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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Please join us to attend NYC Consultants Grand Rounds and Case Conference remotely.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Local rotators: location 9<sup>th</sup> floor JH. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><a href="https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V00002XoCozUAF&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!LmGz0z0zVhauvLF_yTpYlsDbGxk2eNuHibbeT5Syp2OuYB9hCxSL3JLnPKuOf2fLNNJClRvZxbFuaPJSq3s2IsN5$">Otherwise, please register independently</a>. Thanks<o:p></o:p></span></p>
<p class="MsoNormal">Information below:<o:p></o:p></p>
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<span style="font-size:12.0pt;color:black"> <img border="0" width="809" height="176" style="width:8.427in;height:1.8333in" id="img229965" src="cid:image001.png@01DA2396.6905B820"><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.</span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText"><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">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>
<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">Gaps in the OG (Osmol Gap)</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">Timothy Charles Backus, DO</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">Attending Emergency Physician, Mohawk Valley Health System</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">Voluntary Faculty, Upstate Poison Center, Upstate Medical University</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>
<p class="MsoBodyText" style="margin-top:.55pt"><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;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=a1Q4V00002XoCozUAF&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!OXJCNMJrG4gBfGRcdCga14L0VtAop8UGcrml_9nBUhSGjzzEAQKSXMuU7Ykonk2Nw3H2N0ngHLU9P4vAGSJRJQ$">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>
<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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<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>
<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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<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">An 11-month-old female with no known past medical history is emergently sent to the ED for an “abnormal complete blood count.” Her vital signs on presentation are: Blood Pressure, 130/55 mm/Hg; HR, 151 beats/
minutes; RR, 24 breaths/minute; T, 98.0 degrees Fahrenheit; O<sub>2</sub> Sat, 95% (RA). In the ED, she receives a medication and three hours later is noted to be cyanotic; she has the following vital sign changes: BP, 130/55 mm Hg; HR, 153 beats/minute RR,
30 breaths/minute; T, 98.1 degrees Fahrenheit; O<sub>2</sub> Sat, 84%. <br>
<br>
<br>
<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:.75in"><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 52-year-old woman with a past medical history of epilepsy and schizoaffective disorder presents to the ED with acute lethargy. Her husband reports that she has been to an outside hospital three separate times
over the past two weeks complaining of malaise; she was diagnosed at her last hospital visit with acute COVID-19 infection. Shortly after arrival, she is intubated for airway protection and an intravenous norepinephrine infusion is initiated for hypotension. Her
vital signs after intubation are: BP, 129/81 mmHg; HR, 87 beats/minute; RR, 18 breaths/minute (intubated) T, 98.7 degrees Fahrenheit; O<sub>2</sub> Sat, 100% (FiO<sub>2</sub>, 50%). <br>
<br>
<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 69-year-old woman with a past medical history of chronic kidney disease (stage 5) presents to her primary care physician for a rash and is prescribed a medication as treatment. The next day, she is brought
to the ED by her husband for altered mental status. Her initial vital signs are: BP, 140/68 mm Hg; HR, 77 beats/minute; RR, 16 breaths/minute; T, 97.3 degrees Fahrenheit; O<sub>2</sub> Sat, 97% (RA). While in the ED, she is noted to have hallucinations and
“inappropriate” laughter. <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"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<p class="MsoBodyText" style="margin-top:10.35pt"><span style="font-size:12.0pt;color:black">Mark K. Su, MD, MPH<o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">Director, New York City Poison Center<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>
<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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<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>
<p class="MsoBodyText" style="mso-margin-top-alt:0in;margin-right:20.7pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt">
<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>
<p class="MsoBodyText" style="margin-top:.55pt"><span style="font-size:12.0pt;color:black"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<h1><u><span style="color:#212121">Credit Designation Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
<p class="MsoBodyText" style="mso-margin-top-alt:.35pt;margin-right:10.6pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt;line-height:96%">
<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>
<p class="MsoBodyText" style="margin-top:.2pt"><span style="font-size:12.0pt;color:black"> </span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
<h1 style="margin-top:.05pt"><u><span style="color:#212121">Disclosure Statement</span></u><span style="color:black"><o:p></o:p></span></h1>
<p class="MsoBodyText" style="mso-margin-top-alt:.1pt;margin-right:8.15pt;margin-bottom:0in;margin-left:11.0pt;margin-bottom:.0001pt">
<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>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p><br>
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=================================<o:p></o:p></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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<p class="MsoNormal"><span style="color:black"><a href="https://urldefense.com/v3/__https://outlook.office.com/bookwithme/user/af0953a24c4f48258b39ebd20724d117@upstate.edu?anonymous&ep=signature__;!!GobTDDpD7A!LmGz0z0zVhauvLF_yTpYlsDbGxk2eNuHibbeT5Syp2OuYB9hCxSL3JLnPKuOf2fLNNJClRvZxbFuaPJSq6aY-WT8$"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:blue;border:none windowtext 1.0pt;padding:0in;text-decoration:none"><img border="0" width="20" height="20" style="width:.2083in;height:.2083in" id="Picture_x0020_1" src="cid:image002.png@01DA2396.6905B820"></span></a></span><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black"><a href="https://urldefense.com/v3/__https://outlook.office.com/bookwithme/user/af0953a24c4f48258b39ebd20724d117@upstate.edu?anonymous&ep=signature__;!!GobTDDpD7A!LmGz0z0zVhauvLF_yTpYlsDbGxk2eNuHibbeT5Syp2OuYB9hCxSL3JLnPKuOf2fLNNJClRvZxbFuaPJSq6aY-WT8$"><span style="color:#0078D4;border:none windowtext 1.0pt;padding:0in">Book
time to meet with me</span></a><o:p></o:p></span></p>
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