In this episode we continue our FemToxx podcast from Dr Jennie Buchanan. We talk to Shireen Banerji about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical pearls. #ILookLikeAToxicologist The post ToxNow FemToxx Episode 3: Shireen Banerji first appeared on ToxNow.…

In this episode we continue our FemToxx podcast from Dr Jennie Buchanan. We talk to Dr. Saralyn Williams about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical pearls. #ILookLikeAToxicologist The post ToxNow FemToxx Episode 2: Saralyn Williams first appeared on ToxNow.…

In this episode we introduce a new FemToxx podcast from Dr Jennie Buchanan. In this inaugural episode we talk to Dr. Tammi Schaeffer about her career in tox, where she started and what inspired her. We ask her about being a woman in tox. And pass along some clinical tips on lomotil toxicity. #ILookLikeAToxicologist The post ToxNow FemToxx Episode 1…

In this episode we talk to Lewis Goldfrank about his early life and how he ended up in Emergency Medicine and Medical Toxicology and the creation of Goldfrank’s Toxicologic Emergencies The post Episode 42 Lewis Goldfrank first appeared on ToxNow.By ToxNow

In this episode we talk to Ed Boyer about Kratom, pharmacology, legal status, and discuss recent reports of adverse effects. Boyer et al Self-treatment of opioid withdrawal using kratom (Mitragynia speciosa korth) FDA response to Kratom Bradford Hill Criteria Take Home Points: Kratom is an opioid agonist Patients should not mix Kratom with other su…

In this episode Nick Brandehoff and Robin Brandehoff help us look at the toxins in several of William Shakespeare’s plays. Some assorted links to materials we reference are below: Complete Works of William Shakespeare The Poison Garden on Water Hemlock Toxicity from mandrake berries used as a sexual aid from The Poison Review Wild pansy Handbook of…

On this episode we talk to Kennon Heard, Juliana Wilson, and Resa E. Lewiss about using ultrasound in calcium channel blocker overdose. We look at some cases from a case series. More info on bedside echo https://www.acep.org/sonoguide/cardiac.html and on E-point Septal Separation (EPSS) TakeHome Points Ultrasound can be an important part of the tox…

A special hot off the presses edition where we talk to Chris Hoyte (@TheGoldenMean) about his recent case report and the controversy surrounding it. Links to some of the articles referenced can be found here. Get tips for scientists talking to reporters here. The post Episode 38 Infant Death from Myocarditis After THC first appeared on ToxNow.…

In this episode we partner with Jason Woods (@jwoodsmd) at LittleBigMed.com to talk with Sam Wang about pediatric marijuana exposures in Colorado. The post Episode 37 Kids on Pot first appeared on ToxNow.By ToxNow

On this episode we talk to Andrew Stolbach (@toxicologist12) about the recent position statement on preventing fentanyl exposure in EMS. We discuss the science behind it, the stories that prompted it, and call for a return to reason. The post Episode 36 PSA on First Responders and Fentanyl first appeared on ToxNow.…

On this episode we talk to James Tsahakis about a sick patient with wide complex tachycardia in setting of TCA toxicity. More on mag for TCA toxicity here. The post Episode 35 Gonna Be a Sickee first appeared on ToxNow.By ToxNow

On this episode, we talk to toxicologist Kristina Domanski about a recent case of exposure to the novel drug U47700. Article available here. The post Episode 34 U What? first appeared on ToxNow.By ToxNow

In this episode, we explore an alcoholic with an acidosis. Contributors include Kennon Heard, Kathryn Eastley, Michael Overbeck, and Matt Zuckerman. The post Episode 33 Adventures in Alcohol first appeared on ToxNow.By ToxNow

In this episode we are excited to talk to Barry Rumack about his life in toxicology, the eponymous nomogram, and future directions in toxicology and acetaminophen. The post Episode 32 Dr Rumack I Presume first appeared on ToxNow.By ToxNow

In this episode we talk to Chris Hoyte from RMPDC about Lance Armstrong, blood doping, and the biological passport. This is the second part of a two part interview. The post Episode 31 Performance Enhancing Drugs Part 2: Cycling Is Tough first appeared on ToxNow.By ToxNow

In this episode we talk to Chris Hoyte from RMPDC about steroids, hormones, and other performance enhancing drugs. This is the first part of of a two part interview. The post Episode 30 Performance Enhancing Drugs first appeared on ToxNow.By ToxNow

In this episode we talk to Tom Nappe from RMPDC and Brennen Griffin from our ED. We’re talking about a depressed farmer with awake seizures. We’ll also talk about an underutilized alternative to lidocaine for patients with a severe allergy. Checkout the article we mention here and the blogpost on the lidocaine alternative here. Support from AACT. T…

In this episode we talk to Brett Marlin, Tom Nappe, & Chris Hoyte about NACCT 2015. Later we talk to Rebecca Hartman about her research on how marijuana affects driving skills. Checkout the article here. Hosted by Matthew Zuckerman. Support from AACT. The post Episode 28 NACCT and Marijuana While Driving first appeared on ToxNow.…

On this episode we talk to Ed Boyer and Stephanie Carreiro about using portable wrist bracelet biosensors to help monitor and understand drug use in the field. A link to their article may be found here. The post Episode 27 Mobile Biosensors first appeared on ToxNow.By ToxNow

In this episode we talk to Jason Hack about an index to quantify alcohol impairment. We also discuss a change in name and direction at the podcast. Checkout the H Index article. Additionally, download your own starter pack to try out the HII score. Contributors include Matthew Zuckerman and Jason Hack. The post Episode 26 : H Impairment Index first…

In this episode we have the second half of our interview with Guy Weinburg and Michael Fettiplace about developments in lipid rescue, more than just a “lipid sink”. Contributors include Matthew Zuckeman, Michael Fettiplace, and Guy Weinburg. More info at LipidRescue.org The post Episode 25 Lipid Rescue Part 2 first appeared on ToxNow.…

In this episode we have the first half of our interview with Guy Weinberg where we talk about the history and development of lipid rescue. Contributors include Matthew Zuckerman and Guy Weinberg. More info at LipidRescue.org Articles featured Weinberg GL, VadeBoncouer T, Ramaraju GA, Garcia-Amaro MF, Cwik MJ. Pretreatment or resuscitation with a li…

In this episode we talk about the spectrum of mushroom poisoning from Amanita to magic mushrooms. Contributors include Matthew Zuckerman and the UMass Toxicology team Kavita Babu, Katie Boyle, Lynn Farrugia, Stephanie Carreiro, Peter Chai, and Viral Patel along with Mark Neavyn. Mushroom pictures are available here. The post Episode 23 Mushroom Poi…

In this episode we talk to Dr. Kathryn Weibrecht about a US case of mustard exposure and how to identify and treat these cases. MMWR case series can be found here and a link to the case in Annals can be found here. Contributors include Matthew Zuckerman and Kat Weibrecht. The post Episode 22 Not That Kind of Mustard first appeared on ToxNow.…

In this episode we talk to Dr. Leo Schep from the National Poisons Centre of New Zealand about the country’s experience with regulating synthetic cannabinoids, known there as “Legal Highs”. Afterwards, you’ll get a first peek at the new talking naloxone autoinjector. Contributors include Matthew Zuckerman and Leo Schep from University of Otago. Mor…

In this episode we talk to Katherine Kimbrell, an EM doc in RI, as well as Matt Lozier and Molly Boyd from CDC about the emerging acetyl fentanyl deaths and their investigation The post Episode 20 Acetyl Fentanyl and CDC first appeared on ToxNow.By ToxTalk

In this episode we talk about a mystery gas increasingly used in suicides and get a first hand account from Nick Connors from the NYCPCC. Articles mentioned are available here and a link to the Frontline documentary. Contributors include Nick Connors and Matt Zuckerman. The post Episode 19 Suicide Gas first appeared on ToxNow.…

For this episode we recorded a joint conference with the Aubin Child Protection Center at Hasbro Children’s Hospital. The team discusses evaluating a child for medical child abuse and the unique challenge of interpreting lab results. The post Episode 18 Medical Child Abuse Conference first appeared on ToxNow.…

In this episode, we talk to Maximilian Gahr about the US emergence of desomorphine (Krokodil) and implications for investigation and treatment. Reports coming out of Arizona and Illinois, are reminiscent of past reports from Germany. Dr. Gahr’s articles on Krokodil can be found here. Contributors include Matthew Zuckerman and Maximilian Gahr. The p…

In this special episode we follow up with Steve Bird to talk about what kinds of confirmatory tests are going on to determine if Sarin was used in Syria. This is a follow up to Episode 7 where we talked about the toxicology of organophosphates and nerve agents. Contributors include Matt Zuckerman and Steve Bird. The post Episode 16 Sarin in Syria f…

In this episode we talk to Timothy Wiegand from Rochester about treating the toxicity associated with alcohol and alcohol withdrawal. This was prompted by a recent ACMT pre-symposium in Puerto Rico. We also refer to work by Jose Maldonado with a nice full text review available here. Contributors include Matt Zuckerman and Timothy Wiegand. The post …

In this episode we are very pleased to be able to interview Earth and Fire Erowid, the founders and directors of the Erowid website and center. We discuss the origins of the site, their mission regarding educating about drug use, and how that interfaces with what we do as physicians and toxicologists. This is part 2 of a 2 part interview. Contribut…

In this episode we are very pleased to be able to interview Earth and Fire Erowid, the founders and directors of the Erowid website and center. We discuss the origins of the site, their mission regarding educating about drug use, and how that interfaces with what we do as physicians and toxicologists. This is part 1 of a 2 part interview. Contribut…

In this special edition episode we talk about ricin and address some of the panic in the press about recent letters being sent to the President and other officials. The whole story involves the KGB, poison beans, tainted mail, Elvis impersonators and ends up in the land that brought us Ed Boyer. Contributors include Matt Zuckerman, Jen Carey, and E…

In this episode we discuss a recent outbreak of Methanol poisoning in Libya that has killed dozens and injured hundreds. It’s also a great exposure to various toxic alcohols. This is a panel discussion with Matt Zuckerman, Richard Church, Christina Hernon, Mark Neavyn, and Steve Bird. The post Episode 11 Libyan Methanol Disaster first appeared on T…

In this episode we talk to Eric Brush about hyperalgesia, when opiate use leads to increased pain. We’ll also talk to Steve Bird about some strategies to use when treating acute pain in patients who chronically use opiates. A must listen for anyone who sees patients on chronic opioids, treats pain in patients with chronic pain, or knows someone who…

On this episode we discuss metamizole with Brazilian toxicologist Dr. Anthony Wong of the University of São Paulo. Contributors include Stephanie Weiss, Matt Zuckerman, and Anthony Wong. More information on metamizole and its effects is available here. The post Episode 9 Brazilian Toxicology first appeared on ToxNow.…

On this episode we discuss the latest NACCT tox conference in Las Vegas, Nevada. Hear about toxicologist throw downs, Where are the Benjamins in toxicology, and Tox Icons betting it all on black. Contributors include Jen Carey, Mark Neavyn, and Matt Zuckerman. The post Episode 8 NACCT 2012: Vegas, Baby first appeared on ToxNow.…

On this episode we discuss organophosphate poisoning including nerve agents and insecticides. Contributors include Matt Zuckerman, Steve Bird, and Adam Darnobid with a shoutout to Jason Hack. The post Episode 7 Organophosphates first appeared on ToxNow.By ToxTalk

In this episode we talk about physostigmine for anticholinergic delirium and arsenic in your apple juice. Contributors include Matt Zuckerman and Chuck McKay. The post Episode 6 Arsenic and Apple Juice first appeared on ToxNow.By ToxTalk

In this episode we discuss the best articles of 2011 and also request listener questions for our new “stump the toxicologist segment”. Contributors include Matt Zuckerman, Stephanie Weiss, Christina Hernon, Ed Boyer, and Rich Church Articles discussed in this segment include: Stephanie’s Snake Bite Article (Subst Abus. 2011 Jan;32(1):43-6.) Matt’s …

On this episode we discuss medical marijuana, give a tox pearl, and respond to listener questions. We also announce our T-shirt contest! Ed lists some of his preferred Tox references. Contributors include Matt Zuckerman, Bob Hoffman, Brian Wolk, and Ed Boyer. The post Episode 4 Medical Marijuana and more first appeared on ToxNow.…

On this months episode we talk about spooky Halloween toxicology. What might that be? Listen and find out. Additionally, we cover something even scarier, uncontrollable bleeding. Contributors include Matt Zuckerman, Ed Boyer, Stephanie Weiss, Kavita Babu, and Scott Glazier. As noted in the podcast, here is a link to MedWatch and to the latest JMT a…

In this supplement, we’ll be talking about the Toxicology History and Physical. Contributors include Sean Rhyee, Adam Darnobid, and Matt Zuckerman. As mentioned in the podcast, our friends at EMCrit have some advice for using an iPhone app to make it easier to pickup subtle eye movement abnormalities such as nystagmus. Click here for a link. The po…

In the episode, we’ll be talking about agitated delirium, as well as our experience at NACCT, and a Tox pearl. Contributors include Matt Zuckerman, Steve Bird, Adam Darnobid, Stephanie Weiss, Ed Boyer, and Kavita Babu. The post Episode 2 Agitated Delirium and NACCT first appeared on ToxNow.By ToxNow

In the inaugural episode, we’ll be talking about bathsalts, as well as some interesting Tox news and a Tox pearl. Contributors include Matt Zuckerman, Ed Boyer, Stephanie Weiss, and Scott Glazier. The post Episode 1 Bathsalts first appeared on ToxNow.By ToxNow