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<p class="MsoNormal" align="center" style="text-align:center"><span class="normaltextrun"><span style="font-size:12.0pt;color:black">Toxicology Case Conference</span></span><span style="color:black"><o:p></o:p></span></p>
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<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Thursday, June 15, 2023</span></span><span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span style="font-size:9.0pt;color:black"><o:p></o:p></span></p>
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<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Location: 5th Floor Conference Room/Zoom</span></span><span class="eop"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></span></p>
<p class="paragraph" align="center" style="text-align:center;background:white"><span style="font-size:9.0pt;color:black"><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!Ocde2cZClwf9ox_lSVBl2_mSF5Ox5Iz9fgab_L4ANjhYXpWcvOvo0d5834Dep4UmgnriXwQ-igMG3zpacva7u7n9$">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09 </a> Or, go to <a href="https://urldefense.com/v3/__https://upstate.zoom.us/join__;!!GobTDDpD7A!Ocde2cZClwf9ox_lSVBl2_mSF5Ox5Iz9fgab_L4ANjhYXpWcvOvo0d5834Dep4UmgnriXwQ-igMG3zpackD7YCmI$">https://upstate.zoom.us/join</a> and enter meeting ID:
 940 2281 4635 and password: caseconf<o:p></o:p></span></p>
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<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Time: 1:00-3:00 PM</span></span><span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span style="font-size:9.0pt;color:black"><o:p></o:p></span></p>
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<span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span style="font-size:9.0pt;color:black"><o:p></o:p></span></p>
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<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Dr. Bourgeois & Dr. Mahonskiu</span></span><span class="eop"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></span></p>
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<span style="font-size:9.0pt;color:black"><o:p> </o:p></span></p>
<p class="paragraph" align="center" style="margin:0in;text-align:center;background:white;overflow-wrap: break-word;font-kerning: none;scroll-behavior: auto !important">
<span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span style="font-size:9.0pt;color:black"><o:p></o:p></span></p>
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<span class="normaltextrun"><b><span style="font-size:12.0pt;color:black">Attendance Remotely for ACMT National Case Conference<o:p></o:p></span></b></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:54.75pt;text-indent:-.25in;mso-list:l0 level1 lfo1;background:white">
<![if !supportLists]><span style="font-size:10.5pt;color:#231F20"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">      
</span></span></span><![endif]><span style="font-size:10.5pt;color:#231F20">A 41-year-old woman presents with progressive leg swelling and a long-standing history of burning leg pain.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:54.75pt;text-indent:-.25in;mso-list:l0 level1 lfo1;background:white">
<![if !supportLists]><span style="font-size:10.5pt;color:#231F20"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">      
</span></span></span><![endif]><span style="font-size:10.5pt;color:#231F20">A 30-year-old woman with nonverbal autism presents with 2 hours of recurrent syncope. Her vital signs are currently normal except for a heart rate of 100 bpm.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:54.75pt;text-indent:-.25in;mso-list:l0 level1 lfo1;background:white">
<![if !supportLists]><span style="font-size:10.5pt;color:#231F20"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">      
</span></span></span><![endif]><span style="font-size:10.5pt;color:#231F20">A 73-year-old man presents to the ED unresponsive following an intentional overdose of clonazepam. He is not protecting his airway, but he is DNR/DNI and family wants to respect his
 wishes.<o:p></o:p></span></p>
<p class="paragraph" style="margin:0in;background:white"><span style="font-size:9.0pt;color:black"><o:p> </o:p></span></p>
<p class="paragraph" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:12.0pt;margin-left:0in;background:white;overflow-wrap: break-word;font-kerning: none;scroll-behavior: auto !important">
<span style="font-size:9.0pt;color:black">** There will be no Local Cases this week<o:p></o:p></span></p>
<p class="paragraph" style="margin:0in;background:white;overflow-wrap: break-word;font-kerning: none;scroll-behavior: auto !important">
<span class="normaltextrun"><b><span style="font-size:12.0pt;color:black">Journal Club Immediately Following</span></b></span><span class="normaltextrun"><span style="font-size:12.0pt;color:black">: (Syracuse and Virtual Rotators: please read all and identify
 a lead presenter for each cases and coordinate with Dr. Bourgeois)<o:p></o:p></span></span></p>
<p class="paragraph" style="margin:0in;background:white"><span class="normaltextrun"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></span></p>
<p style="margin:0in"><span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span style="color:black">1. </span><span style="color:#212121">Yang R, Huang J, Zhao Y, Wang J, Niu D, Ye E, Yue S, Hou X, Cui L, Wu J. Association of thiamine
 administration and prognosis in critically ill patients with heart failure. Front Pharmacol. 2023 Mar 23;14:1162797. doi: 10.3389/fphar.2023.1162797. PMID: 37033650; PMCID: PMC10076601.</span><span style="color:black"><o:p></o:p></span></p>
<p style="margin:0in"><span style="color:black"><o:p> </o:p></span></p>
<p style="margin:0in"><span style="color:#212121">2. Luxemburger C, White NJ, ter Kuile F, Singh HM, Allier-Frachon I, Ohn M, Chongsuphajaisiddhi T, Nosten F. Beri-beri: the major cause of infant mortality in Karen refugees. Trans R Soc Trop Med Hyg. 2003 Mar-Apr;97(2):251-5.
 doi: 10.1016/s0035-9203(03)90134-9. PMID: 14584386.</span><span style="color:black"><o:p></o:p></span></p>
<p class="paragraph" style="margin:0in;background:white"><span style="font-size:9.0pt;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="overflow-wrap: break-word;font-kerning: none;scroll-behavior: auto !important">
<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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