Methylene Chloride – Here, Then, and Now

On-Demand

Prepare for your MedTox Board Exam with ACMT

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.

1. A cluster of sailors become ill while stationed in the Pacific Ocean. 2. A 26-year-old man celebrates the 20th of April all day. The next day he is brought to the emergency department with ataxia and weakness. He progresses to coma over the next several days. 3. Several tourists die while vacationing in the Dominican Republic. Is it poisoning? Story reference here.

1. A 19-year-old woman experiences status epilepticus after receiving a medication in the outpatient gastroenterology clinic. 2. A 59-year-old man with alcohol and opioid use disorder, on methadone, receives a benzodiazepine and haloperidol for agitation in the ED. He is subsequently admitted to the hospital floor for the management of ethanol withdrawal. On day 1 of hospitalization he suffers a cardiac arrest. 3. A pilot and first officer develop dizziness, headache, and nausea while in the cockpit of an aircraft that is undergoing maintenance.

1. A 57-year-old female flight attendant develops perioral paresthesias while on an airplane. On ED presentation her vitals are: BP, 125/75 mmHg; HR, 65/min; afebrile. 2. A 36-year-old man presents with altered mental status after ingesting a veterinary medication. 3. A 47-year-old man presents with concerns of episodic ataxia, slurred speech, and agitation occurring several times a month over the past year.

1. A 75-year-old woman is prescribed metolazone, which she took daily for 2 weeks. Shortly thereafter she presents to the ED with pneumonia and pancytopenia. A prescribing error is identified. 2. A newborn inadvertently receives a medication in the delivery room that was intended for his mother. The error is discovered minutes later and the infant is asymptomatic. 3. A law enforcement officer brushes a powdered drug off his shirt with his bare hand. He passes out soon after.