National Case Conference - December 2024

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National Case Conference

Cases:

A 42-year-old woman with opioid use disorder and sedative use disorder presents to the ED with mild opioid withdrawal, for which she receives methadone and diazepam. Her initial vital signs are: BP, 115/76; RR, 17; HR, 63; T, 97.5 F. Six hours after arrival she becomes acutely diaphoretic and tremulous, with a COWS of 30 and the following vitals: BP, 203/100; HR, 144.
A 69-year-old woman with multiple medical comorbidities including type 2 diabetes mellitus and coronary artery disease presents with worsening fatigue, anorexia, nausea, and vomiting after recently starting isoniazid for a positive test with no active symptoms.
A 39-year-old man presents after a supratherapeutic acetaminophen exposure. He receives NAC and during hospitalization is noted to develop hyperbilirubinemia and anemia.

Series Moderator: Lewis Nelson, MD, FACMT, Rutgers New Jersey Medical School, Newark, NJ

About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. NCC is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.

Lewis Nelson, MD, MBA, FACMT, FASAM

Chair of Emergency Medicine

Rutgers New Jersey Medical School

Lewis S. Nelson, MD is Professor and Chair of the Department of Emergency Medicine at Rutgers New Jersey Medical School, Chief of Service for the Emergency Department at University Hospital of Newark, and Senior Consultant to the New Jersey Poison Information & Education System. Dr. Nelson is board certified in emergency medicine, medical toxicology, and addiction medicine. His areas of specific interest include preventing and managing the consequences of opioid and other substance use, multimodal pain management strategies, health policy, and medication safety.

Dr. Nelson has served as President of American College of Medical Toxicology and on the Board of Directors of both the American Board of Emergency Medicine and the Accreditation Council for Continuing Medical Education. He is currently the president of Association of Academic Chairs in Emergency Medicine. He is a long time consultant for several governmental agencies including the Centers for Disease Control and Prevention, the Department of Homeland Security, and the Food and Drug Administration. He is an editor of the textbook “Goldfrank’s Toxicologic Emergencies.