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<p class="MsoNormal">Hi Everyone<o:p></o:p></p>
<p class="MsoNormal">We will be joining the NYCPCC Monthly Consultant’s Case Conference on Thursday April 3. Grand rounds will start at 1 pm and then Consultant’s Case Conference from 2-4 pm.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">If you would like to participate in this, you have to join separately. The link to register and join is on the attached flyer.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Calibri",sans-serif;color:black">The next NYC Poison Center Grand Rounds and Consultants’ Conference will be held on April 3, 2025. 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"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black">When Push Comes to Poison: Toxicologic Emergencies in Labor and Delivery</span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black">Hannah St. Francis, MD</span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black">Senior Toxicology Fellow</span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black">NYU Grossman School of Medicine</span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black">New York City Poison Control Center</span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">Consultants’ Conference will take place from 2 PM - 4 PM EST.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">The live conference will be held on the NYU Campus in Medical Science Building; Schwartz Ground Floor; SLH E room; we will also broadcast via WebEx. Please click<a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1QdK0000003nNZUAY&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MqDmlYZIOHO36N33iselCdnETJdZoI90p73oZG8J__INVTjO9HO9C3WJ0v-QkeTrMTRexlsj9IvMS3hPJ5imCXM$"><span style="color:black">
</span></a></span><span style="font-family:"Calibri",sans-serif;color:blue"><a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1QdK0000003nNZUAY&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MqDmlYZIOHO36N33iselCdnETJdZoI90p73oZG8J__INVTjO9HO9C3WJ0v-QkeTrMTRexlsj9IvMS3hPJ5imCXM$">here</a></span><span style="font-family:"Calibri",sans-serif;color:black"><a href="https://urldefense.com/v3/__https:/survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1QdK0000003nNZUAY&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!MqDmlYZIOHO36N33iselCdnETJdZoI90p73oZG8J__INVTjO9HO9C3WJ0v-QkeTrMTRexlsj9IvMS3hPJ5imCXM$"><span style="color:black">
</span></a>to register and download the WebEx outlook file. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;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-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">Select cases to be discussed for include:<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Calibri",sans-serif;color:black"> </span></b><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:13.6pt;margin-bottom:.05pt;margin-left:89.8pt;text-indent:-.25in;mso-list:l2 level1 lfo1">
<![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:black"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Calibri",sans-serif;color:black">An 18-year-old man with an unknown past medical history is brought to the hospital by EMS after being found on the street with multiple bottles of various medications
that are not his. The patient reportedly sent a suicide note to family and friends prior to being found. Upon arrival to the ED, he is minimally responsive; he becomes hypoxic and endotracheal intubation is performed. His initial vital signs are: BP, 110/66
mm Hg; HR, 119 beats/minute; RR, 18 breaths/minute; T, Not documented; O2 Sat, 100% (100% FiO2). A serum lithium concentration is obtained and it results as 3.39 mEq/L.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:13.6pt;margin-bottom:.05pt;margin-left:89.8pt;text-indent:-.25in;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:black"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Calibri",sans-serif;color:black">An 18-year-old man with a history of an unspecified psychotic disorder is admitted to the inpatient psychiatry service for due to refractory depression. Seventeen days
into his admission, he is started on a new medication. His psychiatrist notices that the patient has an increasingly abnormal laboratory result; after 23 additional days of inpatient stay, the Toxicology service is called for consultation. The patient is asymptomatic
and has the following vital signs at this time: BP 116/79 mmHg; HR, 102 beats/minute; RR, 18 breaths per min; T, 36.2 degrees Celsius; O2 Saturation, 97% (Room Air). <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:13.6pt;margin-bottom:8.5pt;margin-left:89.8pt;text-indent:-.25in;mso-list:l0 level1 lfo3">
<![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:black"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Calibri",sans-serif;color:black">A 29-year-old man with a past medical history of polysubstance use disorder and a history of multiple ED visits for intentional ingestions is found down today by EMS surrounded
by multiple empty pill bottles. During transport to the hospital, he awakens and becomes acutely agitated; he is given multiple sedative medications in the field. Upon arrival to the ED, his initial vital signs are: BP, 126.81 mm Hg; HR, 89 beats/minute; RR,
16 breaths/minute; T, 36.4 degrees Celsius; O2 Sat, 99% (Room Air). Over the next three hours, the patient is administered other medications for sedation; at approximately three hours, his ECG is noted to be abnormal. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none">Jeanna M. Marraffa, Pharm.D., MPH, DABAT, FAACT (she/her/hers)</span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none">Clinical Director, Upstate New York Poison Center </span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none">Clinical Professor, Department of Emergency Medicine <br>
Upstate Medical University</span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none">315-464-7076 </span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none"> </span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none">The information contained in this email is confidential intended only for the use of the party to whom it is addressed.
If you are not the intended recipient, please be aware that you are strictly prohibited from sharing, distributing or copying this email. If you have received this email by mistake, please notify the sender. Thank you. </span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:9.0pt;font-family:"Segoe UI",sans-serif;color:black;mso-ligatures:none"> </span><span style="font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:black;mso-ligatures:none"><o:p> </o:p></span></p>
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