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<p class="MsoNormal">Please join us as we remotely attend the NYC Consultants case conference and grand rounds. The information is below and there is a link to independently register.</p>
<p class="MsoNormal"><o:p> </o:p></p>
<p style="margin:0in"><span style="font-size:12.0pt;color:black">Hello Friends:<span class="apple-converted-space"> </span><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">We will be having our next Grands Rounds lecture and Consultants' Conference on April 6, 2023. The flyer is attached with teaser cases and the registration link.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Happy Spring!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">See you soon. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> <span class="apple-converted-space"> </span><img width="408" height="90" style="width:4.25in;height:.9375in" id="Picture_x0020_1" src="cid:image001.png@01D965FD.AA3B8920" alt="Image"><o:p></o:p></span></p>
<p style="margin:0in"><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 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<span class="apple-converted-space"> </span><i>Consultants<span class="apple-converted-space"> </span></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>
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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 April 6, 2023. 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"><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" align="center" style="text-align:center"><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" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">Social Media as a Medium for Toxicology Research,<span class="apple-converted-space"> </span></span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">Surveillance, and Outreach</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black"> </span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">Joshua Bloom, MD, PhD</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">Senior Fellow in Medical Toxicology</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">The Ronald O. Perelman Department of Emergency Medicine</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;color:black">NYU Grossman School of Medicine</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;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">Consultants’ Conference will take place from 2 PM - 4 PM EST.<o:p></o:p></span></p>
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<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 live conference will be held in the Public Health Laboratory and we will also broadcast via WebEx. Please click<span class="apple-converted-space"> </span><a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YTDNzUAP&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MmHvymVodf9mHRo3BO6Q4GmWyyYOIrerIsANpPvZe7-Mzt_peuw6ai6C6zwucPNCTkNoj62Bv6MwdsJHzrjk4w$" title="https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YTDNzUAP&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MmHvymVodf9mHRo3BO6Q4GmWyyYOIrerIsANpPvZe7-Mzt_peuw6ai6C6zwucPNCTkNoj62Bv6MwdsJ"><span style="color:#0078D7">here</span></a><span class="apple-converted-space"> </span>to
register and download the WebEx outlook file.<span class="apple-converted-space"> <o:p></o:p></span></span></p>
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<span style="font-size:12.0pt;color:black"><a href="https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YTDNzUAP&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!Jyx_n2nEgnhEm4LMrInWvr2sNg3P-ieALYQ-1ttNIfhIdVfBtxjQC6f3ZZ3f_lGBdJhl_56rs6P8RUx4b-y-0DHY$">https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00000YTDNzUAP&programname=NYC%20poison%20control¢er</a><o:p></o:p></span></p>
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<b><span style="font-size:12.0pt;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;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin:0in"><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>
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<span style="font-size:32.0pt">All are welcome.</span><o:p></o:p></p>
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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" style="margin:0in"><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="background:white"><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 class="apple-converted-space"> </span></span><span style="font-size:12.0pt;color:black">A 16-year-old healthy girl is
brought to the ED by her mother for "not appearing well." The mother reports that three days prior to presentation, the patient had nausea, vomiting and diarrhea for one day. Her initial vital signs are: BP, 123/77 mm Hg; HR, 63 beats/minute; RR, 18 breaths/minute;
T, 99.0 degrees Fahrenheit; O<sub>2</sub> Sat, 99%<b> </b>(RA). During the diagnostic evaluation of the patient, she is found to have an acute kidney injury (AKI); additional history reveals an intentional overdose three days ago.<br>
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<b> </b><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><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="margin-left:.5in"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><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">2.</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif;color:black"> <span class="apple-converted-space"> </span></span><span style="font-size:12.0pt;color:black">A 16-year-old healthy girl presents
to the ED after a reported intentional ingestion of antifreeze 45 minutes prior to arrival. Her initial vital signs are: BP, 114/66 mm Hg; HR, 108 beats/minute; RR, 14 breaths/minute; T, 98.5 degrees Fahrenheit; O<sub>2</sub> Sat, 99% (room air). She is asymptomatic
and her physical examination is unremarkable. Her initial laboratory findings are significant for: pH 7.43, PCO<sub>2</sub><span class="apple-converted-space"> </span>35; serum osmolality 282 mOsm/kg; ethanol undetectable; and osmolal gap of -10.6 mOsm/kg. The
Poison Center is called for assistance.<span class="apple-converted-space"> </span><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><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><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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<p class="MsoNormal" style="background:white"><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">3.</span><span style="font-size:7.0pt;font-family:"Times New Roman",serif;color:black"> <span class="apple-converted-space"> </span></span><span style="font-size:12.0pt;color:black">A 78-year-old woman with a past
medical history of metastatic breast cancer, hypertension, heart failure, atrial fibrillation, and deep vein thromboses is admitted to the hospital for “shortness of breath.” During the admission, she has multiple episodes of bradycardia and brief asystole
which spontaneously resolve without intervention. The medical team is concerned for an adverse drug effect and calls the PCC. Her vital signs at the time of consultation are: BP, 124/61 mmHg; HR, 80 beats/minute; RR, 23 breaths/minute; T, 98.6 degrees Fahrenheit;<span class="apple-converted-space"> </span></span><span style="font-size:12.0pt;color:#212121">O<sub>2</sub><span class="apple-converted-space"> </span></span><span style="font-size:12.0pt;color:black">Sat,
98%.<span class="apple-converted-space"> </span><br>
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<p class="MsoNormal" style="background:white"><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">Mark K. Su, MD, MPH<o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">Director, New York City Poison Center<o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;color:black">Christine M Stork, PharmD, MPH, DABAT, FAACT</span></i><i><span style="color:black"><o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;color:black">Clinical Director, Upstate NY Poison Center<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;color:black">Professor, Department of Emergency Medicine<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;color:black">Upstate Medical University<o:p></o:p></span></i></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;color:black">Syracuse, NY </span>
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