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<p class="MsoNormal">Please join us as we attend remotely the NYC Consultant Grand Rounds and Case Conference<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<h2>Upstate NY Poison Center<span style="font-size:11.0pt"><o:p></o:p></span></h2>
<h2><span style="font-family:"Arial",sans-serif">Toxicology Case Conference</span><o:p></o:p></h2>
<h2>November 17, 2022<o:p></o:p></h2>
<h2><span style="font-family:"Arial",sans-serif">Time: 1300-1530</span><o:p></o:p></h2>
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<p class="xmsonormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Location</span><o:p></o:p></p>
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<p class="xmsonormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">JH 5<sup>th</sup> Floor</span><o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;color:black"> <img width="945" height="200" style="width:9.8437in;height:2.0833in" id="img158879" src="cid:image001.png@01D8FF4C.BBD0F2A0"><o:p></o:p></span></p>
<p class="MsoBodyText"><b><span style="font-size:12.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black">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 <i>Consultants
</i>(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.<o:p></o:p></span></p>
<p class="MsoBodyText"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:0in;margin-right:33.9pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;text-align:justify">
<span style="font-size:12.0pt;color:black">The next NYC PCC Grand Rounds and Consultants’ Conference will be held on December 1, 2022. Grand Rounds will start at 1PM EST and Consultants’ Conference will follow immediately. The topic and speaker will be:<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><span style="font-size:12.0pt;color:black"> </span></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Toxin Induced Seizures- Pathophysiology, Pharmacology,
& Unrealism</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;text-align:center">
<b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Robert J Hoffman, MD, MS</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Deputy Director, Kuwait Poison Center</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">Consultants’ Conference will take place from 2 PM - 4 PM EST.<o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:.55pt"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:0in;margin-right:8.15pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;line-height:97%">
<span style="font-size:12.0pt;line-height:97%;color:black">We will be broadcasting both the Grand Rounds lecture and Consultants’ Conference via the same link on WebEx;
<span style="background:white">the live conference will occur in </span>Public Health Laboratory Auditorium on the ground floor. Please click
<a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YT7NeUAL&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!JquizkjeWp8U4Jlim1wn9lzju9LV9BJS8E6w_CNi22pNoOPcYq3ipKlfBlG3Bmt8sLgwNEYTw2_7dnCeEOeHjw$">
here</a> to register and download the WebEx outlook file. <o:p></o:p></span></p>
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<span style="font-size:12.0pt;line-height:97%;color:black"> <o:p></o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:0in;margin-right:8.15pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;line-height:97%">
<b><span style="font-size:12.0pt;line-height:97%;color:black">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.</span></b><span style="font-size:12.0pt;line-height:97%;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText"><b><span style="font-size:12.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:.35pt"><b><span style="font-size:12.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<span style="font-size:32.0pt">Please post and distribute.</span><o:p></o:p></p>
<p class="MsoNormal" align="center" style="mso-margin-top-alt:0in;margin-right:19.05pt;margin-bottom:0in;margin-left:19.2pt;margin-bottom:.0001pt;text-align:center;line-height:37.3pt">
<span style="font-size:32.0pt">All are welcome.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><br clear="all">
</span><span style="font-size:12.0pt;color:black">Cases to be discussed for Consultants’ Conference include:<o:p></o:p></span></p>
<p class="MsoBodyText"><b><span style="font-size:12.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;background:white">
<b><span style="font-size:12.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black">A 4-year-old 16.8 kg female with a past medical history of sickle cell disease is brought to the ED after having a witnessed generalized tonic-clonic seizure. According
to her family, the child was having “URI symptoms” for several days prior to the seizure. Her initial vital signs are: BP, 114/62 mm Hg; HR, 127 beats/minute; RR, 20 breaths/minute; T, unknown; O<sub>2</sub> Sat, 100% (on 15 l/min via NRB facemask). The Poison
Center is called when bedside providers learn that the mother has been utilizing a home remedy for symptomatic relief, and the patient seizes again. <br>
<br>
<b> </b><span style="background:white">A 4-year-old 15.1kg healthy boy is transferred from an outside hospital to the PICU for 5 days of fever, vomiting and inability to tolerate oral intake. His initial vital signs in the PICU are: BP, 145/85 mmHg; HR, 107
beats/min; RR, 20 breaths/minute; T, 36.8 degrees Celsius; O<sub>2</sub> Sat, 100% (RA). His laboratory tests are significant for: AST, 3634 U/L; ALT, > 7500 U/L; INR, 3.61; total bilirubin, 1.5 mg/dL. The poison center is consulted for possible acetaminophen
toxicity.</span><br>
<br>
<b> </b>A 67-year-old man with a past medical history of schizophrenia, hypertension, and diabetes mellitus presents to the ED complaining of chest pain. On arrival to the ED, he admits to the hospital staff that he took “too much" of one of his medications.
His vital signs are: BP, 124/84 mm/Hg; HR 144 beats/minute; RR 36 breaths/min; T, 101 degrees Fahrenheit; O<sub>2</sub> Sat 100% RA. His providers feel that he is agitated but are uncertain if he has altered mental status.
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</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:10.35pt"><span lang="FR" style="font-size:12.0pt;color:black">Mark K. Su, MD, MPH</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:.15pt;margin-right:0in;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;text-indent:-11.0pt">
<span style="font-size:12.0pt;color:black">Director, New York City Poison Control Center<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, 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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