Posts in Tox
Tox in The Land: Iron Toxicity

Welcome back to Tox in the Land!

After a short recess it’s time to get back at it. Since we are knee deep into interview season, there is no better time to put a spot light on our former chief resident and medical education fellow, Matthew Mullins, MD. He is here to guide you through the classic topic of iron toxicity and its management. Don’t worry, we will be back quickly to feature some of our medical student rotators as well!

Lauren Porter DO, Ryan Marino MD, Bryan Ross MD and Marielle Brenner, MD

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Tox in The Land: #NaturalAbortion. The facts you didn't see on TikTok this summer!

September is here and has brought pumpkin spiced lattes, fall foliage, and time to review our #HotGirlSummer that wasn’t. Unfortunately, Roe v. Wade was overturned and it has put our pregnant patients in a bind. This lack of safe access to medical care can lead to people taking drastic measures, including herbal remedies for abortion. Our Case Western Reserve University MS4, Victoria Adomshick has brought you an amazing review of common abortifacients and their toxicities. Enjoy and please remember to vote and call your poison center!

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ToxLauren McCafferty
Tox in The Land: Tricyclic Antidepressants

Welcome to the new year! We start this year off with a classic… TCA toxicity that is brought to you by one of our 3rd years, Dr. Wes Gallaher. TCA’s are some dirty drugs with a lot of different clinical effects.

High yield points for the management:

1. Evaluate hemodynamics

2. Obtain an EKG at the beginning and 6 hours after ingestion

3. Watch those intervals!

4. When in doubt: Benzos for seizures and Sodium Bicarbonate for a wide QRS

Remember to always call your friendly poison center!

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Tox in The Land: Cardiac Glycosides

Welcome back to Tox in The Land, where Toxicology and Cleveland join forces for good. This month’s post is from Dr. Julieta Lacey, one of our former ED residents and current critical care fellows. She will discuss cardiac glycosides and their management. Thanks for coming along and remember to call your poison center!

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ToxLauren McCafferty
Tox in The Land: Carbon Monoxide

Here’s our next installment of Tox in The Land! It’s brought to you by Dr. Dani Rao, one of our rising chief residents. She will review CO poisoning and its management. With the weather changing, it’s a good time to review this topic as CO is not only seen in the winter. The biggest takeaway is to always have it on your differential, give everyone oxygen, and evaluate the patient for concomitant injuries. Always remember, when in doubt, call your local Poison Control Center for questions and concerns!

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ToxLauren McCafferty
Tox in The Land: Toxicologic Causes of Acute Liver Failure

Our next post for Tox in the Land comes from Dr. Emily Craft. She is one of our chief residents and our future Medical Education Fellow. She has a strong passion for DEI work, toxicology and education. Her topic of choice was toxicologic causes of acute liver failure. The differential for acute liver failure is long and complex and Dr. Craft reminds us why the social history is key! Enjoy and remember to always call your local Poison Center!

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ToxLauren McCafferty