1. A 22-year-old, 32-week pregnant woman presents to the ED after an intentional ingestion of an insecticide called "Sniper." Her initial vital signs are: BP, 126/78 mmHg; HR, 96/min; RR, 26/min; T, 98.9F; O2 Sat, 98% (RA). She has increased salivation per the treating physician. 2. A 16-year-old girl presents with a presumed pseudoephedrine overdose. Her vital signs are HR 137, BP 198/158, RR 30, T 36.7. After an observation period of 5 days she has not improved. 3. A 39-year-old man is transferred from a treatment center to the ED for opioid withdrawal and intractable vomiting Several hours after arrival at the treatment center that morning, he developed worsening opioid withdrawal for which he received methadone (30mg) but immediately vomited and became "shaky." His initial vital signs are: BP, 153/95 mmHg; P, 83/min; RR, 22/min; T, 99 F; Sp02, 96%

A Discussion of Pediatric Cannabis Ingestions and a Case Involving a Patient Admitted to a Research Unit

Prepare for your MedTox Board Exam with ACMT

The goal of this activity is to enhance the knowledge of physicians and other healthcare providers about how to effectively communicate the health risks of environmental exposures in childhood.

The goal of this course is to enhance the knowledge of physicians and other healthcare providers about marijuana perceptions and usage among the adolescent populations.

The goal of this course is to enhance the knowledge of physicians and other healthcare providers about the health impacts of marijuana exposure among the pediatric population.

1. A 2-year-old child eats some midwinter buds and presents to the emergency department with nausea and vomiting. 2. A 59-year-old woman comes to the ED from an urgent care center with several days of hematuria and intermittent epistaxis. The bleeding does not resolve with oxymetazoline or nasal packing. 3. A 32-year-old woman with a history of diabetes and opioid use disorder develops sudden onset respiratory distress while awaiting placement into an inpatient treatment program.

Delta 8, Delta 10 and the 'Grey Market' of Cannabinoids

1. A 15-year-old boy, admitted for toxic encephalopathy after a polypharmacy ingestion, develops recurrence of symptoms after complete resolution. 2. An 11-year-old girl is admitted with arthralgia, morbilliform rash, and severe headache unresponsive to typical analgesics. She has difficult to control hypertension and has a seizure. Other family members also developed a similar rash. 3. A 42-year-old man with a history of chronic LBP is found by EMS to have ventricular tachycardia, for which he received IV lidocaine. After conversion, his vital signs are: BP,144/76; HR,44; RR, 20; O2, 96%; Temp, 98.2

1. A 62-year-old man and a 59-year-old woman present together with eye burning, conjunctival injection, and decreased visual acuity the morning after attending a family fish fry. 2. A toddler, found with a bottle of crafting material by their mother, presents with drooling and progressive oropharyngeal edema. 3. A 56-year-old man, found altered in his garage, now complains of sudden vision loss after a miscalculated ingestion.

This month's topic is Opioid Overdose and Naltrexone. The articles will be reviewed by the Washington University School of Medicine Program in Medical Toxicology, led by Dr. Evan Schwarz.

1. An infant is found blue and apneic by his mother. He is fed by both formula and breast milk and his mother is on MOUD. 2. A 19-year-old woman takes 16 tablets of her father’s medication in front of her boyfriend in a self-harm attempt. She arrives in the ED 2 hours later, with the following vital signs: BP, 79/46; HR, 85; RR, 20; T, 97.9; O2 sat, 96%RA. 3. A 65-year-old man with a previous history of autoimmune disease presents to the ED after a syncopal episode. In the ED, he is lethargic and tremulous. His vital signs are: BP, 101/45; HR, 98; RR, 24; T, 37.5; O2 sat, 98% RA.

1. An 18-year-old female presents with posturing and seizure activity after a suspected overdose of her medication. She was last seen normal 2 hours prior to arrival. 2. A 2-year-old child presents with painless hematuria after a recent case of acute otitis media. The father noticed blood while changing the child’s diaper. Initial vital signs were unremarkable. 3. An 18-year-old woman presents with progressive metabolic acidosis and develops cardiovascular collapse several hours after a medication overdose.

1. A 60-year-old man presents to the ED after a snakebite to the ankle. He has rapid cardiovascular decompensation, progressing to cardiopulmonary arrest. 2. A 38-year-old Eastern European woman and a 59-year-old South Asian man present independently to the ED with the sudden onset of vomiting, diarrhea, and abdominal pain followed by acute hepatic injury. 3. A 13-year-old boy with spasticity for which he has an intrathecal baclofen pump presents with myoclonus and agitation. His vital signs are: BP, 136/77; HR, 107; RR, 19; T, afebrile.

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 month's topic is On Shaky Ground: Predicting Seizures in Bupropion Toxicity. The articles will be reviewed by the Harvard Medical Toxicology Fellowship Program, led by Dr. Michele Burns.

1. A 65-year-old woman with cerebral palsy presents to the ED with severe facial swelling and scalp irritation after having her hair dyed at a salon two days prior. 2. A 3-year-old boy is found by EMS to have an altered mental status. His finger stick is 43 mg/dL for which glucagon is administered. In the ED his repeat glucose is 65. 3. A 5-year-old boy swallows a cluster of small magnetic balls. Initial endoscopic removal fails, he remains asymptomatic, and he is discharged after passing 1.

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.

Climate change can have social, economic, public health, and other adverse health impacts on communities and can worsen inequitable social conditions. Infants and children are especially vulnerable to adverse environmental health outcomes from climate change.

1. A 7-week-old infant born full-term is diagnosed with COVID-19 at 6 weeks of age. The mother states that the infant is not breast feeding well. 2. A couple presents with bradycardia (HR 48 and 53) and hypotension (BP: low 80s/mid-50s) shortly after drinking tea to which they had added a teaspoonful of a sweetener they purchased from overseas. 3. A 36-year-old woman presents to the ED with abdominal pain and an abnormal ECG several hours after initiation of an elective termination of pregnancy.

This webinar provides an overview of the 2018 American Academy of Pediatrics (AAP) Technical Report and Policy Statement on Food Additives and Child Health.