Metabolic Mayhem

Talks and panels from the Occupational & Environmental Toxicology Boot Camp

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.

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.

Pregnancy, Opioid Use Disorder and Complicated NAS

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

Presented by Robert G. Hendrickson, MD, FACMT, Professor of Emergency Medicine, Oregon Health and Sciences University.