Kratom policy varies by state. We looked at poison center exposures by reuglation status.
Bans → lower exposure & severe outcomes
“Regulation” → looks a lot like no regulation
An attempt to provide unbiased data to help inform policy.
pubmed.ncbi.nlm.nih.gov/42015466/
#Kratom
Excellent time at wonderland books!!
I am not all of those Ologists 🤣 but duly appreciated thanks for coming Dan!
One of the fun perks of writing papers: getting consulted about a weird, niche clinical problem… and being able to send the consultee the systematic review you wrote synthesizing all the evidence for exactly how to manage that weird niche clinical problem.
I am glad I have taken the time to write, because its an investment in myself. So here is to 50 more.
Writing has been one of the best ways I’ve found to explore my own thinking.
And sometimes it helps someone else too, whether it’s a clinician at 2 AM facing something for the first time, or someone with a clinical quandary looking for data to push them one way or the other.
Sometimes people joke that I bring citations to the bedside.
But that’s because I’ve already wrestled with those questions while writing, and digging for answers related to outcomes, and finding the citations to support it. I bring that evidence with me when caring for patients.
I’ve never learned more than when I force myself to put an idea on paper, unchangeable, no backpedalling. You explore it deeply, and cite the evidence to prove (or disprove) it. This forces me to "find my receipts" for what I know and helps build my library to show others.
Not only do I get the thrill of “discovering” something new by putting data behind a clinical decision point that once felt uncertain (yes, it’s genuinely a thrill). But more importantly writing forces me to pressure-test my own thinking.
Some colleagues honestly raise an eyebrow at it. Why sink that much time into papers that sometimes get read by 1–2 people? Fair take.
But the biggest winner of writing/researching has always been me.
I recently hit my 50th peer-reviewed publication.
Not that exciting, especially compared to some people I know.
But, I’m not a funded researcher. I do patient care and write in downtime. It’s a lot of nights and weekends spent reading, thinking, and writing.
They can come for my freedom but they’ll never take this from me. Now I just need to figure out how to get it in my email signature
Pharmacologic & toxicologic confounders in brain death determination
🧠 coma
🧠 BD & death by neurologic criteria
💉 controversies in existing BD declaration guidelines
🚧 PK & PD challenges: hypothermia, organ failure, obesity, prolonged infusions, toxicokinetics
🛟 ancillary testing
🔓 rdcu.be/e0C9u
🍄 I wrote a poisonous mushroom children’s book!
Poisonous Fungus AmongUs- a fun rhyming intro to foraging safety, and toxic look-alikes — perfect for kids or nature lovers.
⏱️ 5–7 min read
▶️ Full read: youtube.com/shorts/dai20...
📘 Get it here: a.co/d/bixElRx
Reviews help a ton. Thank you! 💚🍄
Official statement that I am available to immediately abscond from any lecture until 330 to play GOTTA PICCEM if you want to learn #NACCT2025
#ThePoisonLab LIVE from the train to #NACCT2025 coming soon!
Tox consult incoming…
🚨 New #ThePoisonLab episode is live! 🚨
Toxicologist with the Listeners ft. Dr. Joe Kennedy (UVM)
💉 Why is rattlesnake antivenom $$$?
⚖️ THAM or bicarb?
One case stumped us both—can you crack it? 👀
Guess the toxin + email us your answer!
🎧 Listen anywhere or here 👉 thepoisonlab.com/episode/toxi...
Excited to share that I’m joining The American Journal of Emergency Medicine as the Toxicology Section Editor!
AJEM has published some of my favorite tox work, I’m excited to help others do the same—and help shape the future of tox literature!
Have a tox article? Send it in!
🚨 We’re going LIVE on the radio!
📻 Tune into Wisconsin Public Radio’s (@WPR) Larry Meiller Show this Thursday, July 17 @ 11:45am CT.
🎙️ We’ll talk poisons, The podcast, & take live call-in questions.
🌍 Listen from anywhere: wpr.org/shows/larry-...
Call & say hi!
🚨 From the AJHP EM issue: EM pharmacists are on the front lines of an ever-evolving toxicology landscape—overdoses, antidote shortages, novel street drugs, shifting treatments.
This article from a great team of EM/Tox PharmDs gets you caught up fast!
🧪 doi.org/10.1093/ajhp...
New #ThePoisonLab Series: Outbreak 🚨
🎙 Ep 1: The Markham Aconite Outbreak
12 people poisoned by a lethal plant toxin—hidden in a mislabeled spice jar.
Deadly arrhythmias, a Google-savvy nurse, and a race to stop the next case.
Listen here (or anywhere)🎧 shorturl.at/ctyJ9
#MedSky #EMSky
🚨 New #ThePoisonLab Series: Outbreak 🚨
🎙 Ep 1: The Markham Aconite Outbreak
12 people poisoned by a lethal plant toxin—hidden in a mislabeled spice jar.
Deadly arrhythmias, a Google-savvy nurse, and a race to stop the next case.
🎧 shorturl.at/ctyJ9
#MedEd #Toxicology
SO EXCITED
🚨 New Series from #ThePoisonLab🚨
Outbreak: Learn from frontline teams in real mass poisonings.
First up: The 2022 Markham Aconite Poisonings, expertly treated and contained. Hear exactly how!
🎧 Listen now, anywhere you pod:
thepoisonlab.com/episode/outb...
#MedEd
I have been drinking lots of water because humans are like 60% water, but that means the other 40% is human and I am not sure how much of that I am supposed to have.
When nature wants you really dead, it sends a snake. Or a tick. Or a bean. Or a mushroom. Or sometimes… a sausage.
Had fun diving into the toxins that target the soft underbelly of your nervous system: the neuromuscular junction.
🧠💀🧵👇
pubmed.ncbi.nlm.nih.gov/40541463/
#emsky #toxsky #pharmsky
Once again civil suits are the only thing providing any pushback on these crazy unregulated products
www.classaction.org/nitrous-oxid...
Excited to co-moderate this @AACTinfo webinar today on some topics that won't just raise your hair, but might cause you to lose it all together! Hope to see you there!
whoops, just noted this, Our IQR was 4, but ranged had had kids less than 2 (one was in the ICU but also coingested dilt, nothing happened however, just obs)
Though we really didn't have many kids <2 so doesn't change overall global data much
