poisonreview
@poisonreview.bsky.social
Medical toxicologist in the Toxikon Group Chicago. Columnist for "Emergency Medicine News." Peloton fanatic. Mitochondriac. Posts reflect my own opinions and should to be taken as medical advice. Reposts do not imply endorsement. #MedTox
GLP-1 receptor agonists like Ozempic and Zepbound may have profound effects on how we manage poisoned patients. Here's what every emergency practitioner should know about these potential game changers.
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
journals.lww.com
November 14, 2025 at 5:27 PM
GLP-1 receptor agonists like Ozempic and Zepbound may have profound effects on how we manage poisoned patients. Here's what every emergency practitioner should know about these potential game changers.
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
Robert H. Bartlett, Father of Innovative Life-Support System, Dies at 86 www.nytimes.com/2025/11/08/s...
Robert H. Bartlett, Father of Innovative Life-Support System, Dies at 86
www.nytimes.com
November 8, 2025 at 5:12 PM
Robert H. Bartlett, Father of Innovative Life-Support System, Dies at 86 www.nytimes.com/2025/11/08/s...
The ‘Worst Test in Medicine’ is Driving America’s High C-Section Rate
www.nytimes.com
November 6, 2025 at 6:30 PM
The Editor Got a Letter From ‘Dr. B.S.’ So Did a Lot of Other Editors. www.nytimes.com/2025/11/04/s...
The Editor Got a Letter From ‘Dr. B.S.’ So Did a Lot of Other Editors.
www.nytimes.com
November 5, 2025 at 3:02 PM
The Editor Got a Letter From ‘Dr. B.S.’ So Did a Lot of Other Editors. www.nytimes.com/2025/11/04/s...
GLP-1 drugs such as Wegovy and Mounjaro can cause dramatic changes in GI motility and function, as well as dehydration and malnutrition. Will this change the way we treat poisoned patients on these meds?
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
journals.lww.com
October 15, 2025 at 5:35 PM
GLP-1 drugs such as Wegovy and Mounjaro can cause dramatic changes in GI motility and function, as well as dehydration and malnutrition. Will this change the way we treat poisoned patients on these meds?
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
October 12, 2025 at 2:05 PM
October 6, 2025 at 8:43 PM
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead. www.nytimes.com/2025/10/05/w...
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.
www.nytimes.com
October 6, 2025 at 8:27 PM
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead. www.nytimes.com/2025/10/05/w...
October 6, 2025 at 7:53 PM
GLP-1 receptor agonists can impair gastric emptying, decrease gallbladder contractility, and cause dehydration and malnutrition. Will this affect management of poisoned patients? I discussed in this month's Toxicology Rounds column.
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
journals.lww.com
October 6, 2025 at 4:30 PM
GLP-1 receptor agonists can impair gastric emptying, decrease gallbladder contractility, and cause dehydration and malnutrition. Will this affect management of poisoned patients? I discussed in this month's Toxicology Rounds column.
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
The Nobel Prize in Physiology or Medicine 2025 was awarded to Mary E. Brunkow, Fred Ramsdell and Shimon Sakaguchi “for their discoveries concerning peripheral i…
October 6, 2025 at 1:59 PM
The Nobel Prize in Physiology or Medicine 2025 was awarded to Mary E. Brunkow, Fred Ramsdell and Shimon Sakaguchi “for their discoveries concerning peripheral i…
Reposted by poisonreview
we're seeing *lots* of cocaine & methamphetamine use, especially via inhalational routes
presentations vary, including:
🥵 acute agitation/psychosis
🥵 seizures
🥵 vascular events, esp in young people (stroke, MI)
Local news www.wcax.com/2025/10/02/v...
IBCC chapter emcrit.org/ibcc/symp/ #EMIMCC
presentations vary, including:
🥵 acute agitation/psychosis
🥵 seizures
🥵 vascular events, esp in young people (stroke, MI)
Local news www.wcax.com/2025/10/02/v...
IBCC chapter emcrit.org/ibcc/symp/ #EMIMCC
Vermont health officials alarmed by shift from opioid abuse to stimulants
Vermont health officials say the state is entering a new wave of the drug crisis.
www.wcax.com
October 3, 2025 at 1:51 PM
we're seeing *lots* of cocaine & methamphetamine use, especially via inhalational routes
presentations vary, including:
🥵 acute agitation/psychosis
🥵 seizures
🥵 vascular events, esp in young people (stroke, MI)
Local news www.wcax.com/2025/10/02/v...
IBCC chapter emcrit.org/ibcc/symp/ #EMIMCC
presentations vary, including:
🥵 acute agitation/psychosis
🥵 seizures
🥵 vascular events, esp in young people (stroke, MI)
Local news www.wcax.com/2025/10/02/v...
IBCC chapter emcrit.org/ibcc/symp/ #EMIMCC
The new weight loss drugs like Ozempic and Mounjaro cause all sorts of changes in the GI tract. How may these changes affect management of poisoned patients?
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
journals.lww.com
October 1, 2025 at 4:32 PM
The new weight loss drugs like Ozempic and Mounjaro cause all sorts of changes in the GI tract. How may these changes affect management of poisoned patients?
journals.lww.com/em-news/full...
journals.lww.com/em-news/full...
Reposted by poisonreview
"consensus" guideline on the management of DKA & HHS
with ZERO input from:
- anyone in emergency medicine
- anyone in critical care
- anyone in hospital medicine
the guidelines (published in 2024) contain many antiquated practices and big errors... 🧵#1/3 #EMIMCC
pubmed.ncbi.nlm.nih.gov/39052901/
with ZERO input from:
- anyone in emergency medicine
- anyone in critical care
- anyone in hospital medicine
the guidelines (published in 2024) contain many antiquated practices and big errors... 🧵#1/3 #EMIMCC
pubmed.ncbi.nlm.nih.gov/39052901/
September 28, 2025 at 9:37 PM
"consensus" guideline on the management of DKA & HHS
with ZERO input from:
- anyone in emergency medicine
- anyone in critical care
- anyone in hospital medicine
the guidelines (published in 2024) contain many antiquated practices and big errors... 🧵#1/3 #EMIMCC
pubmed.ncbi.nlm.nih.gov/39052901/
with ZERO input from:
- anyone in emergency medicine
- anyone in critical care
- anyone in hospital medicine
the guidelines (published in 2024) contain many antiquated practices and big errors... 🧵#1/3 #EMIMCC
pubmed.ncbi.nlm.nih.gov/39052901/
Reposted by poisonreview
🔔 New in InSight+
An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’
Read more: buff.ly/gU5OJ0Y
An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’
Read more: buff.ly/gU5OJ0Y
September 26, 2025 at 10:01 PM
🔔 New in InSight+
An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’
Read more: buff.ly/gU5OJ0Y
An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’
Read more: buff.ly/gU5OJ0Y
Harvard Dean was paid $150,000 as expert witness in Tylenol lawsuits
September 24, 2025 at 2:29 AM
Harvard Dean was paid $150,000 as expert witness in Tylenol lawsuits
journals.lww.com/em-news/full...
AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.
AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.
Prompt Engineering: A Critical Skill for Emergentologists... : Emergency Medicine News
An abstract is unavailable.
journals.lww.com
September 18, 2025 at 7:04 PM
journals.lww.com/em-news/full...
AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.
AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.
Reposted by poisonreview
super important point 👇
sometimes creatinine falls due to dilution from large-volume fluid resuscitation.
if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).
sometimes creatinine falls due to dilution from large-volume fluid resuscitation.
if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).
The serum creatinine level is a concentration, amount per volume.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
September 7, 2025 at 3:55 PM
super important point 👇
sometimes creatinine falls due to dilution from large-volume fluid resuscitation.
if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).
sometimes creatinine falls due to dilution from large-volume fluid resuscitation.
if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).