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<p class="xmsonormal">Please join us as we attend remotely the NYC Consultants Case Conference. Information Is below at attached:<o:p></o:p></p>
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<img width="408" height="90" style="width:4.25in;height:.9375in" id="img220759" src="cid:image001.png@01D9348C.D9ED65A0"><o:p></o:p></span></p>
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<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.</span><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">The next NYC Poison Center Grand Rounds and Consultants’ Conference will be held on February 2, 2023. Grand Rounds will start at 1PM EST and Consultants’ Conference will follow immediately. The topic and speaker will
be:</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<b><span style="font-size:14.0pt;color:black">A Deep Dive into the Management of Neuroleptic Malignant Syndrome</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:14.0pt;color:black">Sarah Mahonski, MD</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:14.0pt;color:black">Assistant Professor of Emergency Medicine, SUNY Upstate Medical University</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:14.0pt;color:black">Assistant Medical Director, Upstate NY 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.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:.55pt"><span style="font-size:12.0pt;color:black"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<span style="font-size:12.0pt;line-height:97%;color:black">The live conference will be held in the Public Health Laboratory and we will also broadcast via WebEx. Please click
</span><span style="font-size:12.0pt;line-height:97%;color:black"><a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YTAOkUAP&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!LPEIeej5g0Nfr_79-DptRC3NvziYz1kyl-gYzxLyb8Ngafc02Qb6Ym6fTBam_yEiuqaa0ZB2naO2nkCiGOcDvw$">here</a>
</span><span style="font-size:12.0pt;line-height:97%;color:black">to register and download the WebEx outlook file.
</span><span style="font-size:12.0pt;line-height:97%;color:black"><o:p></o:p></span></p>
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<span style="font-size:12.0pt;line-height:97%;color:black"> </span><span style="font-size:12.0pt;line-height:97%;color:black"><o:p></o:p></span></p>
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<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>
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<span style="font-size:32.0pt">Please post and distribute.</span><span style="font-size:11.0pt"><o:p></o:p></span></p>
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<span style="font-size:32.0pt">All are welcome.</span><o:p></o:p></p>
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<b><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:black;mso-fareast-language:EN-US"><br clear="all" style="page-break-before:always">
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<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>
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<span style="font-size:12.0pt;color:black">1.</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif;color:black">
</span><span style="font-size:12.0pt;color:black">A 30-month-old child with no significant past medical history presents to the ED with acute onset of decreased responsiveness after a witnessed ingestion. The ingestion occurred approximately 90 minutes prior
to presentation and EMS was immediately activated. Upon arrival to the ED, the patient is noted to be cyanotic and reacts only to physical stimuli. His initial vital signs are: BP, 68/42 mm Hg; HR, 152 beats/minute; RR, 20 breaths/minute; T, 97.1 degrees Fahrenheit;
O<sub>2</sub> Sat: 70% (10L/min non-rebreather via facemask); Point of Care Glucose, 98 mg/dL.
<o:p></o:p></span></p>
<p class="MsoListParagraph"><span style="font-size:12.0pt;color:black">2.</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif;color:black">
</span><span style="font-size:12.0pt;color:black">A 78-year-old woman with a past medical history of major depression, anxiety disorder, and osteoarthritis presents to the ED as a stroke activation for acute altered mental status. Her initial vital signs are:
BP, 103/75 mm Hg; HR, 99 beats/minute; RR, 20 breaths/minute; T, 98.5 degrees Fahrenheit; O<sub>2</sub> Sat, 99% (4 L/min via nasal cannula). The Poison Center is called due to an abnormally elevated blood drug concentration; there is no history of overdose. <br>
3.</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif;color:black">
</span><span style="font-size:12.0pt;color:black">A 20-year-old nonbinary patient with a history of generalized anxiety disorder, bipolar disorder and borderline personality disorder presents to the ED for decreased responsiveness and vomiting with black-colored
emesis after a presumed overdose. Their initial vital signs in the ED are: BP, 126/81 mm Hg; HR, 96 beats/min; RR, 18 breaths/min; T, 36.8 degrees Celsius; O<sub>2 </sub>Sat, 96% (Room Air). <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;background:white">
<span style="font-size:12.0pt;color:black"> Mark K. Su, MD, MPH<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 Center<o:p></o:p></span></p>
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<h1 style="margin-top:3.8pt"><span style="color:#212121">Jointly Provided by the NYU Grossman School of Medicine and the Poison Control Center.</span><span style="color:black"><o:p></o:p></span></h1>
<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>
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<b><u><span style="font-size:12.0pt;color:#212121">Accreditation Statement</span></u></b><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:20.7pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt">
<span style="font-size:12.0pt;color:#212121">This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the NYU
School of Medicine and the Poison Control Center. The NYU Grossman School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:.55pt"><span style="font-size:12.0pt;color:black"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<h1><u><span style="color:#212121">Credit Designation Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
<p class="MsoBodyText" style="mso-margin-top-alt:.35pt;margin-right:10.6pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;line-height:96%">
<span style="font-size:12.0pt;line-height:96%;color:#212121">The NYU Grossman School of Medicine designates both of these as live activities for a maximum of 0.75
<i>AMA PRA Category 1 Credits<span style="position:relative;top:-4.0pt;mso-text-raise:4.0pt">TM
</span></i>for Toxicology Grand Rounds and 2 <i>AMA PRA Category 1 Credits<span style="position:relative;top:-4.0pt;mso-text-raise:4.0pt">TM
</span></i>for Consultants’ Conference. Physicians should claim only the credit commensurate with the extent of their participation in the activity.</span><span style="font-size:12.0pt;line-height:96%;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:.2pt"><span style="font-size:12.0pt;color:black"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<h1 style="margin-top:.05pt"><u><span style="color:#212121">Disclosure Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
<p class="MsoBodyText" style="mso-margin-top-alt:.1pt;margin-right:8.15pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt">
<span style="font-size:12.0pt;color:#212121">The NYU Grossman School of Medicine adheres to ACCME accreditation requirements and policies, including the Standards for Commercial Support regarding industry support of continuing medical education. In order to
resolve any identified Conflicts of Interest, disclosure information is provided during the planning process to ensure resolution of any identified conflicts. Disclosure of faculty and commercial relationships as well as the discussion of unlabeled or unapproved
use of any drug, device or procedure by the faculty will be fully noted at the meeting.</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"><o:p> </o:p></span></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"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;color:black">Mark K Su, MD, MPH<o:p></o:p></span></p>
<p><span style="font-size:12.0pt;color:black">Clinical Associate Professor of Emergency Medicine<o:p></o:p></span></p>
<p><span style="font-size:12.0pt;color:black">The Ronald O. Perelman Department of Emergency Medicine<o:p></o:p></span></p>
<p><span style="font-size:12.0pt;color:black">Director, New York City Poison Control<o:p></o:p></span></p>
<p><span style="font-size:12.0pt;color:black">Email: <a href="mailto:mark.su@nyulangone.org">
mark.su@nyulangone.org</a><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;color:black">NYC PCC: 212-POISONS<o:p></o:p></span></p>
<p class="xmsonormal"><o:p> </o:p></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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