National Case Conference - November 2023

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Cases

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.

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 S. Nelson, MD, MBA

Dean and Chief of Health Affairs | Professor of Emergency Medicine / Medical Toxicology

Schmidt College of Medicine at Florida Atlantic University

Lewis S. Nelson, MD, MBA, is Dean and Chief of Health Affairs at Florida Atlantic University’s Charles E. Schmidt College of Medicine. A nationally recognized leader in emergency medicine, medical toxicology, and addiction medicine, Dr. Nelson brings over three decades of experience in clinical care, education, and academic leadership. Prior to joining FAU in 2025, he served as Professor and founding Chair of Emergency Medicine at Rutgers New Jersey Medical School, where he also led the Division of Medical Toxicology and Addiction Medicine and served as Chief of Service for the Emergency Department at University Hospital of Newark.

Dr. Nelson has held numerous national leadership positions, including President of the American College of Medical Toxicology and the Association of Academic Chairs in Emergency Medicine, and board roles with the American Board of Emergency Medicine, the Accreditation Council for Continuing Medical Education, and the Society for Academic Emergency Medicine. A prolific scholar, he has authored more than 300 peer-reviewed publications and serves as lead editor of Goldfrank’s Toxicologic Emergencies, the definitive reference in medical toxicology. His work focuses on emergency medicine, toxicology, addiction medicine, and health policy, with an emphasis on improving patient safety and advancing evidence-based care.