Sponsored by MTF and Bayer

Alphabet Soup of Regulatory Toxicology

Sponsored by MTF and Bayer

1. A 16-year-old girl presents to the ED after overdosing on medications she takes for rheumatoid arthritis. In the ED she has lightheadedness and runs of nonsustained ventricular tachycardia. 2. A 22-year-old man presents to the ED from prison after swallowing 50 bags of heroin and ten tablets of ecstasy. One hour after the ingestion, he is found unresponsive in his cell and requires naloxone. 3. A 66-year-old man presents to the ED with bilateral hand pain. He reports that earlier the same day he was cleaning coins at his home.

Methylene Chloride – Here, Then, and Now

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1. Three workers at a leather tanning facility collapse at work. Two recover upon removal from the room, one is intubated on the scene. Medical toxicology is consulted upon arrival to the emergency department. 2. A 23 month-old girl is found with a tablet of a weight loss supplement. She presents to the ED with vomiting and the following vital signs: BP, 114/86 mmHg; HR, 93/min; RR, 26/min; SaO2, 100% RA. 3. A 30-year-old man presents to the ED with 3 days of weight gain, swelling, and headache after taking a compounded pharmaceutical pill.

1. A 36-year-old man reports nausea, vomiting, and diarrhea after using an over-the-counter remedy for toothache. 2. A 35-year-old and a 20-year-old are found collapsed in a tanker. The younger patient is pronounced dead on scene and the older patient is transported to the hospital unconscious. He is noted to be covered in a "liquidy black silt." 3. A 62-year-old with end-stage liver disease presents with critical hyperkalemia a week after starting a new medication.

Presented by John W. Downs, MD, MPH, FACP, FACOEM, Chief of Occupational & Environmental Medicine, Walter Reed National Military Medical Center.

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.

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.

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.