The TPR Podcast is produced jointly by The Poison Review blog, and the Division of Toxicology, Department of Emergency Medicine at the John H. Stroger, Jr Hospital of Cook County (formerly Cook County Hospital). The goal is to provide a regular forum for discussion of issues involving issues of toxicology in clinical medicine, in culture, and in history. We plan to feature reviews of important and relevant medical literature, coverage of toxicology in the news, and some of our favorite examples of drugs and poisons in popular songs.
In this “Lucky 13” episode of the TPR podcast, Steven and Leon discuss naloxone, and address the following issues:
1) Does the concept of a “heroin overdose patient” have meaning anymore in this age of U-47700, fentanyl, and carfentanil?
2) Given the adulteration of both heroin and counterfeit prescription medications with extremely potent synthetic opioids, do we have to reconsider our entire approach to opioid overdose patients?
3) Can past medical literature guide us in our management of these patients?(Hint: the answer is no.)
4) What medical toxicology paper do Steve and Leon — in an unusual state of agreement — feel was the best to appear in 2016?
For the Show Notes and links to articles discussed in the Podcast, click "Read more" below.
The Poison Review started as a hard-copy newsletter and accompanying tape cassette in the summer of 1992, when George H.W. Bush was President. In this episode of the TPR podcast, Tim Ericsson, Steve Aks and I look back at some the the weirdest and wackiest toxicology articles we've reviewed in the last quarter-century. Topics will include an air stewardess with puzzling diarrhea, the toxicology of ingesting contents of a lava lamp, and a scientific look into whether or no Beano prevents flatulence. Enjoy!
TPR Podcast Episode #11: Google Glass and the Toxicologist, with Dr. Peter Chai
Written by Leon Gussow MD FACMT
In this episode, Steve Aks and I talk to Dr. Peter Chai, a senior medical toxicology fellow at the University of Massachusetts in Worcester, about his research on Google Glass and its potential use as an aid to consultation on …
In this episode, the team discusses recommendations regarding initiation of hemodialysis from the Extracorporeal Treatments in Poisoning (ExTRIP Workgroup). Specific agents covered include methanol, lithium, acetaminophen, and theophylline. Also, we reveal the real identify of the Stay Puft Marshmallow Man from the movie Ghostbusters.
To access the audio file, click on the title above and go to the end of the show notes. Better yet, sign up for a free subscription at the iTunes store.
This episode of the TPR podcast will discuss pearls from some of our favorite posters at the North American Congress of Clinical Toxicology conference in New Orleans. Some of the questions we'll tackle include:
* Is "sudden sniffing death syndrome" after exposure to volatile inhalants real>
* What drug, sometimes abused by body builders, is an asthma medicine and also acts like an anabolic steroid?
* What adverse effects can be expected after exposure to Phenibut?
* Can hot pepper cream be used to treat cannabinoid hyperemesis syndrome?
NOTE: The audio quality of this recording is understandable but definitely choppy and sub-optimal. However, the concepts discussed are so important that we are uploading the file for those who want to listen. We will also post a transcript of the discussion in the next few days.
In this episode the TPR team interviews Dr. Guy Weinberg from the Department of Anesthesia at the University of Illinois Medical Center in Chicago. Dr. Weinberg, among his many other accomplishments, was instrumental in developing the modality of lipid rescue therapy in treating cardiotoxicity caused by parenteral injection of local anesthetics such as bupivacaine. He also runs the website LipidRescue™ Resuscitation.
The discussion is worth listening to
Although summer is over and the polar vortex is knocking at the door, in this episode of the TPR podcast we look back at massive summer music festivals and the drugs which can be encountered among attendees. Theresa Kim, Leon Gussow, and guest discussant Dr.Tim Erickson cover agents such as synthetic cathinones ("bath salts"), piperazine compounds, GHB, methoxetamine, and "N-bomb."
Earlier this year, Pulitzer Prize-winning New York Times columnist Maureen Dowd published a column describing her misadventures with legalized edible marijuana products in Denver, shortly after recreational marijuana was legalized in Colorado. Apparently not understanding the toxicology or pharmacology of THC and other marijuana constituents, she ingested multiple doses of an infused candy bar and became, it is accurate to say, epically baked. This podcast reviews papers discussing the pharmacokinetics of marijuana, as well as potential adverse health effects of marijuana use. Guaranteed not to give you the munchies.