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<span style="font-size:12.0pt;color:black">Please join us as we attend the NYC Consultants Grand Round and Conference this coming Thursday 8/2/2023 1300-1600. Please note time change<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:5.75pt">
<span style="font-size:12.0pt;color:black;background:yellow;mso-highlight:yellow">LOCAL ROTATORS: Please meet in 5<sup>th</sup> Floor JH</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:5.75pt">
<span style="font-size:12.0pt;color:black">All others, please register independently.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><img width="821" height="208" style="width:8.552in;height:2.1666in" id="img254251" src="cid:image001.png@01D9C3A1.B38EC710"><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.<o:p></o:p></span></p>
<p class="MsoBodyText"><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:33.9pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;text-align:justify">
<span style="font-size:12.0pt;color:black">The next NYC Poison Center Grand Rounds and Consultants’ Conference will be held on August 3, 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" align="center" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;text-align:center">
<span class="im"><b><span style="font-size:14.0pt;color:black">The Alphabet Soup of Regulatory Toxicology</span></b></span><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">Michael Holland, 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">Medical Toxicologist, Upstate NY Poison Center</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">Medical Director, Saratoga Hospital Employee Health Services</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">and SHMG Occupational Medicine</span></b><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><span style="font-size:14.0pt;color:black"> </span></b><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>
<p class="MsoBodyText" style="margin-top:.55pt"><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:8.15pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;line-height:97%">
<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
<a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00002XtVFhUAN&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MzpcQweWYEXL9wF7HIh7Of0HRTdShNI-HCM1VI_jxJ2rz-1wvRLowEl1oG_QOl1OMNerHOO2M5_Aqui6VAsLPQ$">
here</a> to register and download the WebEx outlook file. <o:p></o:p></span></p>
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<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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<p class="MsoNormal" align="center" style="mso-margin-top-alt:.05in;margin-right:19.05pt;margin-bottom:0in;margin-left:19.3pt;margin-bottom:.0001pt;text-align:center;line-height:37.5pt">
<span style="font-size:32.0pt">Please post and distribute.</span><o:p></o:p></p>
<p class="MsoNormal" align="center" style="mso-margin-top-alt:0in;margin-right:19.05pt;margin-bottom:0in;margin-left:19.2pt;margin-bottom:.0001pt;text-align:center;line-height:37.3pt">
<span style="font-size:32.0pt">All are welcome.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><br clear="all">
<o:p></o:p></span></p>
<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">
</span></b>
<p class="MsoBodyText" style="mso-margin-top-alt:3.8pt;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">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>
<p class="MsoListParagraph" style="margin-left:.75in;background:white"><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 two-year-old healthy girl presents to the ED with irritability and difficulty breathing that progressively worsens over 12 hours. She does not take any medications nor are there any prescription medications
in the household. Her vital signs on presentation are as follows: BP, 124/palp; HR, 190 beats/minute; RR, 24 breaths/minutes; T, 36.5 degrees Celsius; O<sub>2</sub> Sat, 87% (RA). She is noted to be cyanotic on physical examination.<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"> <o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:.75in;background:white"><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 19-year-old man is found down in jail after reportedly ingesting 40 “unknown” pills. First responders administer 4mg naloxone IN without response, after which a capillary glucose is obtained that reads "LO."
The patient receives 45g of IV glucose by EMS and has an improved mental status. His initial vital signs on presentation to the ED are: BP, 104/59 mm Hg; HR, 63 beats/minute; RR, 16 breaths/minute; T, 98.6 degrees Fahrenheit; O<sub>2</sub> Sat, 100% (RA).<br>
<br>
<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:.75in;background:white"><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><span style="font-size:12.0pt;color:black">A 37-year-old woman with a past medical history of bronchial asthma is prescribed a new medication at an "aesthetic clinic" she attends. She develops nausea and multiple episodes of vomiting and diarrhea after
taking only one dose. The next day she presents to health care; initial vital signs are: BP, 80/40 mm Hg; HR, 120 beats/minute; RR, “normal;” T, “afebrile.”
<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"> <o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:10.35pt"><span lang="FR" style="font-size:12.0pt;color:black">Mark K. Su, MD, MPH</span><span style="font-size:12.0pt;color:black"><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>
<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"">Pharmacology Co-Thread Leader, Norton College of Medicine<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Clinical Toxicologist, 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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