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

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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: Tammi Schaeffer first appeared on ToxNow.

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.

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 substances
• Patients at risk of seizures should not use Kratom
• Kratom will not show up on a typical urine drug screen

The post Episode 41 Kratom: Friend or Foe first appeared on ToxNow.

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 Poisonous and Injurious Plants

The post Episode 40 Tox N Shakespeare first appeared on ToxNow.

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 exam, especially when dealing with cardio active meds
• Ultrasound can help guide therapy after CCB ingestion in terms of filling the tank with fluids or starting with pressors/inotropes/insulin
• Consider looking at EPSS to determine patients with objectively decreased EF
• Use ultrasound to evaluate tox patients to add to our knowledge. Scan, record, share, help out your colleagues

Stay tuned as we share some animal data on CCB and ultrasound.

The post Episode 39 Tox Ultrasound first appeared on ToxNow.

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.

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.