Archive for the ‘Medical’ Category

Toxicity from phenibut, a legal over-the-counter baclofen analogue

April 21, 2014, 7:30 pm


Phenibut, the appearance of another potentially dangerous product in the Univted States. O’Connell CW et al. Am J Med 2014 Apr 5 [Epub ahead of print]


This short case report describes a 25-year-old man who was brought to the emergency department after being found with decreased mental status and responsiveness.

On arrival at the hospital, his vital signs were …

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Tox Tunes #81: Junko Partner (Dr. John)

April 20, 2014, 11:39 am

This is a great version of the blues standard from Dr. John‘s 1972 album Gumbo. The song has been covered by everyone from Professor Longhair to The Clash.

The liner notes call this song “the anthem of the dopers, the whores, the pimps, the cons”:

Lee Allenwails on this one, how many tenor choruses does he have,

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Rocky Mountain Poison Center Staff Discuss Legalized Pot in Colorado

April 19, 2014, 5:44 pm

Dr. Eric Lavonas,  associate director of the Rocky Mountain Poison and Drug Center, discussed the situation with legalized cannabis in Colorado on 710KNUS in Denver. He noted that the 3 main problems emergency departments have been dealing since legalization have been psychotic reactions from persons not accustomed to the potency of the marijuana that’s on the market, the severe vomiting …

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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…

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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

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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 …

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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 …

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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.…

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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 …

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