Element 64 (Gadolinium): The Lee Harvey Oswald of Cellular Biology

Neurological Effects (mostly): Weakness and Headache

Unexplained Hypoxia, Seizures, and Ingestion

Talks and panels from the Occupational & Environmental Toxicology Boot Camp

Talks and panels from the 2025 AACT Poison Symposium

Neurotoxins, Metals, and Medications

Missed Diagnoses and Misleading Drugs

Sponsored by MTF and Bayer

1. An 18-year-old man presents to the ED after a self-harm attempt in which he ingested a metal bar he purchased online. 2. A 13-year-old healthy girl is brought to the ED after a witnessed cardiac arrest. Although there is no history of ingestion, EMS brings bottles of amoxicillin and diosmin/hesperidin. Post ROSC, her vital signs are BP, 143/75 mmHg; HR, 120/min. On the ECG, her QRS is 86 msec and her QTc 450 msec. 3. A 50-year-old man with OUD presents to the ED after a suspected opioid overdose. He receives several low-dose boluses of IV naloxone over several hours. Due to recurrent and prolonged respiratory depression, his is started on a naloxone infusion.

The goal of this activity is to enhance the knowledge of physicians and other healthcare providers about lead and environmental justice in pediatric and reproductive-age populations to decrease lead exposure.

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.

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.

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