Andrew Stolbach, MD, MPH
@toxicologist12.bsky.social
Toxicologist. Emergency doctor. Living in Baltimore City.
Teaching and learning about poisoning and overdose.
Teaching and learning about poisoning and overdose.
Reposted by Andrew Stolbach, MD, MPH
1/
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Mount Sinai Receives $3.8 Million Grant to Study New Synthetic Drugs and Opioid Overdoses in Emergency Departments to Prevent Deaths
www.mountsinai.org
June 11, 2025 at 8:14 PM
1/
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids
#Medsky 🧵
www.mountsinai.org/about/newsro...
Hospital pro tip:
Put a Chux pad on your seat and no one will steal it.
Put a Chux pad on your seat and no one will steal it.
August 6, 2025 at 1:14 AM
Hospital pro tip:
Put a Chux pad on your seat and no one will steal it.
Put a Chux pad on your seat and no one will steal it.
Mitochondrial DNA is just
Mom Genes
Mom Genes
July 10, 2025 at 7:22 PM
Mitochondrial DNA is just
Mom Genes
Mom Genes
Consultant: Nothing is wrong with this patient.
Me: Should I discharge them?
Consultant: No, you should order all these tests.
Me: Why?
Consultant: To see if anything is wrong.
Me: Should I discharge them?
Consultant: No, you should order all these tests.
Me: Why?
Consultant: To see if anything is wrong.
June 17, 2025 at 8:51 PM
Consultant: Nothing is wrong with this patient.
Me: Should I discharge them?
Consultant: No, you should order all these tests.
Me: Why?
Consultant: To see if anything is wrong.
Me: Should I discharge them?
Consultant: No, you should order all these tests.
Me: Why?
Consultant: To see if anything is wrong.
I'm reading "A Midwife's Tale," a memoir of a 27-year career of a midwife from 1785 on. In case you're wondering, here is her hierarchy of medical condition:
Comfortable
Easier
Much as she was yesterday
Revived
Dangerous
Poorly
Very Ill
Very ill indeed
Seemingly dangerously ill
Seemingly expiring
Comfortable
Easier
Much as she was yesterday
Revived
Dangerous
Poorly
Very Ill
Very ill indeed
Seemingly dangerously ill
Seemingly expiring
June 11, 2025 at 6:53 PM
I'm reading "A Midwife's Tale," a memoir of a 27-year career of a midwife from 1785 on. In case you're wondering, here is her hierarchy of medical condition:
Comfortable
Easier
Much as she was yesterday
Revived
Dangerous
Poorly
Very Ill
Very ill indeed
Seemingly dangerously ill
Seemingly expiring
Comfortable
Easier
Much as she was yesterday
Revived
Dangerous
Poorly
Very Ill
Very ill indeed
Seemingly dangerously ill
Seemingly expiring
Reposted by Andrew Stolbach, MD, MPH
#MedToxTuesday #ToxVisualPearl "Not Very A-peel-ing"
Which chemical, commonly used in chemical peels, can cause severe, gray colored skin burns upon direct contact? Answer in the comments!
Acetone | Hydrogen peroxide | Phenol | Salicylic acid
@ziadkazzi.bsky.social @toxicologist12.bsky.social
Which chemical, commonly used in chemical peels, can cause severe, gray colored skin burns upon direct contact? Answer in the comments!
Acetone | Hydrogen peroxide | Phenol | Salicylic acid
@ziadkazzi.bsky.social @toxicologist12.bsky.social
June 3, 2025 at 5:54 PM
#MedToxTuesday #ToxVisualPearl "Not Very A-peel-ing"
Which chemical, commonly used in chemical peels, can cause severe, gray colored skin burns upon direct contact? Answer in the comments!
Acetone | Hydrogen peroxide | Phenol | Salicylic acid
@ziadkazzi.bsky.social @toxicologist12.bsky.social
Which chemical, commonly used in chemical peels, can cause severe, gray colored skin burns upon direct contact? Answer in the comments!
Acetone | Hydrogen peroxide | Phenol | Salicylic acid
@ziadkazzi.bsky.social @toxicologist12.bsky.social
Reposted by Andrew Stolbach, MD, MPH
#MedToxTuesday Our latest #Fentalog study report reveals that although numerous NPS detected, including #xylazine #bromazolam, and #nitazene analogues, #Fentanyl remains most prevalent nationally. Report>> bit.ly/4jjJ8jm
@maninialex.bsky.social @toxicologist12.bsky.social @ziadkazzi.bsky.social
@maninialex.bsky.social @toxicologist12.bsky.social @ziadkazzi.bsky.social
May 27, 2025 at 4:28 PM
#MedToxTuesday Our latest #Fentalog study report reveals that although numerous NPS detected, including #xylazine #bromazolam, and #nitazene analogues, #Fentanyl remains most prevalent nationally. Report>> bit.ly/4jjJ8jm
@maninialex.bsky.social @toxicologist12.bsky.social @ziadkazzi.bsky.social
@maninialex.bsky.social @toxicologist12.bsky.social @ziadkazzi.bsky.social
The wellness industry wants to make money by selling products that make you feel better.
The pharmaceutical industry wants to make money by selling products that make you feel better.
Only one of these is required by law to prove that their products work.
The pharmaceutical industry wants to make money by selling products that make you feel better.
Only one of these is required by law to prove that their products work.
May 9, 2025 at 3:34 PM
The wellness industry wants to make money by selling products that make you feel better.
The pharmaceutical industry wants to make money by selling products that make you feel better.
Only one of these is required by law to prove that their products work.
The pharmaceutical industry wants to make money by selling products that make you feel better.
Only one of these is required by law to prove that their products work.
We also see Takotsubo after stimulant (eg cocaine or amphetamine) poisoning
Broken Heart Syndrome (known as Takotsubo Syndrome)
can occur acutely after intense physical or emotional stress. Its sequelae, from a Scottish registry, include increased hospital readmission, are more serious than generally perceived
www.acpjournals.org/doi/10.7326/... @annalsofim.bsky.social
can occur acutely after intense physical or emotional stress. Its sequelae, from a Scottish registry, include increased hospital readmission, are more serious than generally perceived
www.acpjournals.org/doi/10.7326/... @annalsofim.bsky.social
March 25, 2025 at 2:14 AM
We also see Takotsubo after stimulant (eg cocaine or amphetamine) poisoning
Reposted by Andrew Stolbach, MD, MPH
We're pleased to announce the release of the Joint Clinical Practice Guideline on Benzodiazepine Tapering: Considerations When Risks Outweigh Benefits, developed through a partnership of 10 medical & prof. societies, including ACMT. bit.ly/4iQ3UqT
@toxicologist12.bsky.social @ryanmarino.bsky.social
@toxicologist12.bsky.social @ryanmarino.bsky.social
March 13, 2025 at 6:06 PM
We're pleased to announce the release of the Joint Clinical Practice Guideline on Benzodiazepine Tapering: Considerations When Risks Outweigh Benefits, developed through a partnership of 10 medical & prof. societies, including ACMT. bit.ly/4iQ3UqT
@toxicologist12.bsky.social @ryanmarino.bsky.social
@toxicologist12.bsky.social @ryanmarino.bsky.social
Reposted by Andrew Stolbach, MD, MPH
Under-eights should not drink slushies containing glycerol, say doctors
Under-eights should not drink slushies containing glycerol, say doctors
Study of 21 hospitalisations shows the iced drinks can cause decreased consciousness and low blood sugar
Children under eight should not drink slushies containing glycerol, paediatricians have warned.
Public health advice on their safety may need…
www.theguardian.com
March 12, 2025 at 11:07 AM
Under-eights should not drink slushies containing glycerol, say doctors
Reposted by Andrew Stolbach, MD, MPH
🚨Findings from ACMT pivotal study published in JAMA Network Open underscores the vital role of medical toxicology physicians in improving outcomes for pediatric patients admitted to the PICU due to poisoning.
Read it now >>> bit.ly/ACMTJAMA
@toxicologist12.bsky.social @toxicacmt.bsky.social
Read it now >>> bit.ly/ACMTJAMA
@toxicologist12.bsky.social @toxicacmt.bsky.social
February 28, 2025 at 10:29 PM
🚨Findings from ACMT pivotal study published in JAMA Network Open underscores the vital role of medical toxicology physicians in improving outcomes for pediatric patients admitted to the PICU due to poisoning.
Read it now >>> bit.ly/ACMTJAMA
@toxicologist12.bsky.social @toxicacmt.bsky.social
Read it now >>> bit.ly/ACMTJAMA
@toxicologist12.bsky.social @toxicacmt.bsky.social
Give naloxone (narcan) for *hypoventilation*
-not-
Give naloxone (narcan) for *opioids*
*********************+
Hypoventilation—>
Give naloxone
(If it works, the cause was probably an opioid)
-not-
Give naloxone (narcan) for *opioids*
*********************+
Hypoventilation—>
Give naloxone
(If it works, the cause was probably an opioid)
February 26, 2025 at 9:50 PM
Give naloxone (narcan) for *hypoventilation*
-not-
Give naloxone (narcan) for *opioids*
*********************+
Hypoventilation—>
Give naloxone
(If it works, the cause was probably an opioid)
-not-
Give naloxone (narcan) for *opioids*
*********************+
Hypoventilation—>
Give naloxone
(If it works, the cause was probably an opioid)
Reposted by Andrew Stolbach, MD, MPH
🚨The early bird gets the savings! 🪱🐦Register for #ACMT2025 activities by NEXT Friday 2/21 to save - and book your stay at the conference hotel while rooms are still available! ➡️http://bit.ly/acmtmeeting⬅️
@ziadkazzi.bsky.social @toxicologist12.bsky.social @nephrotox.bsky.social
@ziadkazzi.bsky.social @toxicologist12.bsky.social @nephrotox.bsky.social
February 14, 2025 at 10:45 PM
🚨The early bird gets the savings! 🪱🐦Register for #ACMT2025 activities by NEXT Friday 2/21 to save - and book your stay at the conference hotel while rooms are still available! ➡️http://bit.ly/acmtmeeting⬅️
@ziadkazzi.bsky.social @toxicologist12.bsky.social @nephrotox.bsky.social
@ziadkazzi.bsky.social @toxicologist12.bsky.social @nephrotox.bsky.social
Abe Lincoln and Charles Darwin were both born on *this day* in 1809.
Is there a single birth date that produced humans with a greater historical impact than February 12, 1809?
Is there a single birth date that produced humans with a greater historical impact than February 12, 1809?
February 12, 2025 at 1:42 PM
Abe Lincoln and Charles Darwin were both born on *this day* in 1809.
Is there a single birth date that produced humans with a greater historical impact than February 12, 1809?
Is there a single birth date that produced humans with a greater historical impact than February 12, 1809?
I don’t know if this was intentional, but I love the juxtaposition of a big formulaic protocol with an anti-protocol editorial directly across the center spread of ACEP Now.
February 6, 2025 at 6:48 PM
I don’t know if this was intentional, but I love the juxtaposition of a big formulaic protocol with an anti-protocol editorial directly across the center spread of ACEP Now.
SIGN OUT
There is a new patient in Room 2 who has delusions of invisibility.
I haven’t seen him yet.
There is a new patient in Room 2 who has delusions of invisibility.
I haven’t seen him yet.
January 28, 2025 at 12:10 PM
SIGN OUT
There is a new patient in Room 2 who has delusions of invisibility.
I haven’t seen him yet.
There is a new patient in Room 2 who has delusions of invisibility.
I haven’t seen him yet.
Me: I wonder what is the biggest organ in the human body?
Dermatologist: The skin!
Me:
Ok, sure, but what’s the biggest *real* organ?
Dermatologist: The skin!
Me:
Ok, sure, but what’s the biggest *real* organ?
January 16, 2025 at 1:32 PM
Me: I wonder what is the biggest organ in the human body?
Dermatologist: The skin!
Me:
Ok, sure, but what’s the biggest *real* organ?
Dermatologist: The skin!
Me:
Ok, sure, but what’s the biggest *real* organ?
Reposted by Andrew Stolbach, MD, MPH
A new study on #fluoride in water and lower #IQ in children is unconvincing. Lots of bias, and there isn't a difference at levels of 0.7 mg/L which is found in the USA. RFK Jr will use this study to push his Make America Have Cavities Again.
Fluoride in water and lower IQ in children — unconvincing research
A recent study suggests a potential link between fluoride in drinking water and lower IQ in children. However, the research has significant flaws, and no connection is found at the standard fluoride…
buff.ly
January 11, 2025 at 1:54 AM
Reposted by Andrew Stolbach, MD, MPH
NEW: ACMT Position Statement on Sterile Solution Shortage. Auths: Maryann Amirshahi, Erin Fox, @toxicologist12.bsky.social
>> READ: bit.ly/3DMVG3L <<
>> READ: bit.ly/3DMVG3L <<
January 10, 2025 at 11:19 PM
NEW: ACMT Position Statement on Sterile Solution Shortage. Auths: Maryann Amirshahi, Erin Fox, @toxicologist12.bsky.social
>> READ: bit.ly/3DMVG3L <<
>> READ: bit.ly/3DMVG3L <<
I saw a note with “dialyzed” misspelled as “diazzled” and I imagined “what if Snoop Dogg had been a nephrologist?”
January 7, 2025 at 2:21 PM
I saw a note with “dialyzed” misspelled as “diazzled” and I imagined “what if Snoop Dogg had been a nephrologist?”
Reposted by Andrew Stolbach, MD, MPH
An ever rarer sight: Snow at Hopkins.
Cool, no?
Cool, no?
January 6, 2025 at 8:57 PM
An ever rarer sight: Snow at Hopkins.
Cool, no?
Cool, no?
Cholinergic Toxicity Recognition and Treatment with Atropine
If you see some combination of "SLUDGE" and "KILLER B" symptoms, strongly consider the cholinergic toxidrome.
The main treatment is atropine.
1/4
If you see some combination of "SLUDGE" and "KILLER B" symptoms, strongly consider the cholinergic toxidrome.
The main treatment is atropine.
1/4
January 3, 2025 at 9:52 PM
Cholinergic Toxicity Recognition and Treatment with Atropine
If you see some combination of "SLUDGE" and "KILLER B" symptoms, strongly consider the cholinergic toxidrome.
The main treatment is atropine.
1/4
If you see some combination of "SLUDGE" and "KILLER B" symptoms, strongly consider the cholinergic toxidrome.
The main treatment is atropine.
1/4
Me:
Do you drink an excessive amount of caffeine?
Patient:
No.
Me:
Well, you should, because it’s awesome.
Do you drink an excessive amount of caffeine?
Patient:
No.
Me:
Well, you should, because it’s awesome.
January 3, 2025 at 1:34 AM
Me:
Do you drink an excessive amount of caffeine?
Patient:
No.
Me:
Well, you should, because it’s awesome.
Do you drink an excessive amount of caffeine?
Patient:
No.
Me:
Well, you should, because it’s awesome.