This month's articles will be reviewed by the Albert Einstein Medical Toxicology Fellowship, led by Dr. James Krueger.

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 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%

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.

Fentanyl Infiltration into the Black Tar Heroin Market - Implications for Buprenorphine Use

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.

The goal of this activity is to enhance the knowledge of physicians and other healthcare providers about the potential sources and health impacts of plasticizers and reproductive health.

The goal of this activity is to enhance the knowledge of physicians and other healthcare providers about the potential sources and health impacts of radon during pregnancy.

These short, interactive modules are designed to accompany and enhance the Prenatal Assessment of Environmental Risk (PAER) tool developed by the PEHSU program and Communicate Health under contract to the ATSDR.

This module discusses the health impacts of ionizing radiation

These short, interactive modules are designed to accompany and enhance the Prenatal Assessment of Environmental Risk (PAER) tool developed by the PEHSU program and Communicate Health under contract to the ATSDR.

The goal of this course is to enhance the knowledge of physicians and other healthcare providers about marijuana perceptions and usage among perinatal populations. This module will also discuss the prevalence and long-term impacts marijuana usage may have on pregnant women and their children.

This webinar was originally presented on November 17, 2021. Leslie Rubin, MD, FAAP presented a National PEHSU Grand Rounds webinar on prenatal environmental influences on fetal growth and development.

During the COVID-19 pandemic, there was much greater use of hand sanitizers and disinfectants. In this webinar, reproductive health experts address concerns and information related to these agents and reproductive health

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 was originally presented on May 3, 2021. This activity offers training to primary care and reproductive health care providers on the scope and nature of occupational reproductive health concerns. It offers training and tools to help healthcare professionals provide services and counseling to workers of all genders concerned about their reproductive health.

Pregnancy, Opioid Use Disorder and Complicated NAS

Withdrawal Treatment for Pregnant Patient; Challenges in stabilizing polysubstance dependence during COVID-19; Pre-Med ‘Psychonaut’ with OUD

The presentations focus on the impact of environmental exposures to chemicals on human health at the vulnerable stages of in utero and pediatric development.

Presented by Spencer Greene, MD, Director of Medical Toxicology, Baylor College of Medicine.