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<p class="xmsonormal" align="center" style="text-align:center;background:white"><span class="contentpasted0"><span style="font-size:12.0pt;color:black">Toxicology Case Conference</span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white"><span class="contentpasted0"><span style="font-size:12.0pt;color:black">Thursday, August 10, 2023 </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white;font-kerning: none">
<span class="contentpasted0"><span style="font-size:12.0pt;color:black">Location: 5th Floor Conference Room/Zoom </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white"><span style="font-size:9.0pt;color:black"><br>
<span class="contentpasted0"><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!P14KRgBAmZdY9vb_Xss7WUifImQDxKaw3VbrCPUGKRzknhkMODLz92zDjqQJGJs8kkhD_-_UfywUHR5Gj5rpRp1C$"><span style="color:#0563C1">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</span></a> Or, go to <a href="https://urldefense.com/v3/__https://upstate.zoom.us/join__;!!GobTDDpD7A!P14KRgBAmZdY9vb_Xss7WUifImQDxKaw3VbrCPUGKRzknhkMODLz92zDjqQJGJs8kkhD_-_UfywUHR5Gj29-68Ny$"><span style="color:#0563C1">https://upstate.zoom.us/join</span></a> and
enter meeting ID: 940 2281 4635 and password: caseconf</span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white"><span class="contentpasted0"><span style="font-size:12.0pt;color:black">Time: 1:30-3:30 PM </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white;font-kerning: none">
<span class="contentpasted0"><span style="font-size:12.0pt;color:black"> </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white;font-kerning: none">
<span class="contentpasted0"><span style="font-size:12.0pt;color:black">Drs. Kolbeck and Stork
</span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white"><span class="contentpasted0"><span style="font-size:9.0pt;color:#242424"> </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" align="center" style="text-align:center;background:white;font-kerning: none">
<span class="contentpasted0"><span style="font-size:12.0pt;color:black"> </span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" style="background:white;font-kerning: none"><span class="contentpasted0"><b><span style="font-size:12.0pt;color:black">Cases for Discussion</span></b></span><span style="color:#242424"><o:p></o:p></span></p>
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<li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l1 level1 lfo2;background:white">
<span style="font-size:12.0pt">A 14 month old child is found with their grandmothers Tramadol® 200 mg XR tablet in their mouth. They were under a table with an open bottle.<o:p></o:p></span></li><li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l1 level1 lfo2;background:white">
<span style="font-size:12.0pt">1 65 year old male presents to the ED with a history of ingesting mushrooms that he foraged yesterday. He ate the mushrooms at 0900 and developed vomiting and diarrhea at 2300. He also reports ingesting another mushroom 2 days
ago. Samples of the mushroom are brought to the ED.<o:p></o:p></span></li><li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l1 level1 lfo2;background:white">
<span style="font-size:12.0pt">A caller reports giving a 6 year old child 5 mL of Delsym® . About 1.5 hours later, the bottle is found open and the child appears to have glazed eyes and is sleepy, ataxic and hallucinating. Upon inspection of the bottle, she
approximates 2 teaspoonfuls left in a bottle that she approximates had 2.5 ounces when she gave the initial dose.<o:p></o:p></span></li></ol>
<p class="MsoNormal" style="background:white"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
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<p class="xparagraph" style="background:white"><span class="contentpasted0"><b><span style="font-size:12.0pt;color:black">Journal Club Immediately Following</span></b></span><span class="contentpasted0"><span style="font-size:12.0pt;color:black">: Please read
all and identify a lead 1<sup>st</sup> year fellow presenter for each cases and coordinate with Dr. Keenan</span></span><span style="color:#242424"><o:p></o:p></span></p>
<p class="xparagraph" style="background:white"><span class="contentpasted0"><span style="font-size:12.0pt;color:black"> </span></span><span style="color:#242424"><o:p></o:p></span></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="xparagraph" style="color:#242424;mso-list:l0 level1 lfo3;background:white;list-style-type:"1. "">
<span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">Greene SC. Rivastigmine Use in the Treatment of Antimuscarinic Delirium. J Med Toxicol. 2023 Jul;19(3):284-287. doi: 10.1007/s13181-023-00947-1. Epub 2023 May 19.
PMID: 37204613; PMCID: PMC10293131.</span><o:p></o:p></li><li class="xparagraph" style="color:#242424;mso-list:l0 level1 lfo3;background:white">
<span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">Lebin JA, Mudan A, Murphy CE 4th, Wang RC, Smollin CG. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol
Withdrawal. J Med Toxicol. 2022 Jan;18(1):4-10. doi: 10.1007/s13181-021-00863-2. Epub 2021 Oct 25. PMID: 34697777; PMCID: PMC8758850.</span><o:p></o:p></li><li class="xparagraph" style="color:#242424;mso-list:l0 level1 lfo3;background:white">
<span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#212121;background:white">Dunkley EJ, Isbister GK, Sibbritt D, Dawson AH, Whyte IM. The Hunter Serotonin Toxicity Criteria: simple and accurate diagnostic decision rules for serotonin toxicity.
QJM. 2003 Sep;96(9):635-42. doi: 10.1093/qjmed/hcg109. PMID: 12925718.</span><span class="contentpasted0"><o:p></o:p></span></li></ol>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Christine M. Stork, PharmD, MPH, DABAT</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Co-Pharmacology Thread Leader, Norton College of Medicine</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Toxicologist, Upstate NY Poison Center</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Professor, Department of Emergency Medicine</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Upstate Medical University</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black">Syracuse, NY</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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