Topic and cases to be announced.

1. A 22-year-old, 32-week pregnant woman presents to the ED after an intentional ingestion of an insecticide called "Sniper." Her initial vital signs are: BP, 126/78 mmHg; HR, 96/min; RR, 26/min; T, 98.9F; O2 Sat, 98% (RA). She has increased salivation per the treating physician. 2. A 16-year-old girl presents with a presumed pseudoephedrine overdose. Her vital signs are HR 137, BP 198/158, RR 30, T 36.7. After an observation period of 5 days she has not improved. 3. A 39-year-old man is transferred from a treatment center to the ED for opioid withdrawal and intractable vomiting Several hours after arrival at the treatment center that morning, he developed worsening opioid withdrawal for which he received methadone (30mg) but immediately vomited and became "shaky." His initial vital signs are: BP, 153/95 mmHg; P, 83/min; RR, 22/min; T, 99 F; Sp02, 96%

This month's articles will be reviewed by the UCSF Medical Toxicology Fellowship Program.

"Back Pack Medicine" - Wound Care and Other Support for Injection Drug Users in the Community

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

Buprenorphine & Methadone Protocols from the Toxicology Team in Detroit

A Discussion of Pediatric Cannabis Ingestions and a Case Involving a Patient Admitted to a Research Unit

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

Fentanyl Infiltration into the Black Tar Heroin Market - Implications for Buprenorphine Use

This month's topic is "Outbreaks of Synthetic Cannabinoids". The articles will be reviewed by the Toxikon Consortium Medical Toxicology Fellowship Program and led by Dr. Steve Aks.

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

Presented by Stephanie T. Weiss, MD, PhD, Staff Research Physician, Translational Addiction Medicine Branch, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health.

Cannabis Regulation

Kratom Questions

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

Pain Control and Opioid Use Disorder

Prepare for your MedTox Board Exam with ACMT

Alcohol and Sedative Dependence - Detoxification and Monitoring

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

This month's topic is Cannabis and the Effects on Driving. The articles will be reviewed by the Rutgers Program in Medical Toxicology and led by Drs. Christopher Meaden and Howard Greller.

1. A 2-year-old child eats some midwinter buds and presents to the emergency department with nausea and vomiting. 2. A 59-year-old woman comes to the ED from an urgent care center with several days of hematuria and intermittent epistaxis. The bleeding does not resolve with oxymetazoline or nasal packing. 3. A 32-year-old woman with a history of diabetes and opioid use disorder develops sudden onset respiratory distress while awaiting placement into an inpatient treatment program.