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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>
<p class="paragraph" align="center" style="margin:0in;text-align:center;background:white">
<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Thursday, June 22, 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>
<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="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"> </span></span><span class="eop"><span style="font-size:12.0pt"><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!Lp758VejqoQEYmCmWTtzg2j0voqZNzHmiHpFw7cuFYhOV-8fpvZwmvgiCfw4Qgrshaq_1U0FQl29n2TIwwtZVfdH$">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</a>
Or, go to <a href="https://urldefense.com/v3/__https://upstate.zoom.us/join__;!!GobTDDpD7A!Lp758VejqoQEYmCmWTtzg2j0voqZNzHmiHpFw7cuFYhOV-8fpvZwmvgiCfw4Qgrshaq_1U0FQl29n2TIwzdvXAVg$">https://upstate.zoom.us/join</a> and enter meeting ID: 940 2281 4635 and password: caseconf</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="paragraph" align="center" style="margin:0in;text-align:center;background:white">
<span class="normaltextrun"><span style="font-size:12.0pt;color:black">Time: 1:30-3:30 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>
<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>
<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="normaltextrun"><span style="font-size:12.0pt;color:black">Dr. Alsakha & Dr. Stork</span></span><span class="eop"><span style="font-size:12.0pt;color:black"> </span></span><span class="eop"><span style="font-size:12.0pt"><o:p></o:p></span></span></p>
<p class="paragraph" align="center" style="margin:0in;text-align:center;background:white">
<span style="font-size:9.0pt"><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>
<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">Cases for Discussion</span></b></span><span class="normaltextrun"><b><span style="font-size:12.0pt"><o:p></o:p></span></b></span></p>
<ol start="1" type="1">
<li class="contentpasted0" style="color:black;mso-list:l0 level1 lfo2"><span style="font-size:12.0pt">24 female presents after a suicidal overdose of her medication. Her initial vital signs: BP 140/90, HR 115, O2 sat 99% RA, RR 18. Her exam shows clonus and
hyperreflexia. While you evaluate her, she develops a generalized tonic clonic seizure. ECG shows sinus tachycardia with Normal QRS and QTc 530. <o:p></o:p></span></li><li class="contentpasted0" style="color:black;mso-list:l0 level1 lfo2"><span style="font-size:12.0pt">45 y/o male presents with vomiting after eating a soup from foraged plants. He presents feeling unwell. His triage vitals are HR 45, BP 65/44 <o:p></o:p></span></li><li class="contentpasted0" style="color:black;mso-list:l0 level1 lfo2"><span style="font-size:12.0pt">3 y/o female with a history of constipation presents with AMS after receiving a new medication. Vital signs are significant for T 34C and HR 120. Physical
exam showed a dry, limb child with hand abnormal movements. <o:p></o:p></span></li></ol>
<p class="paragraph" style="margin:0in;background:white"><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. Alsakha)</span></span><span class="normaltextrun"><span style="font-size:12.0pt"><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="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">Greenwald MK, Herring AA, Perrone
J, Nelson LS, Azar P. A Neuropharmacological Model to Explain Buprenorphine Induction Challenges. Ann Emerg Med. 2022 Dec;80(6):509-524. doi: 10.1016/j.annemergmed.2022.05.032. Epub 2022 Aug 6. PMID: 35940992.</span><o:p></o:p></p>
<p style="margin:0in"><span style="color:black"><o:p> </o:p></span></p>
<p style="margin:0in"><span style="color:#212121">2. </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">Levine M, Spungen H, Pizon AF. Failure of Crotalidae Immune F(ab')</span><sub><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">2</span></sub><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white"> Equine
Antivenom to Achieve Control in a Southern Pacific Rattlesnake Envenomation. Ann Emerg Med. 2022 Dec;80(6):525-527. doi: 10.1016/j.annemergmed.2022.06.013. Epub 2022 Aug 9. PMID: 35953386.</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>
<p class="MsoNormal"><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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