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.

Moderator: 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.