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Upstate NY Poison Center<o:p></o:p></p>
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<span style="font-family:"Arial",sans-serif">Toxicology Case Conference<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">September 8, 2022<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">Time: 1330-1530<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:black">Location<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">JH 5<sup>th</sup> Floor<o:p></o:p></span></p>
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<p style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Zoom:
<o:p></o:p></span></p>
<p style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt"><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!N2hPOpiGjP9MVIhcNwSkkg99PxUMQuJ8g4Nbqu5CtdHFdTCuYJ3IFkP6Nf506Iml13x5qZ4IwMESV6ygNo3-PDDS$">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</a><o:p></o:p></span></p>
<p style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt">password: caseconf</span><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Michael Keenan, MD and Sarah Mahonski, MD<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:14.0pt">Case Presentation<o:p></o:p></span></p>
<p class="MsoNormal"><span class="xelementtoproof"><span style="font-size:12.0pt;color:black">Case 1: </span></span><span style="font-size:12.0pt;color:black">
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Patient is a 32 yo F who presented to an ED with AMS. Known substance use disorder. However, she does not improve like she normally does when allowed to metabolize. The provider notices that her
respiratory rate is elevated and adds on labs. APAP comes back >400. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Case 2: <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Patient is a 45 yo F who presented for not feeling well. She has felt shaky. Medical history is significant for asthma/COPD. She is a smoker, though she has not been smoking much the past week.
The patient is tachycardic, a BP of 98/40, a potassium of 3.0, a lactate of 2.8. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Case 3: <o:p></o:p></span></p>
<p class="MsoNormal"><span class="xelementtoproof"><span style="font-size:12.0pt;color:black">Patient is a 45 yo M who presents to the ED thinking he may have eaten the wrong plant. He is a forager. He made a soup out of the plants he found and did not feel
well after. He had an episode of vomiting, now has a HR 45, BP 65/44</span></span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Journal Club – Syracuse rotators, please read all articles and please let the fellow know who will briefly present each article.<o:p></o:p></p>
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<span style="font-size:12.0pt;line-height:106%;font-family:"Segoe UI",sans-serif;color:black">1. </span><span style="font-size:10.0pt;line-height:106%;font-family:"Arial",sans-serif">Rita Farah, et al: Ivermectin associated adverse events in the treatment and
prevention of COVID-19 reported to the CT pharmacovigilance project, Clinical Toxicology, DOI:
<u>10.1080/15563650.2022.2070187</u><o:p></o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:1.3pt;margin-right:0in;margin-bottom:6.0pt;margin-left:2.0pt;punctuation-wrap:simple">
<span style="font-size:11.5pt;line-height:106%;font-family:"Segoe UI",sans-serif;color:black">2. </span><span style="font-size:10.0pt;line-height:106%;font-family:"Arial",sans-serif">Neta Cohen, et al. Predictors of severe outcome following opioid in Toxicology,
60:6, 702-707, DOI <u>10.1080/15563650.2022.2038188<o:p></o:p></u></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:11.5pt;font-family:"Segoe UI",sans-serif;color:black">3.</span><span style="font-size:10.0pt;font-family:ArialUnicodeMS"> Tracy A. Klein, et al. Synthetic cannabinoid poisonings and access
to the legal cannabis market: findings from US national poison centre data 2016–2019, Clinical Toxicology, DOI: 10.1080/15563650.2022.2099887</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><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"><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>
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