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Upstate NY Poison Center</p>
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<span style="font-family:Arial, sans-serif;margin:0px" class="ContentPasted0">Toxicology Case Conference</span></p>
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<span style="font-family:Arial, sans-serif;margin:0px" class="ContentPasted0">December 29, 2022</span></p>
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Zoom is the leader in modern enterprise video communications, with an easy, reliable cloud platform for video and audio conferencing, chat, and webinars across mobile, desktop, and room systems. Zoom Rooms is the original software-based conference room solution
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<span style="font-size:12pt;font-family:Arial, sans-serif;margin:0px;color:black" class="ContentPasted0">Kayla Bourgeois, PharmD and Sarah Mahonski, MD</span></p>
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<span style="font-size:12pt;margin:0px" class="ContentPasted0">Cases for Discussion:</span></p>
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<span class="x_elementToProof FluidPluginCopy" style="margin:0px;background-color:rgb(255, 255, 255)"><span style="font-size:11pt;font-family:Georgia, serif;margin:0px;color:rgb(0, 0, 0);background-color:rgb(255, 255, 255)"><span class="x_x_elementToProof x_FluidPluginCopy" style="font-size:15px;margin:0px;background-color:rgb(255, 255, 255)"><span class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">76M
brought in by EMS @ approx. 0300, found down in his garage after syncopal episode. Has been missing for 5+ hours. </span></span></span></span>
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<span class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px;background-color:rgb(255, 255, 255)">Vitals: 106/65 HR 116 RR 18 T 36.3 (97.3)</span></div>
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<div class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">pH 7.32 pCO2 31 lactate 8.6</div>
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<div class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">18F arrives to the ED originally altered and agitated, growing increasingly lethargic and was just intubated for airway protection. Outside hospital calling with concern as patient
is currently hypotensive with significant QRS and QTc prolongation (rate 99, QRS 124, QTc 65)</div>
<div class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">Vitals: 77/58, HR 86 99% on vent</div>
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<div class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">18F arrives to the ED at 0230 unconscious and appears cyanotic with the following vital signs:</div>
<span class="x_ContentPasted0 ContentPasted1" style="font-size:11pt;margin:0px">102/50, HR 130, RR 19, O2 sat 90% </span></div>
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Journal Club</span></div>
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<span style="margin:0px" class="ContentPasted2">1) </span><span style="margin:0px" class="ContentPasted2">Senart AM, LeClair LA. Cardiovascular and Adverse Effects of Glucagon for the Management of Suspected Beta Blocker Toxicity: a Case Series. J Med Toxicol.
2022 Dec 7 </span></p>
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<span style="margin:0px" class="ContentPasted2">2) </span><span style="font-family:"Open Sans", sans-serif;margin:0px" class="ContentPasted2">Suen Wah C, Chi Keung C, Yau Tak N, Chun Tat L, Hin Tat F. Prediction rule of supratherapeutic peak serum salicylate
level in poisoning patients attending emergency departments. </span><span style="font-family:"Open Sans", sans-serif;margin:0px;color:rgb(51, 51, 51)"><span style="margin:0px;color:rgb(0, 0, 0)" class="ContentPasted2">Hong Kong Journal of Emergency Me</span><span style="margin:0px;color:rgb(0, 0, 0)" class="ContentPasted2">dici</span><span style="margin:0px;color:rgb(0, 0, 0)" class="ContentPasted2">ne</span></span><span style="font-family:"Open Sans", sans-serif;margin:0px;color:rgb(51, 51, 51)"><span style="margin:0px;color:rgb(0, 0, 0)" class="ContentPasted2">.</span><span style="margin:0px;color:rgb(0, 0, 0)" class="ContentPasted2"><span class="ContentPasted2"> </span>2022</span></span></p>
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<span style="font-family: Candara, Optima, sans-serif;">Christine M. Stork, PharmD, MPH, DABAT</span></div>
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<span style="font-family: Candara, Optima, sans-serif;">Clinical Director, Upstate NY Poison Center</span></div>
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<span style="font-family: Candara, Optima, sans-serif;">Professor, Department of Emergency Medicine</span></div>
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<span style="font-family: Candara, Optima, sans-serif;">Upstate Medical University</span></div>
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<span style="font-family: Candara, Optima, sans-serif;">Syracuse, NY</span></div>
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