Clinical features associated with adverse cardiac events in kids, from ⁦@Dr_Carreiro⁩. #acmt2019

After the *one-day* onsite GETKIT toxicology course for low-resource settings, participants did better on an assessment. Three months later, participants felt the course improved their management of patients. Great work by @KopecToxEM @AnselmWong1 @ZiadKazzi #acmt2019

It’s too early to change practice, but association of bicarbonate with bad outcomes in tox patients was unexpected. I’ll be following work of ⁦@ManiniAlex⁩ and Judson Ellis to see what happens. #acmt2019

Opioid-associated hearing loss is rare, but real. It is not associated with hypoxia. -Alexander Mozeika #acmt2019

Kicking off the final day of @acmt conference. It's been a joy meeting friends from around the globe who share a passion for the care of poisoned patients. We have attendees representing more than 9 countries here at #ACMT2019 !!

Winner of @acmt research award and all-around great guy ⁦@ManiniAlex⁩ #acmt2019

Dr. Kim Graeme discusses Joiner’s triad of suicide risk. #acmt2019

Opioid policy dilemma: the needs of the currently addicted and potentially addicted are sometimes in conflict. Example: abuse-deterrent opioids may prevent future addiction, but push currently addicted patients to riskier heroin/injection drug use. @KeithNHumphreys #acmt2019

Medicaid is the biggest payor for addiction treatment in the United States. Expanding medicaid expands addiction treatment. @KeithNHumphreys #acmt2019

MicroRNA profiles may identify early acetaminophen poisoning. @research_minion, @UMassTox #ACMT2019

“Urine is still gold standard for drug testing” gets a chuckle from the audience. #toxjokes #acmt2019

Drug testing for PEDs has gotten so good that it can identify substances in low pg/mL concentration. Some steroids will be detectable at this concentration for 100s of days after use. -Dr. Fedoruk, USADA #acmt2019

Dr. Paul Blanc:
Carbon disulfide - a cause of Parkinsonism and coronary artery disease- is a metabolite is disulfiram. #ACMT2019

Dr. Veena Singla from ⁦@UCSF⁩ - We are absorbing flame retardants from our couch cushions. What are the health impacts? #ACMT2019

False positive opioid tests in pediatric patients can have major social consequences. Be judicious in your use of them. -Dr. Kevin Osterhoudt #acmt2019

You’ll need another excuse for that positive drug test, because this commonly-used local anesthetic does NOT cause positive urine cocaine test. Great presentation by Eungjae Kim, an undergraduate from @EmoryUniversity #ACMT2019

In 2018, docs at @toxikonchicago sent urine samples positive for opioids and looked for “designer” opioid drugs. This is what they found. -@NeerajBC #ACMT2019

Bupropion overdose:
Seizures common and tend to occur within 8 hours.
Late seizures occur with sustained release drug, usually associated with tachycardia or altered mental status.- Dr. Offerman, @MedToxFellowshp #ACMT2019

Active THC (red line) peaks in minutes after smoking cannabis but plateaus for hours after eating. #ACMT2019

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HLA types and medications associated with drug hypersensitivity reactions from @SteveCurryMD #ACMT2019

Thanks to fellow organizer Ayrn O'Connor, great @acmt staff, and all who attended for making #ACMT2018 the biggest ever. See you at #ACMT2019 in SF!