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<span style="font-size:12.0pt;color:black">     Please join us as we remotely attend NYC Consultants case conference on 11/2/2023 from 1-4 PM<o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black;background:yellow;mso-highlight:yellow">Local rotators: Please attend JH 5<sup>th</sup> floor</span><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">All others: please independently register – The Information is below.<o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">      <img width="771" height="200" style="width:8.0312in;height:2.0833in" id="img140571" src="cid:image001.png@01DA0807.A50DCFB0"><o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black;position:relative;top:-1.5pt;mso-text-raise:1.5pt">                                                                                                                               
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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.</span><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 next NYC Poison Center Grand Rounds and Consultants’ Conference will be held on November 2, 2023. Grand Rounds will start at 1PM EST and Consultants’ Conference will follow immediately. The topic and speaker will
 be:</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<b><span style="font-size:14.0pt;color:black">Chemistry and How People Use Drugs</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:14.0pt;color:black">Adam Blumenberg, MD, MA</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:14.0pt;color:black">Assistant Professor of Emergency Medicine
</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:14.0pt;color:black">Columbia University Medical Center</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.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<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
</span><span style="font-size:12.0pt;line-height:97%;color:black"><a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00002WyYrYUAV&programname=NYC*20poison*20control&center__;JSU!!GobTDDpD7A!OAnKrTQK1VnYYaumyU0ZEmsmYJrg6c8Bps9_nOKiQOHT8d20NvA1IWdNzFOs00WNal8BCYl0Gzd4O3MKLElpwQ$">here</a>
</span><span style="font-size:12.0pt;line-height:97%;color:black">to register and download the WebEx outlook file.
</span><span style="font-size:12.0pt;line-height:97%;color:black"><o:p></o:p></span></p>
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<span style="font-size:12.0pt;line-height:97%;color:black"> </span><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>
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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:</span><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><span style="font-size:12.0pt;color:black">A pair of 4-year-old twin girls present to the ED after ingesting their grandmother's medications. In the ED, they are found to be asymptomatic and with normal vital signs. Laboratory studies, including a serum
 concentration of one of the medications, are obtained. Based on the reported amount of medication ingested being considered "low-risk," the patients are discharged home without treatment. The next day, the mother reaches out to a toxicologist to determine
 if the treatment was appropriate and is immediately instructed to return to the ED.<br>
 </span><span style="font-size:12.0pt;color:black"> </span><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><span style="font-size:12.0pt;color:black">A 66-year-old man with a past medical history of hypertension, diabetes mellitus, chronic back pain and alcohol use disorder is admitted to the hospital for an alcohol-related condition. After receiving treatment
 and having apparent improvement, he remains obtunded in the hospital for three weeks. An extensive workup for the persistent depressed mental status is unrevealing and the providers plan to transfer him to a comfort care facility. Prior to transfer, a medication
 is given and the patient returns to his baseline normal mental status. The poison center is consulted. Vital signs at the time of consultation are: BP, 110/80 mmHg; HR, 80 beats/minute; RR, 30 breaths/minute; T, 36.5 degrees Celsius; O<sub>2</sub> Sat, 94%
 (2 l/min nasal canula oxygen). <o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black"> </span><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><span style="font-size:12.0pt;color:black">A 17-year-old male with a history of viral hepatitis, presents to the hospital with altered mental status and after intentionally ingesting a substance he had collected over the past two weeks. Upon arrival
 to the ED, the patient is found to have a wide complex tachycardia and shortly afterwards has a ventricular fibrillation cardiac arrest. His vital signs on arrival to the ED are: BP, 110/60, mm/Hg; HR, 140s-200s beats/minute; RR, 20 breaths/min; T, 98.6 degrees
 Fahrenheit; O<sub>2</sub> Sat, 100% on RA.<o:p></o:p></span></p>
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<p class="MsoBodyText" style="margin-top:10.35pt"><span 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>
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<span style="font-size:12.0pt;color:black">Director, New York City Poison Center</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<h1 style="margin-top:3.8pt"><span style="color:#212121">Jointly Provided by the NYU Grossman School of Medicine and the Poison Control Center.</span><span style="color:black"><o:p></o:p></span></h1>
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<b><u><span style="font-size:12.0pt;color:#212121">Accreditation Statement</span></u></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:#212121">This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the NYU
 School of Medicine and the Poison Control Center. The NYU Grossman School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<h1><u><span style="color:#212121">Credit Designation Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
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<span style="font-size:12.0pt;line-height:96%;color:#212121">The NYU Grossman School of Medicine designates both of these as live activities for a maximum of 0.75
<i>AMA PRA Category 1 Credits<span style="position:relative;top:-4.0pt;mso-text-raise:4.0pt">TM
</span></i>for Toxicology Grand Rounds and 2 <i>AMA PRA Category 1 Credits<span style="position:relative;top:-4.0pt;mso-text-raise:4.0pt">TM
</span></i>for Consultants’ Conference. Physicians should claim only the credit commensurate with the extent of their participation in the activity.</span><span style="font-size:12.0pt;line-height:96%;color:black"><o:p></o:p></span></p>
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<h1 style="margin-top:.05pt"><u><span style="color:#212121">Disclosure Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
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<span style="font-size:12.0pt;color:#212121">The NYU Grossman School of Medicine adheres to ACCME accreditation requirements and policies, including the Standards for Commercial Support regarding industry support of continuing medical education. In order to
 resolve any identified Conflicts of Interest, disclosure information is provided during the planning process to ensure resolution of any identified conflicts. Disclosure of faculty and commercial relationships as well as the discussion of unlabeled or unapproved
 use of any drug, device or procedure by the faculty will be fully noted at the meeting.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Christine M. Stork, PharmD, BSPharm, MPH, DABAT, FAACT</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Co-Pharmacology Thread Leader, Norton College of Medicine</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Toxicologist, Upstate NY Poison Center</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Professor, Department of Emergency Medicine</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Upstate Medical University</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="vertical-align:baseline"><span style="font-size:12.0pt;font-family:"Candara",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in">Syracuse, NY</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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