Archive for May 2018

Novichok: a fourth-generation class of nerve agents

May 31, 2018, 11:55 am

Salisbury, U.K. April 25, 2018. Decontamination efforts where Sergei and Yulia Skripal were found poisoned. []


Novichok: a murderous nerve agent attack in the UK. Vale JA et al. Clin Toxicol 2018 May 14 [Epub ahead of print]


In an article in yesterday’s New York Times, medical workers who treated Sergei and Yulia Skripal after they were found …

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Can cannabinoid hyperemesis syndrome be fatal?

May 30, 2018, 1:22 pm G. Stoev


Cannabinoid Hyperemesis Syndrome: Reports of Fatal Cases. Nourbakhsh M et al. J Forensic Sci 2018 May 15 [Epub ahead of print]


This paper reports on 2 fatal cases that the authors argue were attributable to the effects of cannabinoid hyperemesis syndrome (CHS).

CASE #1: A 27-year-old woman is brought to hospital by ambulance after friend found …

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A case of life-threatening loperamide toxicity

May 24, 2018, 11:29 am


Severe loperamide toxicity associated with the use of cimetidine to potentiate the “high.” Hughes A et al. AM J Emerg Med 2018 May 15 [Epub ahead of print]


The potential adverse effects of loperamide (Imodium) are often underestimated since, even though it is an opioid, it is available over-the-counter and has been since 1988.

Loperamide is used to treat …

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Finally! The “New England Journal of Medicine” discovers medical toxicology

May 22, 2018, 6:00 pm


Case 12-2018: A 30-Year-Old Woman with Cardiac Arrest. Goldstein JN, Dudzinski DM, Erickson TB et al. N Engl J Med 2018 Apr 19;378:1538-1549.


In the past, we’ve complained that the New England Journal of Medicine never seemed to include a toxicologist or emergency physician as a discussant in relevant cases in their series “Case Records of the Massachusetts General …

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