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.

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.

Marksmanship and Adolescent Lead Exposure Firearm Marksmanship and Adolescent Lead Exposure is a two-part series of interactive, self-paced eLearning modules.

The goal of this course is to enhance the knowledge of physicians and other healthcare providers about the health impacts of lead exposure at firing ranges and competitive marksmanship among adolescent populations.

The goal of this course is to enhance the knowledge of physicians and other healthcare providers about the health impacts of lead exposure at firing ranges and competitive marksmanship among adolescent populations

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.

This webinar provides a general overview on lead exposure in children.

The Promoting Pediatric Lead Screening in Oregon on-demand training reviews lead exposures and provide an update on pediatric guidelines. The video will highlight the importance of increasing medical screening in children at risk for lead exposure.

1. A 4-year-old boy is found to have approximately 25 metal beads (less than 1mm in size) in his scrotum while undergoing an exploratory surgery to rule out testicular torsion. 2. A 21-year-old woman presents to the ED with a diffuse pruritic rash, gait imbalance, and odd behavior, all for two weeks. Her vital signs are unremarkable. 3. A 33-year-old man presents to the hospital with hallucination, palpitations, restlessness, and diaphoresis ten hours after being incarcerated. His vital signs on arrival are: BP, 170/97 mmHg; P, 103/min; RR. 22/min; T, 98.1F; FS, 82 mg/dl.

1. Six high school students develop a sedative-hypnotic toxidrome after ingesting "Xanax" they received from another student. 2. A 19-year-old man presents with uncontrolled muscle contractions after drinking a home-brewed tea given to him by his family. 3. A 7-day-old boy presents after being recalled for an abnormal bio-surveillance laboratory test that was sent at time of birth (cord blood mercury level of 89.9 mcg/L). He has the following vital signs: BP: 81/51, P: 156, RR: 60, T: 98.7, length 47.5 cm, weight 2.6 kg.

This Case Conference webinar was originally presented on March 13, 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.

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

This free training will underscore the importance of pediatric lead screening in the Pacific Northwest.

The Pediatric Lead Exposure: Diagnosis, Management and Prevention on demand video will address the diagnosis, management, and prevention of pediatric lead poisoning.