698715 67698703 67698713 67698715;}
@list l1:level1
        {mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level2
        {mso-level-number-format:alpha-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level3
        {mso-level-number-format:roman-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:right;
        text-indent:-9.0pt;}
@list l1:level4
        {mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level5
        {mso-level-number-format:alpha-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level6
        {mso-level-number-format:roman-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:right;
        text-indent:-9.0pt;}
@list l1:level7
        {mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level8
        {mso-level-number-format:alpha-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l1:level9
        {mso-level-number-format:roman-lower;
        mso-level-tab-stop:none;
        mso-level-number-position:right;
        text-indent:-9.0pt;}
@list l2
        {mso-list-id:2143231483;
        mso-list-template-ids:-616366330;}
@list l2:level1
        {mso-level-start-at:2;
        mso-level-tab-stop:.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level2
        {mso-level-tab-stop:1.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level3
        {mso-level-tab-stop:1.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level4
        {mso-level-tab-stop:2.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level5
        {mso-level-tab-stop:2.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level6
        {mso-level-tab-stop:3.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level7
        {mso-level-tab-stop:3.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level8
        {mso-level-tab-stop:4.0in;
        mso-level-number-position:left;
        text-indent:-.25in;}
@list l2:level9
        {mso-level-tab-stop:4.5in;
        mso-level-number-position:left;
        text-indent:-.25in;}
ol
        {margin-bottom:0in;}
ul
        {margin-bottom:0in;}
--></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;font-family:"Arial",sans-serif;color:black">Upstate NY Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Toxicology Case Conference<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">May 19, 2022<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Time: 1300-1530<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Local: JH 5<sup>th</sup> Floor or<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:black">Zoom:
</span><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!PYlRknJpp6HAWVhiaHS4NKktx3oRExy992ypX7ZyPC3ieoGHVB27-k0_oBytudJlPVzcyeeledqGexnhQEqqIdZ_$"><span style="font-family:"Arial",sans-serif">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</span></a><span style="font-family:"Arial",sans-serif;color:black"> 
 or </span><a href="https://urldefense.com/v3/__https://www.google.com/url?q=https:**Aupstate.zoom.us*join&sa=D&source=calendar&usd=2&usg=AOvVaw2P1625yjFZuCEQ10qZkYaa__;Ly8v!!GobTDDpD7A!PYlRknJpp6HAWVhiaHS4NKktx3oRExy992ypX7ZyPC3ieoGHVB27-k0_oBytudJlPVzcyeeledqGexnhQACj8TMP$"><span style="font-family:"Arial",sans-serif">https://upstate.zoom.us/join</span></a><span style="font-family:"Arial",sans-serif;color:black">
 and enter meeting ID: 940 2281 4635 and password: caseconf</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Leaders: Cory Howard, MD, Christine Stork, PharmD<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">ACMT National Case Conference (1300-1400)<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Case Presentation<o:p></o:p></p>
<ol start="1" type="1">
<li class="MsoNormal" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo1">
<span style="font-size:12.0pt">42 year old female presents to the emergency department complaining of Scorpion bite between 1<sup>st</sup> and 2<sup>nd</sup> fingers of her right hand.  HR 82, BP 147/82, RR 16, Temp 98.6 F, O2 98% on room air. <o:p></o:p></span></li></ol>
<ol start="2" type="1">
<li class="MsoNormal" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo2">
<span style="font-size:12.0pt">52 year old female presents to the emergency department from her dermatologist office. She has progressively worsening shortness of breath since starting a new medication 6 weeks ago. HR 107, BP 122/67, RR 19, 91% on 2L O2, Temp
 36.5% C. <o:p></o:p></span></li></ol>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Journal Club<o:p></o:p></p>
<ol start="1" type="1">
<li style="mso-list:l1 level1 lfo3">Late hemotoxicity following North American rattlesnake envenomation treated with crotalidae immune F. <span style="font-size:10.0pt;font-family:"ArialUnicodeMS",serif">Meghan Beth Spyres, Gabriel K. Padilla, Richard D. Gerkin,
 Christopher O. Hoyte, Brian Joseph Wolk & Anne-Michelle Ruha (2022): Late hemotoxicity following North American rattlesnake envenomation treated with crotalidae immune F(ab’)</span><span style="font-size:7.0pt;font-family:"ArialUnicodeMS",serif;position:relative;top:2.0pt;mso-text-raise:-2.0pt">2
</span><span style="font-size:10.0pt;font-family:"ArialUnicodeMS",serif">(equine) antivenom and crotalidae immune polyvalent Fab (ovine) antivenom reported to the North American Snakebite Sub-registry, Clinical Toxicology, DOI: 10.1080/15563650.2022.2042550 </span><o:p></o:p></li><li style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif;color:#333333">Roberts Stašinskis, Katrīna Stašinska, Maksims Mukāns, Andis Graudiņš, Viesturs Liguts & Aivars Lejnieks (2022) Changes in ionized calcium in ethylene glycol poisoning, Baylor
 University Medical Center Proceedings, DOI: <a href="https://urldefense.com/v3/__https:/doi.org/10.1080/08998280.2022.2062550__;!!GobTDDpD7A!OV8UK1nMNWpWXYDExo0cR5uZvYcOEg4djmH8rqASY6ujlZQIBzhhadn0-IyAlMSJZ36d7KRKHsyYcFju58k$" target="_blank"><span style="color:#333333">10.1080/08998280.2022.2062550</span></a></span><o:p></o:p></li></ol>
<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, BSPharm, PharmD, MPH, 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>