Archive for the ‘Medical’ Category

Supercut: death by poison

April 14, 2014, 3:24 pm

Inspired by the Game of Thrones episode last night and (SPOILER ALERT) King Joffrey’s richly deserved dispatch by poison, this supercut of poisonings in movies and on TV comes from Abraham Riesman and…

Read More »

What a day for a daydream (pass the Adderall)

April 14, 2014, 2:31 pm

In a recent “Toxicology Rounds” column in Emergency Medicine News, I pointed out that the American Psychiatry Association and the latest edition of its publication, the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) have been expanding the criteria for diagnosing attention-deficit hyperactivity disorder (ADHD):

Criterion “B” in DSM-IV requires that “some hyperactive-impulsive or inattentive symptoms were present

Read More »

Effects of marijuana on driving ability

April 9, 2014, 6:31 pm



Medical Marijuana and Driving: a Review. Neavyn MJ et al. J Med Toxicol 2014 Mar 20 [Epub ahead of print]


This excellent and comprehensive review of literature related to the possible effects of marijuana on driving skills is a must-read for anyone dealing with forensics and medical-legal cases related to the topic, or consulting with government agencies on regulatory …

Read More »

Death after use of recreational marijuana, and other Tox on the Web

April 8, 2014, 2:09 pm

More on e-cigarette nicotine liquid: On KSTP-TV news in Minneapolis/St. Paul, medical toxicologist Dr. Ben Orozco discusses the hazards of e-cigarette refill liquid, and the signs and symptoms of nicotine toxicity.

Suicide by hydrogen sulfide: The St. Charles (LA) Herald-Guide reported the tragic story about a 32-year-old research scientist who killed herself by releasing hydrogen sulfide in her car. She …

Read More »

Calls to poison centers related to nicotine-containing e-cigarette liquid skyrocketing

April 4, 2014, 7:57 pm

The Centers for Disease Control and Prevention released results from a study showing that reported exposures to nicotine-containing e-cigarette liquid have risen dramatically over the last several years.

Their data indicates that in September 2010, U.S. poison centers received just a single call related to these liquids. In February 2014, that number had increased to 215 calls for the month.…

Read More »

Do two dissimilar cases represent a case series?

April 2, 2014, 8:27 pm


High-dose Insulin and Intravenous Lipid Emulsion Therapy for Cardiogenic Shock Induced by Intentional Calcium-Channel Blocker and Beta-Blocker Overdose: A Case Series. Doepker B et al. J Emerg Med 2014 Apr;46:486-490.



The problems with this confused and confusing paper start with the title, which suggests that it will describe a series patients who presented with overdose of a calcium-channel …

Read More »

Just when you thought it was safe to enjoy a refreshing ice tea . . .

April 1, 2014, 9:46 pm


Multiple Poisonings with Sodium Azide at a Local Restaurant. Schwarz ES et al. J Emerg Med  2014 Apr;46:491-494.


This is an interesting report describing at incident in April 2010 in which 5 persons came down with symptoms of sodium azide poisoning after drinking ice tea from the same self-serve urn at a local restaurant. All patients recovered.

Unfortunately, this …

Read More »

Tox Tunes #80: Weed Head Woman (Champion Jack Dupree)

March 30, 2014, 2:53 pm

The great boogie-woogie blues pianist Champion Jack Dupree (?1908 – 1992) got his nickname from the fairly successful boxing career that preceded his taking up music as a career. According to wikipedia, after being encouraged by Joe Louis he entered 107 fights, winning the Golden Gloves and other championships.

Although he was originally from New Orleans, Dupree did much …

Read More »

Complications associated with lipid emulsion therapy

March 28, 2014, 6:32 pm


Complications Following Antidotal Use of Intravenous Lipid Emulsion Therapy. Levine M et al. J Med Toxicol 2014 Mar;10:10-14.


Known complications of intralipid administration include pancreatitis, acute respiratory distress syndrome (ARDS), and interference with laboratory tests. While these complications can be seen when intralipid is administered for parenteral nutrition, there is interest concerning to what extent they occur when lipid …

Read More »