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<p class="xmsointensequote" align="center" style="mso-margin-top-alt:.25in;margin-right:.6in;margin-bottom:.25in;margin-left:0in;text-align:center;line-height:105%">
<i><span style="color:#4472C4">Upstate NY Poison Center<o:p></o:p></span></i></p>
<p class="xmsointensequote" align="center" style="mso-margin-top-alt:.25in;margin-right:.6in;margin-bottom:.25in;margin-left:0in;text-align:center;line-height:105%">
<i><span style="font-family:"Arial",sans-serif;color:#4472C4">Toxicology Case Conference</span><span style="color:#4472C4"><o:p></o:p></span></i></p>
<p class="xmsointensequote" align="center" style="mso-margin-top-alt:.25in;margin-right:.6in;margin-bottom:.25in;margin-left:0in;text-align:center;line-height:105%">
<i><span style="font-family:"Arial",sans-serif;color:#4472C4">January</span></i><i><span style="font-family:"Arial",sans-serif">
<span style="color:#4472C4">26</span><span style="color:#4472C4">, 2023</span></span><span style="color:#4472C4"><o:p></o:p></span></i></p>
<p class="xmsointensequote" align="center" style="mso-margin-top-alt:.25in;margin-right:.6in;margin-bottom:.25in;margin-left:0in;text-align:center;line-height:105%">
<i><span style="font-family:"Arial",sans-serif;color:#4472C4">Time: 1300-1530</span><span style="color:#4472C4"><o:p></o:p></span></i></p>
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<p class="xmsonormal"><span style="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="xmsonormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"> </span><o:p></o:p></p>
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<p style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Zoom:
</span><span style="font-size:11.0pt"><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!O2BEXo82JM_f8anhi1q5ZAh7urmYZmSw0gLJ8J0Zkttnd7qe6HBezYeWunGe9AR--gTtPgAX51KlBGoqv5i-oG9y$">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</a></span><span style="font-size:11.0pt"><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:11.0pt"><o:p></o:p></span></p>
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<p class="xmsonormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Leader</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif">(s)</span><o:p></o:p></p>
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<p class="xmsonormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Ahmed Alsakha, MD<span style="color:black"> and
</span>Sarah Mahonski<span style="color:black">, MD</span></span><o:p></o:p></p>
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<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:14.0pt"> <o:p></o:p></span></p>
<p class="xmsonormal"><span style="font-size:14.0pt">Cases for discussion:<o:p></o:p></span></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoListParagraph" style="margin-left:0in;mso-list:l1 level1 lfo1"><span style="font-size:14.0pt">A 47-year-old female with bipolar disorder presents to the emergency department with altered mental status and speech abnormalities. Vital signs: BP
115/75 mmHg, HR 62 beats/min, RR 18/min, T 36 C, 96% on RA<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l1 level1 lfo1"><span style="font-size:14.0pt">A 7 month old female is brought to the emergency department with sleepiness and change in behavior. Vitals are: BP 100/62 mmHg, HR 155 beats/min, RR
44 breaths/min, T 37.8, O2 sat 98%. While in the ED, she develops severe hypercapnia requiring intubation.<o:p></o:p></span></li><li class="xmsonormal" style="mso-list:l1 level1 lfo1"><span style="font-size:14.0pt">A 71 year old male presents to the ED with unresponsiveness. Vital signs are: Bp 147/59 mmHg, HR 71 beats/min, RR 25, T 93.7, 10% on RA. Blood gas results with a pH of 7.0.</span><span style="font-size:14.0pt"><o:p></o:p></span></li></ol>
<p class="xmsonormal"><span style="font-size:14.0pt"> <o:p></o:p></span></p>
<p class="xmsonormal"><span style="font-size:14.0pt">Followed by Journal Club (attached articles)<o:p></o:p></span></p>
<p class="xmsonormal"><span style="font-size:14.0pt"> <o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:#424242">1. </span><span style="font-size:14.0pt;color:#212121">Liu YH, Tsai KF, Hsu PC, Hsieh MH, Fu JF, Wang IK, Liu SH, Weng CH, Huang WH, Hsu CW, Yen TH. Hemodialysis Treatment
for Patients with Lithium Poisoning. Int J Environ Res Public Health. 2022 Aug 15;19(16):10044. doi: 10.3390/ijerph191610044. PMID: 36011678; PMCID: PMC9408339.</span><span style="font-size:14.0pt;color:#424242"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:#424242"> <o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:#212121">2. Orhan U, Gulen M, Satar S, Acehan S, Nazik H, Unlu N, Gediklioglu M, Isikber C, Sonmez A, Sonmez GO. Hemodialysis treatment for poisoning patients in the emergency
department. Ther Apher Dial. 2022 Dec 11. doi: 10.1111/1744-9987.13960. Epub ahead of print. PMID: 36504481.</span><span style="font-size:14.0pt;color:#424242"><o:p></o:p></span></p>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"><span style="font-family:"Script MT Bold"">Christine M. Stork, BSPharm, PharmD, MPH, DABAT, FAACT</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-family:"Script MT Bold"">Professor, Department of Emergency Medicine</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-family:"Script MT Bold"">Clinical Director, Upstate NY Poison Center</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-family:"Script MT Bold"">Upstate Medical University</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-family:"Script MT Bold"">Syracuse, NY</span><o:p></o:p></p>
<p class="xmsonormal"> <o:p></o:p></p>
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