Inhalational Toxins

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National Case Conference - January 2023
1. A 56-year-old man with a history of diabetes, hypertension, severe restrictive lung disease secondary to covid pneumonia presents with one day of fatigue, dyspnea on exertion, dry cough, and hypoxia (79% at home pulse oximetry). Patient states the symptoms began acutely, two hours after getting home from work the day prior. He reports that a few other co-workers have similar symptoms as him or they have nausea, abdominal pain, vomiting. He thinks a virus is going around his workplace. 2. A 51-year-old man presents with a diffuse rash over the past 6 days that developed after he ingested a product for sexual stimulation called “royal honey” that he obtained at a local shop. His VS are normal and he is in no distress. 3. A 2-year-old girl is extracted from underneath debris from a structural fire; she was found covered in soot and is pulseless. CPR is initiated and ROSCis achieved within minutes. She arrives to the ED with the following vital signs: BP, 95/58; HR, 130; RR, 28; SaO2, 100% on NRB; T, 98.6F. She is only responsive to pain and is promptly intubated.
Chemical and Traumatic Crowd Control Injuries - On-Demand
2022 ACMT Board Review Course - On Demand
Prepare for your MedTox Board Exam with ACMT
Early Life Exposure to Air Pollution and Child Health
This webinar was originally presented on September 15, 2021. Air pollution is one of the most encountered environmental hazards in early life.
National Journal Club - July 2021
This month's topic is Pepper Spray and Tear Gas Agents. The articles will be reviewed by the University of Virginia Program in Medical Toxicology, led by Program Director Heather Borek.
National Journal Club - January 2021
This month's topic is Burn Patients: The Oxalate Nephropathy and Hydroxocobalamin Debate. The articles will be reviewed by the DO and the Lehigh Valley Health Network, led by Dr. Robert Cannon.
National Grand Rounds - December 2020
Changing Toxicity of PM2.5 in a Period of Declining Concentrations: Examples from New York and California
Presented by John W. Downs, MD, MPH, FACP, FACOEM, Chief, Occupational & Environmental Medicine, Walter Reed National Military Medical Center.
National Case Conference - August 2020
1. A 25-year-old man is brought into the ED after a witnessed cardiac arrest in the setting of smoking an unknown drug. He is noted to have severe hyperthermia. 2. An 85-year-old woman presents to the ED with dysphagia after unintentionally drinking a small amount of homemade hand sanitizer. 3. A 59-year-old woman develops amnesia and shoulder numbness after taking a pill for a headache. Her initial vital signs are: BP, 178/116 mmHg; HR, 82/min; RR, 16/min; Temp, 98.0F; O2 Sat, 97% on RA
National Journal Club - May 2020
This month's topic is CO and Coagulation. The articles will be reviewed by the Washington University Medical Toxicology Program, led by Drs. Rob Hendrickson and Zane Horowitz.
ACMT Highlights Tox-in-Ten: Episode 12
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 and follow on Twitter @toxinten.
National Case Conference - July 2019
1. A 27-year-old woman is found inside her car unconscious with jerking movements of her body. Next to her is a container containing a murky green liquid connected to a hose. 2. A 37-year-old man presents with vomiting and fatigue after working in the basement of his house the day before. Initial labs are notable for AST, 2982 U/L; ALT, 6390 U/L; Tbili: 2.8 mg/dL. 3. A 29-year-old woman presents with a syncopal episode after an intentional overdose. Her vital signs are as follows: BP, 195/113 mmHg; HR, 87/min; RR, 20/min; T, 98.6F; O2 sat, 100% on RA.
Healthy Air, Healthy Brains: Emerging Evidence Streams and Advancing Air Pollution Policy to Protect Children's Health and Project TENDR Overview
This Grand Rounds webinar was originally presented on June 12, 2019. This webinar is part of an ongoing series of educational presentations by experts on issues that focus on current and emerging aspects of pediatric and reproductive environmental health.
PEHSU Annual Meeting: Air Quality, TENDR, and PEHSUs
The presentations focus on the impact of environmental exposures to chemicals on human health at the vulnerable stages of in utero and pediatric development.
Public Health Response to Wildfire Smoke
This Grand Rounds webinar was originally presented on April 17, 2019. This webinar is part of an ongoing series of education presentations by experts on issues that focus on current and emerging aspects of pediatric and reproductive environmental health.
Air Pollution
Presented by Robert G. Hendrickson, MD, FACMT, Professor of Emergency Medicine, Oregon Health and Sciences University.
National Grand Rounds - October 2018
Developing a Carbon Monoxide Poisoning Antidote Using an Engineered Scavenging Molecule
National Case Conference - July 2018
1. A 53-year-old woman develops convulsions followed by cardiac arrest while undergoing an outpatient cosmetic surgical procedure. 2. A 19-month-old is found playing with medications stored on top of the microwave in the kitchen. She vomits at home, and is brought to the ED by her mother 2 hours after the incident. The child's vital signs are: HR, 145/min; RR, 22/min; O2 saturation, 99%; Temp 97.3. 3. A 27-year-old, 5-week pregnant, woman presents to the ED by EMS after 2 people in her apartment building are found deceased. She complains only of headache. Her vital signs are: BP, 130/71 mmHg; HR, 101/min; RR, 18/min, O2 saturation, 97%. A prehospital carboxyhemoglobin level is 29%.
National Case Conference - January 2018
1. A 19-year-old female college student texts a friend that she is going to poison herself using a laboratory chemical. The friend calls police, who find the patient hypotensive, cyanotic, and obtunded. In the ED, her pH is 7, and her serum lactate is 16 mmol/L. 2. A 38-year-old male firefighter presents to the ED unresponsive with agonal respirations. An Initial venous blood gas is: pH, 7.21; pCO2, 42; pO2, 26; bicarb, 18 mmol/L.