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Emergency Medicine

Premier Annual Toxicology Scientific Meeting Highlights

Faculty, staff and learners from MCW and WPC had an extremely strong presence at NACCT 2018, the premier annual toxicology scientific meeting.

It is the largest annual meeting of toxicologists in the world with 775 registered attendees this year. Here is a summary of the MCW activity at North American Congress on Clinical Toxicology Annual Meeting 2018 – 50th Anniversary:

We were led by Dr. Mark Kostic, president of AACT and head of the planning committee for the conference. This 50th annual conference was well-attended by medical and clinical toxicologists from all reaches of the globe.

Dr. Jill Theobald, along with Dr. Kennon Heard, organized and moderated the AACT pre-symposium day. The day highlighted “50 Years of Drug Abuse.” Dr. Amy Zosel delivered a 30-minute talk on Inhalant Abuse. The pre-symposium was a record attendance year with 273 professionals registered.

Dr. Gummin represented WI on the national stage at the meetings for poison center managers, medical directors, and to the AAPCC board.

Drs. Kostic and Theobald participated in the meeting of the Board of Trustees for the American Academy of Clinical Toxicology.

Dr. Jill Theobald presented AACT Year in Tox Literature Review 2018: Learn to Read Outside Our Comfort Zone. She did an excellent job discussing recent cutting edge tox literature.

Dr. Ryan Feldman chaired the Acute and Intensive Care section to develop new initiatives for the AIC work group.

The WPC was recognized by the National Poison Data System for the “Most Helpful Regional Poison Center Staff 2017” and "Highest Overall Quality of 2017 Fatality Reports.” This was largely in part to the hard work of Dr. Jillian Theobald and Dr. David Gummin.

Dr. Matt Stanton participated in Clinical Toxicology Collaborative on the Management of Drug induced QT prolongation, an international workgroup of pharmacists and physicians developing guidelines on management of drug induced QT prolongation.

MCW/WPC medical toxicologists, pharmacists, residents, students and WPC specialists in poison information were well-represented at the abstract poster presentation sessions. Strong collaboration between our learners and faculty made this possible.

Abstracts presented include the following:

Characterization of Oral Factor Xa Inhibitor Exposures reported to US Poison Centers

  • Ryan Feldman (Froedtert and the Medical College of Wisconsin and Children's Hospital of Wisconsin)
  • Kaitie Ewert (Froedtert and the Medical College of Wisconsin)
  • Amy Zosel (Medical College of Wisconsin and Children's Hospital of Wisconsin)

Comparison of 5 and 10 mg Doses of Intravenous Vitamin K in Warfarin-related INR Reversal

  • Amber Olson (Medical College of Wisconsin and Children's Hospital of Wisconsin, Froedtert Hospital, Wisconsin Poison Center)
  • Ryan Feldman (Children’s Hospital of Wisconsin)
  • Amy Zosel (Medical College of Wisconsin and Children's Hospital of Wisconsin)

Outcomes of Amiodarone Exposures Reported to US Poison Centers

  • Matthew Stanton (Medical College of Wisconsin and Children's Hospital of Wisconsin, Froedtert Hospital, Wisconsin Poison Center)
  • Douglas Borys (Wisconsin Poison Center, Concordia University)
  • Amy Zosel (Medical College of Wisconsin and Children's Hospital of Wisconsin, Froedtert Hospital, Wisconsin Poison Center)
  • Mark Kostic (Medical College of Wisconsin and Children's Hospital of Wisconsin, Froedtert Hospital, Wisconsin Poison Center)
  • David Gummin (Medical College of Wisconsin and Children's Hospital of Wisconsin, Froedtert Hospital, Wisconsin Poison Center)

Increase in Palytoxin Exposures Reported to US Poison Centers

  • Ryan Feldman (Froedtert and the Medical College of Wisconsin and Children's Hospital of Wisconsin)
  • David Gummin (Medical College of Wisconsin and Children's Hospital of Wisconsin)

The Impact of System and Policy Changes on Provider Perspectives and Referrals to Behavioral Health Services

  • Jennifer Hernandez-Meier (Comprehensive Injury Center, Medical College of Wisconsin)
  • Michael Muradian (Medical College of Wisconsin, Medical School)
  • Amy Zosel (Medical College of Wisconsin and Children's Hospital of Wisconsin)

Characterizing Essential Oil Ingestions in Children Less Than 7 Years-old

  • Jennifer Deede (Children's Hospital of Wisconsin)
  • Amy Zosel (Medical College of Wisconsin and Children's Hospital of Wisconsin)

Ingestion of Denture Cleansing Tablets Resulting in Severe Airway Edema and Fatal Respiratory Arrest

  • Matthew Marcott (University of Pittsburgh School of Medicine)
  • Andrew Farkas (University of Pittsburgh School of Medicine, Division of Medical Toxicology)
  • Amanda Korenoski (Pittsburgh Poison Center)
  • Michael Lynch (University of Pittsburgh School of Medicine, Division of Medical Toxicology)

Treatment of Ventricular Fibrillation Due to Ammonium Difluoride Poisoning with Hemodialysis

  • Andrew Farkas (University of Pittsburgh School of Medicine, Division of Medical Toxicology)
  • Michael Wolf (Children’s Hospital of Pittsburgh)
  • Elizabeth Landzberg (Children’s Hospital of Pittsburgh)
  • Kendra Woods (Children’s Hospital of Pittsburgh)
  • Michael Lynch (University of Pittsburgh School of Medicine, Division of Medical Toxicology)