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.

Mechanisms of Toxicity of Methylmercury

Sponsored by MTF and Bayer

Sporadic ALS: Search for Environmental Etiology

Jet Fuel in the Drinking Water in Hawaii: An Environmental Health Catastrophe

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%

On-Demand

Changing Climate and Children's Health provides an overview of climate change identifying important details that impact the health of patients. This course also provides abundant resources for patients, as well as what you can do to prepare your clinic for extreme weather events.

1. A 52-year-old man presents to the ED drowsy and diaphoretic after unintentional overdose of a prescription medicine he used to treat a sore throat. 2. A 51-year-old woman presents to the ED after waking up blind after attempting suicide the night before. 3. A 26-year-old woman presents with left hand pain and swelling after an animal bite.

This webinar was originally presented on November 17, 2021. Leslie Rubin, MD, FAAP presented a National PEHSU Grand Rounds webinar on prenatal environmental influences on fetal growth and development.

This month's topic is The Flint Lead Crisis. The articles will be reviewed by Wayne State University Toxicology Fellowship, led by Dr. Andrew King.

Climate change can have social, economic, public health, and other adverse health impacts on communities and can worsen inequitable social conditions. Infants and children are especially vulnerable to adverse environmental health outcomes from climate change.

Presented by David Vearrier, MD, MPH, Professor of Emergency Medicine, University of Mississippi Medical Center.

Changing Toxicity of PM2.5 in a Period of Declining Concentrations: Examples from New York and California

Presented by Jonathan Ford, MD, Associate Professor of Emergency Medicine, Program Director, Medical Toxicology Fellowship, Department of Emergency Medicine, Division of Medical Toxicology, University of California, Davis School of Medicine.

This month's topic is Levetiracetam and Toxicologically-Induced Seizures. The articles will be reviewed and led by the Toxikon Group.

Algal Toxins: Toxidromes, Molecular Mechanisms and Human Health Effects

1. A 16-year-old girl presents to the ED with fever, nausea and vomiting. She is found to have acute respiratory failure that requires VV-ECMO. 2. A 28-year-old previously healthy carpenter develops fatigue, cough, shortness of breath, and chest tightness after returning from a family camping trip. On presentation he is febrile and hypoxic A CXR shows a diffuse bilateral reticulonodular interstitial pattern. 3. A 5-day-old girl presents for admission after being recalled for an abnormal bio-surveillance laboratory test, sent at time of birth. The test noted a blood lead concentration of 65.10 mcg/dl.

Presented by Robert G. Hendrickson, MD, FACMT, Professor of Emergency Medicine, Oregon Health and Sciences University.

Presented by Joshua Radke, MD, Clinical Assistant Professor, University of Iowa, Hospitals and Clinics.

This course is part of a series of short courses offered by the American College of Medical Toxicology on contemporary issues in environmental toxicology and environmental health developed by leading authorities in medical toxicology.