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Abstracts of the 2009 North American Congress of Clinical Toxicology Annual Meeting, September 21–26, 2009, San Antonio, Texas, USA

Program of events

Pages 692-701 | Published online: 22 Sep 2009

NACCT DAY 1. Wednesday, September 23, 2009

4:00 PM–5:00 PM Platform Session 1: Poison Center Abstracts #1–#4

1. Communication Patterns for the Most Serious Poison Center Calls. Ellington L, Poynton M, Sayin E, Latimer S, Bennett H, Crouch BI, Caravati EM.

2. Does Your Charting Reflect the Actual Content of the Call? Von Derau K, Cropley J.

3. The Value of Poison Center Data in Predicting Poisoning Trends. McGoodwin L, Hommel H, Banner W.

4. A Novel Collaboration between a Regional Poison Center and State Medical Examiner. Seifert SA, Letsky MC, Farooqi MF, Benson BE, Zumwalt RE.

5:00P PM–6:00 PM Platform Session 2: Natural Toxins Abstracts #5–#8

5. Rattlesnake Bites in the United States: 2000-2007. Blair HW, Morgan DL, Borys DJ.

6. Factors Associated with Failure To Achieve Initial Control with Fab Antivenom in Snakebite Patients. Yin S, Varney SM, Kokko J, Mlynarchek SL, Bogdan GM, Lavonas EJ, Schaeffer TH.

7. Immediate Adverse Events (AEs) after Administration of Crotalidae Polyvalent Immune Fab (FabAV). Buchanan JA, Varney SM, Mlynarchek SL, Kokko J, Lavonas EJ, Bogdan GM, Schaeffer TH.

8. Digital Imaging: Consistency amongst Mycologists. DeBellonia RR, Marcus SM, Ruck B, Chu A.

NACCT DAY 2. Thursday, September 24, 2009

11:00 AM–12:00 PM Platform Session 3: Antidotes Abstracts #9–#12

9. Medication Errors with the Antidotes Ethanol and Fomepizole. Lepik K, Sobolev B, Levy A, Purssell R, DeWitt C, Erhardt G, Kennedy J, Baker J, Daws D.

10. Case Series of Intravenous Lipid Emulsion Rescue for Drug Cardiotoxicity. Geib AJ, Manini A, Liebelt E.

11. Immunosuppressive Therapy in Patients with Paraquat Poisoning in Vietnam. Khac NP, Xuan DT, Du NT, Phillips S, Schaeffer TH, Dart RC.

12. Toxicoeconomic Comparison of Enteral and Intravenous Acetylcysteine in the Management of Acute Acetaminophen Poisoning. Martello JL, Pummer TL, Krenzelok EP.

11:00 AM–12:00 PM Platform Session 4 Drug Abuse Abstracts #13–#16

13. Trends in Teen Opioid Abuse. Setlik JA, Ho M, Woodward R, Bond GR.

14. The Ethics of Reporting “Body Packers”. Kreismann E, Siciliano G, Ackerman M, Peress D, Ward MF, Chan GM.

15. Unintended Consequences: Increasing Adolescent Opioid Use and Complications Following the 2000 JCAHO Pain Initiative. Tormoehlen LM, Mowry JB, Bodle JD, Rusyniak DE.

16. Do Medical Examiners and Medical Toxicologists Agree on the Cause of Death? Manini AF, Nelson LS, Olsen D, Vlahov D, Hoffman RS.

9:00 AM–4:00 PM Poster Session 1

(Authors with posters Abstracts #17–#111

10:00 AM–11:00 AM)

17. Epidemiology of Accidental Poisoning Caused by Storage of Non-Food Substances in Food Containers and Unmarked Bottles/Containers. Geller RJ, Kezirian R, Bangar P, Strong D, Carlson T.

18. Health Seeking Behavior after Unintentional Poisoning in Greater Accra, Ghana. Soghoian SE, Clarke E, Nignpense E, Nyadedzor C, Ribaudo E, Markovic A, Viera D, Pfitzenmaier C, Ulrich J, Hoffman RS.

19. Liver Aminotransferase Abnormalities Are Common with Rhabdomyolysis in the Absence of Signficicant Hepatic Injury. Weibrecht K, Dayno M, Darling C, Bird SB.

20. In-Vitro Release of Fentanyl from Transdermal Patches in Gastric and Intestinal Fluid. Arroyo AM, Smith J, Kriger S, Mowry J.

21. The Evolution of the Zip Code: From Streamlining Mail Delivery to Decision Support and Surveillance. Spangler JA.

22. Evaluation of Severe Adverse Drug Reactions (ADR) Reported to 3 Poison Centers (PC). Spiller HA, Griffith JR, Aleguas A.

23. Lethal Blood Lead Level in a Child Treated Successfully with Succimer. Engebretsen KM, Ortega HW, Harris CR.

24. State Department of Health Utilization of Poison Control Center Hazardous Substance Data. Forrester MB, Borders J, Samples-Ruiz M, Harris R, Borys DJ.

25. School-Based Poison Education for Teen Parents. Malheiro MC, Pace ST, Crouch BI.

26. Hemodialysis for Acute Salicylate Poisoning – How Much Is Enough? Minns AB, Cantrell FL, Clark RF.

27. Bradycardia and Prolonged Sedation Following Pediatric Ingestion of Renuzit® Pearl Scents Beads. Goertemoeller SI, Scaglione JM.

28. Changes in Risk Stratification on the Modified Rumack-Matthew Nomogram Following Acute Acetaminophen Overdoses. Dougherty PP, Klein-Schwartz W.

29. Accidental Administration of Adult Dose Oxytocin to a Newborn. Stellpflug SJ, Floan AJ, Lintner CP, Kwon SK.

30. Teaching Pre-School Children about Poison Prevention as Means of Educating Parents. Bivens A, Johnson J, Green L.

31. A Fifteen-Fold Edrophonium Overdose. Kwon SK, Bilden EF, Stellpflug SJ, Lintner CP.

32. Retrospective Review of Anti-Ethanol Drug Acamprosate Poison Center Exposures. Nordt SP, Scaduto L, Clark RF, Cantrell FL.

33. A Retrospective Poison Center Review of Varenicline-Exposed Patients. Kreshak AA, Clark AK, Clark RF, Cantrell FL.

34. The Use of Modern Photographic Technology for Animal Identification. Pruchnicki SA, Baker SD, Jolliff HA.

35. Naloxone in Cardiac Arrest with Suspected Opioid Overdoses. Saybolt M, Alter SM, DosSantos F, Rynn KO, Calello D, Nelson D, Merlin MA.

36. Degradation and Fragment Formation of Succinylcholine in the Prehospital Environment Using Mass Spectrometry. Merlin MA, Marques-Baptista A, Yang H, Calello D, Rynn KO, Aquina C, Ohman-Strickland P, Buckley B.

37. Isopropanol Treatment of Ethylene Glycol Poisoning; Erroneous, but Successful. Hurley WT, Chew A.

38. Fatal Overdose of Bupropion Controlled Gastrointestinal Delivery System; Not Tablets or Capsules Anymore!. Hurley WT, Elko CJ, Yamamoto RI.

39. PCC Public Education and Home Gastric Decontamination Trends. Ward-Fowler L.

40. PCC Management: Using PI Ps and Technology To Maximize Efficiency. DesLauriers CA, Wahl M.

41. Pulmonary Complications Related to Cocaine Base Paste Abuse. Pascale A, Negrin A, Ormaechea R.

42. Successful Resuscitation of a Doxepin Overdose Using Intravenous Fat Emulsion (IFE). Carr D, Boone A, Hoffman RS, Martin K, Ahluwalia N.

43. Fatal Occupational Methanol Toxicity after Confined Space Entry in Two Freighter Crewmembers. Kleiman RJ, Schwartz MD, Nickle RA.

44. Poison Control Center Utilization of Remote Agents during Hurricane Season. Forrester MB, Thompson JD, Villanacci JF.

45. Effect of a Restrictive Pill Identification Policy–Six Years Post-Implementation. Jaramillo JE, Forrester MB.

46. Use of a Survey To Evaluate Education Effectiveness. McDougle B, Chambers-Emerson J.

47. Accidental Poisoning with Monosodium Methanearsonate. Cox RD, Orledge J, Burns BA.

48. Fatal Occupational Exposure to Trimethylsilyl-Diazomethane. Murphy NG, Varney SM, Tallon JM, Thompson JR, Blanc PD.

49. Severe Coagulopathy Associated with a Mild Rattlesnake Envenomation. Englund JL, Kerns, II WP.

50. Ethiopian Mountain Viper Envenomation in South Texas. Fernández MC, González A.

51. Influence of Age on Salvia Divinorum Abuse: Results of an Internet Survey. Biglete SA, Lai EP, Lee DY, Nyi PP, Torrecer GI, Anderson IB.

52. Iron Blister Packing: Another Turn of the Ferrous Wheel. Kreshak A, Tomaszewski C, Castillo E, Miller A, Clark R, Cantrell FL.

53. Efficacy of Intravenous N-Acetylcysteine for Early Non-Staggered Acetaminophen Overdose. Greene SL, Wood DM, Bishop CR, Dargan PI.

54. A Case of Mistaken Identity: A Fatal Paraquat Ingestion in a Child. Chen JG, Lodeserto FJ, Ming DY, Turner KM, Vanderford JL, Sporn TA, Eldridge DL.

55. Fatal Intentional Sodium Azide Poisoning. Mutz S, Meatherall R, Palatnick W.

56. Two for the Price of One: Occult Salicylate Overdose Masked by Sodium Cyanide Ingestion. Meehan TJ, Kalimullah EA, Erickson TB.

57. Crazy for Cacti: A Retrospective Review of Peyote Exposures. Carstairs SD, Cantrell FL.

58. Blood Mercury Concentrations in the U.S. Population, 1999-2006. Mortensen ME, Caldwell KL, Caudill SP, Osterloh JD, Jones RL.

59. Intoxication Associated with “Suicide by Cop”. Holstege CP, Flood JJ, Walsh JP, Bechtel LK, Saathoff GB.

60. The Kiss of Death: Case Report of a Western Gaboon Viper (Bitis gabonica) Bite to the Face. Siddiqui FS, Palatnick W, Schaeffer TH.

61. Central Nervous Toxicity after Ingestion of Tea Tree Oil. Rohde LL, Gummin DD, Kostic MA.

62. Successful Use of the CIWA-Ar Scale for Gamma-Butyrolactone Withdrawal. Dyke N, Thompson JP.

63. Visualization of Poison Center Call Data. Bennett HK, Latimer S, Ellington L, Crouch B, Poynton M, Caravati E.

64. High-Definition Simulators in AHLS: Bringing to ‘Life’ Toxicology Scenarios. Marraffa JM, Stork CM, Nelsen JL, Hodgman MJ, Holland MG, Grant WD, Dougherty M.

65. Chronic Difluoroethane Abuse Associated Peripheral Neuropathy Treated Successfully with Gabapentin. Gupta AK, Chan GM.

66. Clinical Effects Following Aripiprazole (Abilify®) Ingestion by Young Children. Stanford RD, Morgan DL, Borys DJ.

67. Sodium Phosphate and Munchausen Syndrome by Proxy. Arroyo AM, Froberg B.

68. Not Such a Headache after All: A Retrospective Review of Intentional Excedrin® Overdoses. Kalimullah EA, DesLauriers C, Leikin JB.

69. Organophosphate Incidents Reported to the National Pesticide Center: Role of Regulation. Stone DL, Sudakin DL.

70. Media Awareness Campaign Increases Calls to Poison Centers. Chambers-Emerson J, Bell-Davis P, Pruitt P.

71. Systems Issues in the Management of Carburetor-Cleaner Huffing-Related Methanol Exposures at a Regional Poison Center. Letsky MC, Seifert SA, Benson BE.

72. Acute Disseminated Encephalomyelitis and Transverse Myelitis after Intranasal Insufflation of Heroin. Camp‐Rogers T, Cumpston KL, Rose SR.

73. Acute Nicotine Poisoning in a Toddler Resulting in Hyponatremia. Heppermann BM, Bunchman TE, Winters JW, Judge BS.

74. Drug-Induced Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in Children: Clinical Manifestations and Outcome. Finkelstein Y, Soon G, Garcia-Bournissen F, George M, Acuna P, Pope E, Ito S, Shear N, Koren G, Shannon MW.

75. Hyperinsulinemic Euglycemic Therapy for Symptomatic Amiodarone Ingestion. Dolcourt BA, Hedge MW.

76. Secular Trends in Information Calls from The National Poison Data System: 2000–2008. Spyker DA, Bronstein AC, Cantilena LR.

77. “Go Lytely” Dissolves More Quickly. Nordt SP, Clark RF.

78. Increasing Poison Center Case Reports of Male Enhancement Supplements in Texas. Layton GM, Fernández MC, Forrester MB.

79. Do Snakebite Patients of Varying Severity and Achievement of Initial Control Benefit from Antivenom? Kokko J, Yin S, Mlynarchek SL, Bogdan GM, Lavonas EJ, Schaeffer TH.

80. Utilization of Poison Education and Prevention Services: Results from a Web-Based Survey. Gambino AA, Chu AF, Johnson-Arnold L, Kasinadhuni MD, Ruck B, Marcus SM.

81. Medication Identification Using IVR Technology: A Profile of Caller Demographics. Krenzelok EP, Mrvos R.

82. New Insights into Root Causes of Accidental Unsupervised Ingestions (AUIs) of Over-the-Counter (OTC) Medications. Schoenewald S, Ross S, Bloom L, Lin L, Patel M, Shah M, Lynch J, Kuffner E.

83. Two Cases of Atropine Poisoning Suspected from Bottled Water. Hernandez SH, Hoffman RS, Olmedo RE, Vashi AA, Nelson LS.

84. Prolonged Serum Half-Life after Therapeutic Acetaminophen Dosing. Chuang R, Heard KJ.

85. Medication Safety: Who Ya Gonna Call? The Poison Center!. Heinen MA.

86. Girl Scouts and The Poison Center: A Partnership To Maximize Poison Prevention Education. DeRienzo CA, Michels JE.

87. The Incidence of Respiratory Depression during Emergency Department Chemical Restraint of Agitated Patients. Rowden AK, Deitch KR, Aguilera E, Fasano CJ.

88. Thyroid Storm from a Liothyronine Compounding Error. Watts D, Gresham C, Pitera A, Wax P, Ruha AM.

89. The Innocent Victims of Increased Opioid Availability. Goertemoeller SI, Bond GR, Behrman AD, Woodward RW, Ho M.

90. Massive Hymenoptera Envenomation by Native US Yellowjackets. West PL, Hendrickson RG.

91. Prolonged Neuromuscular Weakness and Death after Ingestion of 2,4 Dichlorophenoxyacetic Acid (2,4 D) Despite Early Hemodialysis. Majlesi N, Su MK, Lee DC, McGuigan MA, Caraccio TR, Greller HA, Chan GM.

92. Survey of Caregiver Preference, Dosage Familiarity and Toxicity Knowledge of Common OTC Analgesics. Aguilera EA, O'Malley GF.

93. Strychnine Insufflation in an Adolescent. West PL, Hendrickson RG.

94. A Retrospective Review of Maternal – Fetal Exposures in a Poison Control System. Dodd-Butera T, Broderick M, Clark RF, Chambers C.

95. Methadone Overdose in a Breast-Feeding Toddler. West PL, McKeown NJ, Hendrickson RG.

96. The Utilization of a Social Networking Website To Increase Awareness of Poison Center Services. Michels JE, DeRienzo CA.

97. Sudden Sensorineural Hearing Loss Following Nasal Insufflation of Heroin. Kalimullah EA.

98. Chronic Carbon Monoxide (CO) Poisoning: Myth or Reality – A Systematic Review. Alhelail MA, Varney SM, Steitz A, Heard KJ, Waksman JC.

99. Kinetics and Metabolism of Diethylene Glycol in Rats. Besenhofer LM, Cain M, Latimer B, Bartels M, Perala A, Filary M, McMartin KE.

100. Treatment with Polyvalent Antivenom in an Intoxicated Patient Bitten by Egyptian Cobra (Naja Annulifera). Fuentes JM, Halcomb SE.

101. Increased Intracranial Pressure and Cranial Nerve Palsies Associated with Ethylene Glycol Toxicity. Gupta AK, Majlesi N, Ajagbe O, Chan GM, Lee DC, Carracio TR, McGuigan MA, Greller HA, Su MK.

102. Parents, Grandparents, or Pet Owners? Miller RL, Heinen MA.

103. Mortality after Suicidal Ingestion of Aluminum Phosphide. Gupta AK, Su MK, Chan GM, Lee DC, McGuigan MA, Carracio TR, Greller HA.

104. Sotalol Induced Torsade de Pointes and Enhanced Elimination with Hemodilaysis. Gupta AK, Greller HA, Chan GM, Lee DC, Caraccio TR, McGuigan MA, Su MK.

105. Validation of Self-Reported Drug Use by MSM. Dayno M, McAuliffe C, Rosenbaum C, Fay RJ, Boyer EW.

106. Multiple Pulmonary Emboli and Hyperfibrinogenolysis following Mojave Rattlesnake Envenomation. Sharma K, Bhagat R, Young A, Sarode R, Kleinschmidt K.

107. Alarming US Poisoning Mortality Trends from 1981 to 2005. Martin TG, Sullivan S.

108. Titration of Hyperinsulinemia Euglycemia Therapy for the Treatment of Acute Diltiazem Toxicity. Cumpston KL, Rose SR.

109. Severe Neurologic Injury after Benzonatate Induced Cardiac Arrest. Fleenor JD, Lu JJ, Nekzad MD.

110. Board Certification and Recertification in Medical Toxicology: The First 12 Years. Wax PM.

111. Ingestion of Ricin Seeds from a Castor Bean Plant. Caraccio T, Mestel R, McGuigan M, Yum E, McFee R.

NACCT DAY 3. Friday, September 25, 2009

1:30 PM–2:30 PM Platform Session 5: Basic Science Abstracts #112–#115

112. Mechanism of Toxicity of Cleistanthus Collinus: Vacuolar H+ ATPases Are a Putative Target. Kettimuthu K, Ramachandran A, Lourthuraj AA, Manickam SA, Subramani S.

113. Butanediol (BD) Conversion to Gamma-Hydroxybutyrate, (GHB), Is Markedly Reduced by Fomepizole (4-MP), an Alcohol Dehydrogenase Blocker. Dempsey DA, Wiegand TJ, Havel C, Benowitz NL, Haller C.

114. Dichlorvos- and Methomyl-Induced Respiratory Toxicity Results from Central Muscarinic Effects. Baud FJ, Houze P, Levy G, David A.

115. Early Elevation of Interleukin-6 Concentration in the Cerebrospinal Fluid Is a Predictive Marker of Delayed Encephalopathy from Carbon Monoxide Poisoning. Ide T, Kamijo Y, Ide A, Yoshimura K, Nishikawa T, Soma K.

9:00 AM–4:00 PM Poster Session 2

(Authors with posters Abstracts #116–#210

10:00 AM–11:00 AM)

116. Estimation of Melamine Intake by Chinese Infants. Thomas JD, Skinner CG, Mortensen ME, Osterloh JD.

117. Poison Control Center Calls Relating to Salmonella Serotype Saintpaul Outbreak in April-August 2008. Forrester MB.

118. A Gargantuan Acetaminophen Level in a Patient Treated Solely with N-Acetylcysteine. Coleman P, Zell-Kanter M, Leikin JB.

119. Hydroxycobalamin: An Effective but Challenging New Antidote. Sutter ME, Tereshchenko N, Daubert GP.

120. Neonatal Hemolysis Associated with Nursing Mother Ingestion of Arnica Tea. Miller AD, Ly BT, Clark RF.

121. Vision Loss in a Patient with Metformin-Associated Lactic Acidosis. Kreshak AA, Clark RF.

122. Opioid Drug Death in Washington State; Missed Opportunity? Hurley WT, Hradil M, Sabel J.

123. Snake Bite: Our Experience at a Tertiary Care Centre in North Western India. Bhalla A, Kumar N A, Singh S, Simpson I, Mahi S, Sharma N.

124. Hyperbaric Oxygen (HBO) for Portal-Venous Embolism Associated with Concentrated Hydrogen Peroxide (H2O2) Ingestion. French LK, McKeown NJ, Horowitz BZ.

125. A Case Report of Inhalational Abuse of Agua Celeste. Baeza, III SH, Haynes Jr. JF, Winter ML.

126. Delayed Seizures and Prolonged Toxicity Due to Pediatric Aripiprazole Overdose. Wong S, Goto C, Wax P, Kleinschmidt K.

127. Successful Resuscitation of a Carvedilol Overdose Using Intravenous Fat Emulsion (IFE). Carr D, Boone A, Hoffman RS, Martin K, Ahluwalia N.

128. Lead Toxicity in an Extended Pakistani Family from a Dietary Source. Roche KM, Sauerhoff M, Maryann L, Buzzetti A, Charles M, Sangalli BC, Bayer M.

129. A Poison Center's Role in Care for Disaster Evacuees. Schaeffer SE, Hommel H, Blackwood R.

130. Comparison of the Effects of “Z-drug” Overdose. Miller AD, Maybury MH, Kim E, Nguyen LM, Bui KNT, Clark RF, Cantrell FL.

131. Education Initiatives for the Certified Specialist in Poison Information Examinee. Behrman AD, Goertemoeller SI.

132. Guanfacine Poisoning Complicated by Autonomic Instability. Minns AB, Schneir A, Clark RF.

133. Effective Community Contact. Barta L.

134. Crotalidae Envenomation Causing Recurrent Coagulopathy and Requiring Treatment for More Than Two Weeks. Perotti A, Sollee D.

135. Isoniazid-Induced Status Epilepticus in a Pediatric Patient Following Inadequate Pyridoxine Therapy. Minns AB, Clark RF.

136. Isolated Bupropion Toxicity Causing Serotonin Syndrome. Boyer JB, Lynch MJ, Pizon AF, Lewis E.

137. Lipid Emulsion as an Antidote at the Washington Poison Center; Use in Carbamazepine, Flecanide, Hydroxychloroquine, Bupivacaine, and Bupropion. Hurley WT, Hanlon P.

138. Succimer Chelation vs. Removal from Lead Exposure in Three Symptomatic Phone Cable Recycling Workers: A Case Series. Anderson PJ, Baker B.

139. Acute Bromide Toxicity from an over the Counter Dominican Colic Remedy. Lugassy DM, Nelson LS, Hoffman RS, Howland MA.

140. Protective Effect of Puerarin on Acute Alcoholic Liver Injury. Zhao M, Du Y, Yuan L.

141. Acute Pancreatitis in Amanita Phalloides Poisoning. Jiranantakan T, Olson KR, Magge H, Blanc PD.

142. Delayed Hepatotoxicity from Iron Despite a Low Serum Level and Minimal Metabolic Acidosis. Majlesi N, Lee DC, Chan GM, McGuigan MA, Caraccio TR, Greller HA, Su MK.

143. How Do Poisonings in Children < 6 Really Occur? Targeting Outreach Based on an Analysis of Exposure Scenarios. Schwartz L, Mercurio-Zappala M, Howland MA, Hoffman RS.

144. Paliperidone (Invega®) Overdose: Prolonged and Resistant EPS from an Atypical Antipsychotic in an Oral Osmotic (OROS®) Delivery System. Elko CJ, Willis MJ, Hurley WT.

145. Altered Mental Status Following Methyl Valerate Ingestion. Lank PM, Wahl M.

146. Public Websites Often Lack Key Information about Appropriate Storage and Dosing of Over-the-Counter Medicines for Children. Bothwell RP, Shah MB, Mrazik TJ, Kuffner EK.

147. Iatrogenic Ranitidine Overdose in an Infant Causing Neurological Toxicity. Riley BD.

148. Perirectal Use of Lidocaine: A New Form of Foreplay? Hon SL, Chang AS, Lopez GP.

149. Methanol Poisoning Treated with Fomepizole. McKeown NJ, West PL, French LK, Horowitz BZ, Hendrickson RG.

150. A Case Study of Lionfish Sting Induced Paralysis. Badillo RB, Banner W, Morris, Jr. J, Schaeffer SE.

151. Effect of Therapeutic Acetaminophen Dosing on Urine Excretion of 5-Oxoproline. Cassidy TE, Kalil M, Hodgman MJ.

152. Hyponatremia and Lethargy Following Oxcarbazepine OD in a Pediatric Patient. Burda AM, Strugala MJ, Fishbein C, Ducre B, Howard C, DesLauries CA.

153. Recreational Use of 4-Methylmethcathinone (4-MMC) Presenting with Sympathomimetic Toxicity and Confirmed by Toxicological Screening. Wood DM, Davies S, Puchnarewicz M, Button J, Archer R, Ramsey J, Lee T, Holt DW, Dargan PI.

154. “Taking Another Look” at Pediatric Ocular Exposures. Muller AA, Henretig FM.

155. Verapamil Inhibits the Glucose Transporter GLUT1. Louters LL, Stehouwer N, Rekman J, Tidball A, Cok A, Holstege CP.

156. Analytical Method Development for Stool Mercury Levels in Newborns and Infants after Receipt of Thimerosal-Containing Vaccines. Gotelli M, Lo Balbo A, Gotelli C.

157. I <3 Death N Wnt 2 Die: Implications of Text Messaging in Twenty-First Century Suicides. Meehan TJ, Thompson TM, Bryant SM.

158. School Nurses and the Poison Center – A Great Marketing Mix. Hanoian-Fontana AL, Sangalli BC.

159. A Case of Mirtazapine Induced Dystonia. Bosanquet A, Dyas J, Veiraiah A, Krishna C, Thompson JP.

160. Retrospective Review of Dextromethorphan Ingestions in Children Less Than 6 Years Old. Marquardt KA, Alsop JA, Lackey GD, Lai CL, Lamb JP, Walsh MJ, Albertson TE.

161. The Impact of HIPAA on the Delivery of Poison Center Services. Teter CA, Villarreal CL.

162. Preliminary Study on the Pharmacokinetics of Purified Rabbit Serum PON1 in Rats. Wang N, Dai H, Yuan L, Han Z, Zhao M.

163. Beta Blocker Toxicity Successfully Treated with Intravenous Fat Emulsion: A Case Series. Meehan TJ, Gummin DD, Kostic MA, Cattapan SE, Waghray R, Bryant SM.

164. Lepiota Josserandii Induced Fulminant Hepatic Failure Presenting with Pancreatitis. Lazio M, Mottram AR, Bryant SM.

165. Ethylene Glycol Poisoning Treated with Fomepizole. McKeown NJ, Hurley WT, Hendrickson RG, West PL, Ehlen C, Von Derau K, Horowitz BZ.

166. State Legal Statutes for Poison Center Liability. Williams C, Bryant SM, Aks SE.

167. Nurse Interpretation of the EKG QRS Width. Zimmerman TD, Beuhler MC, Kerns WP.

168. Incidence of Hypoglycemia in Sitagliptin Overdose. Whitney IJ, Borys DJ, Morgan DL.

169. The Works. Arroyo AM, Loy T, Furbee B.

170. Secular Trends in Human Exposures from the National Poison Data System: 2000–2008. Spyker DA, Cantilena LR, Bronstein AC.

171. Severe Hemolysis in Pediatric Case after Ingestion of Miracle Mineral SolutionTM. Williams SR, Dawling S, Seger DL.

172. Seizure, Rhabdomyolysis and Death Following Intentional Overdose of Caffeine-Containing Weight-Loss Supplement. Pulley SA, Cook MD.

173. Direct Cardiotoxicity from an Acute Pentavalent Arsenic Ingestion. Gentry NL, Cumpston KL, Rose SR.

174. Elevated Glycolate Levels after Unintentional Pediatric Ethylene Glycol Ingestion. Holland MG, Stork CM, Hodgman MJ, Rosano T, Marraffa JM.

175. Does Postmortem Toxicological Analyses of Tetrahydrocannabinol (THC) in Aviation Accidents Accurately Identify Its Physiological Impairment at the Time of Accident? Pruchnicki SA.

176. Just When You Thought It Was Safe: The Brown Widow Spider (Latrodectus Geometricus) Makes Her Presence Known on the Gulf Coast. Arnold TC, Ryan ML.

177. Teletoxicology: A Toxicological Diagnosis Made on a Mobile Phone Camera. Akhtar J, Cannon RD, Lynch MJ, Krenzelok EP.

178. An Evaluation of Hepatotoxicity and Nephrotoxicity of Liposomal Amphotericin B. Patel G.

179. Acetylcysteine (NAC) Use for Acetaminophen (APAP) Overdose in Patients Weighing over 100kg. Varney SM, Buchanan JA, Heard K.

180. Anaphylaxis Following Repeat Bite by Venezuelan Eyelash Viper (Bothriechis Schlegelii). Fuentes JM, Mullins ME.

181. When Yellow and Blue Make Patients Green: Nitroaniline Cases at Multiple Hospitals. Scalzo AJ, Tominack RL, Moore JC, Weber JA.

182. Methanol Poisoning with Putaminal Necrosis. Late CT Findings in Emergency Department. Garcia C, Quispe Y.

183. Perilous Propositions: Intubating the Salicylate Poisoned Patient. Lu JJ, Kalimullah EA, Bryant SM.

184. A Therapeutic Misadventure: Prolonged Elimination Half Life of Acetaminophen in a 3 Day-Old Child. Lintner CP, Bilden EF, Kwon SK.

185. Did Massive Recall of Digitek® Tablets Increase Number of Digoxin Exposures to a Poison Control System? Nordt SP, Minns A, Cantrell FL, Tomaszewski C, Miller A, Kreshak A, Carstairs S, Clark RF.

186. The Current Status of the Practice of Inpatient Medical Toxicology at the Bedside in the US. Wax PM, Brent J.

187. National Survey for Epidemiology of Paraquat Poisoning in Korea. Lee MJ, Roh HK, Oh BJ.

188. Dramatic QTc Narrowing after Intralipid Administration in Quetiapine Overdose. Lu JJ, Hast HA, Erickson TB.

189. Comparison of a Toxicology Fellowship Caseload with the Core Content of Medical Toxicology – Implications for Training and the New ToxIC Group. Kleinschmidt KC, Wax PM.

190. Acute Encephalopathy with Concurrent Metabolic and Respiratory Disturbances in First Known Human Ingestion of Banamine (Flunixin Meglumine) and Acepromazine. Wilson AC, Spillane LL.

191. Fatality from Ammonium Bifluoride Poisoning after Ingestion of Grout Cleaner. Chuang R, Exelbert EJ, Heard KJ.

192. How Many Acetaminophen Pills Do Suicidal Patients Ingest? Lavonas EJ, Reynolds KM, Green JL, Dart RC.

193. Is an Initial Severity Score after Crotalid Envenomation Associated with Antivenom Vials Needed To Treat? Zosel A, Yin S, Kokko J, Mlynarchek SL, Bogdan GM, Lavonas EJ, Schaeffer TH.

194. Delayed Salicylate Treatment Requiring Massive Potassium Supplementation. Aleguas A, Foran MP.

195. Are Healthcare Professionals Prepared To Respond to a Radiation Event? A Survey of the Medical and Government Literature. Opportunities for the Toxicology Community To Enhance Preparedness. McFee RB, Caraccio TR.

196. Findings in Germany Concerning Liquid Products and Substances Involving an Aspiration Risk. Hahn A, Begemann K.

197. Prolonged Acetaminophen Absorption Secondary to a Possible Pharmacobezoar. Patil N, O'Donnell K, Salhanick S.

198. Hyperinsulinemic Euglycemia, Continuous Veno-Venous Hemofiltration, and Extracorporeal Life Support for Severe Verapamil Poisoning: Case Report. Aaronson PM, Wassil SK, Kunisaki TA.

199. Using Technology To Harness and Organize Expertise in the Development of Health Education Materials: How a Wiki Can Help You Collaborate. Hamm KM, Simeonov IM, Heard SE.

200. United Kingdom Poisons Information Database (UKPID) – A Centralised National Database. Cooper GA, Dyas J, Thompson JP.

201. Bactrian (“Double Hump”) APAP Pharmacokinetics after Overdose. Hendrickson RG, West PL, McKeown NJ.

202. Chaos to Stability: Innovative Delivery of Drug Identification Services. Colvin J, Tsipis G, Griffin S, Geis C.

203. A Rare Clopidogrel Death in a Multidrug Suicide Attempt. McFee RB, Caraccio TR, Mestel R.

204. Tramadol: Non-Narcotic or Opioid? Behrman AD, Bond GR, Woodward RW, Ho M, Goertemoeller SI, Royer C.

205. Pediatric Buprenorphine/Naloxone Poisoning: A Case Series. Acciani J, Kao L.

206. Lethal Serotonin Syndrome Associated with Ondansetron Administration. Gerol B, Burns J, Griffin S, Benito J, Rosenbaum C, Boyer EW.

207. Fatal Metoprolol-Donepezil (Aricept®) Interaction. Caraccio T, McFee R, Dahm D, McGuigan M, Gupta A, Yum E.

208. Survival of Amanita Virosa Poisoning Treated with Plasmapheresis. Matthews AR, Kleiman R, Thomas J, Crain FE, Chang AS.

209. Facial Dyskinesia in a Child Following Ingestion of Modafinil. Ragone SP, Matthews AR, Kazzi Z, Geller RJ,.

210. Management of Paediatric Poisoning at a Referral Hospital in Zimbabwe. Gadaga LL, Mufukari N, Tagwireyi D.

NACCT DAY 4. Saturday, September 26, 2009

11:00 AM–12:00 PM Platform Session 6: Adverse Drug Events Abstracts #211–#214

211. Subacute Selenium Toxicity from a Nutritional Supplement. Dosary BM, Schwartz MD, Sutter ME, Morgan BW.

212. Ototoxicity of Prescription Opioids. Hedge MW, Smolinske SC, Bailey JE, Dart RC, RADARS® System Poison Center Group.

213. Use of a “Single Bag” System for Intravenous N-Acetylcysteine at a Children's Hospital. Trella J, Osterhoudt KC.

214. Agents of Opportunity in the Healthcare Setting. Farmer BM, Nelson LS, Study Team AO.

7:00 AM–12:00 PM Poster Session 3

(Authors with posters Abstracts #215–#308

10:00 AM–11:00 AM)

215. Neonatal Ethanol Intoxication. Johnson-Arbor KK, McKay CA.

216. Survival Following Intentional Glyphosate/Surfactant Ingestion Despite the Development of Acute Renal Failure. Nelsen J, Marraffa JM, Stork CM, Holland M.

217. A New At-Risk Population: Suicide Attempts by Poisoning in Patients 40-64 Years of Age. Calello DP, Chu AF, Marcus SM.

218. Pattern of Adult Carvedilol Ingestions Reported to Poison Control Centers. Forrester MB.

219. Impact of Hurricane Humberto on Texas Poison Control Center Calls. Forrester MB.

220. Massive Venlafaxine Ingestion Resulting in Hypotension and Pharmacobezoar Formation. Jones JB, Moore JC, Setzer SC, Lintner CP, Roberts DJ.

221. Isolated Mescaline Toxicity Confirmed by GC-MS. Smith JC, Curry SC.

222. Eye Exposure to Live Coral Can Result in Prolonged Conjunctival Injection. Stromness JR, Caravati EM, Crouch BI.

223. The Radiological Emergency Medical Management (REMM) and Chemical Hazard Emergency Medical Management (CHEMM) Programs: Two Critical Information Resources. Madsen JM.

224. Minimal Change Disease Associated with Intentional Elemental Mercury Injection. Wilson EM, Yin S, Waksman JC.

225. Adverse Drug Reactions (ADR) Reported to the National Poison Center Database System (NPDS). Spiller HA, Griffith JR, Casavant MJ.

226. Afrin Gargle; a Novel & Dangerous Method To Control Pharyngeal Bleeding. Hurley WT, Lynn A.

227. Using a Broadcast Fax To Notify Health Care Facilities about Trends in Poisoning. Von Derau K.

228. Palytoxin Poisoning Following Dermal Contact with Zoanthid Coral. Nordt SP, Wu J, Cantrell FL, Clark RF.

229. Automation and the Hazard of Human Error Results in Unexpected Toxicity during Routine Blood Donation. DeHart LM, Darelle HE.

230. Collaboration between a Poison Center (PC) and Occupational Safety and Health Administration (OSHA). Spiller HA, Griffith JR.

231. Loperamide Overdose in a Neonate and Subsequent Reversal with Naloxone. Stellpflug SJ, Lintner CP.

232. The Toxic Trio: Valproic Acid, Lithium & Carbamazepine. Karydes HC, Meehan TJ, Bryant SM.

233. The Spice of Life: A 12-Year Review of Nutmeg Exposures. Carstairs SD, Cantrell FL.

234. Creation of a Secure Web Service To Visualize Poison Center Data for Nationwide Biosurveillance. Bronstein AC, Rhodes MB, Tokars JI, Savel T, Stinn JF, Worthen KW.

235. Flomax® Ingestion with Hypotension in a 3-Year-Old Child. Blume-Odom CM, Scalzo AJ, Sept MF, Menendez JK, Weber JA.

236. Coma Following 70% Isopropanol Enema Resulting from Televised Administration. Webb AN, Beuhler MC.

237. Acetaminophen Induced 5-Oxoprolinuria. Charlton NP, Bechtel LK, Lawrence DT, Haverstick DM, Holstege CP.

238. The Impact of Nuisance Callers on Poison Center Services and Staff Efficacy. Hinson DE, Villarreal CL, Fernandez MC, Dehart LM.

239. Poison Specialists with a Sub-Speciality: Managing Lead Poisoning 2007-2008. Bottei EM, Current C, Noble T.

240. Pill Identification: Comparison of Two Poison Centers (PC). Spiller HA, Baker SD.

241. Seven Years of High Dose Insulin Therapy for Calcium Channel Antagonist Poisoning. Bryant SM, Espinoza TR, Aks SE.

242. A Novel Approach to the Treatment of Opiate Addiction in Adolescents. Jolliff HA, Casavant MJ, Teesel RN, Rogers PD.

243. Lead Pellet in the Pericardium. Mamantov TM, Cirone C, Olson KR.

244. Toxicity Following Massive Acute Paliperidone Ingestion. Lynch MJ, Akhtar J, Protell PH, Krasowski MD, Katz KD.

245. Demographics of Poison Center Educators. Banach GP, Livermore LW.

246. Using NIMS Preparedness To Demonstrate Poison Centers' Value to State and Federal Partners. Bottei EM.

247. Acetaminophen Toxicity and Intravenous N-acetylcysteine Dosing in the Morbidly Obese. Gupta AK, Su MK, Chan GM, Lee DC, Greller HA.

248. E-Learning in Clinical Toxicology for Health Professionals: The Experience of Bergamo Poison Center in Italy. Bacis G, Manfrini R, Dri P, Addis A, Farina ML.

249. Seven Years of Cyanide Ingestions in the U.S. – Critically Ill Patients Are Common, but Antidote Use Is Not. Bebarta VS, Pitotti R, Morgan DL, Borys D.

250. Familial Lead Poisoning Including Two Cases of Neonatal Lead Poisoning. Bottei EM.

251. A Case Report of Fatal IV Elemental Mercury Poisoning. Haynes Jr. JF, McCombs J, Parra G.

252. Redotex Revisited – Intentional Overdose with an Illegal Weight Loss Product. Cantrell L, Ross J, Clark R.

253. Increased Anion Gap from Sodium Thiosulfate Administration in a Dialysis-Dependent Patient: Case Report and Literature Review. Lofton A, George M, Burns-Ewald M.

254. Buprenorphine Withdrawal in a Toddler. Levine M, Ruha AM, Canning J.

255. A National Perspective of Latrodectus spp. Envenomation: 2004-2006. Monte AA, Heard KJ.

256. Adenosine Mediated Cardiovascular Toxicity in Amitriptyline Poisoning Rats. Kalkan S, Hocaoglu N, Oransay K, Buyukdeligoz M, Tuncok Y.

257. Oleander Ingestion: A Study of Outcomes and Therapies Required in Pediatric Oleander Ingestions Reported to XXXX Poison Control Centers from 2004-2008. A Case Review. Goodroad SD, Givens ML, Borys DJ.

258. Epidemiology and Outcome of Unintentional and Deliberate Acetaminophen Poisoning. Dargan PI, Greene SL, Bishop CR, Wood DM.

259. DOM – An Old Street Drug Making a Resurgence. Burda AM, Strugala MJ, Wahl MS, Dimaano JQ, DesLauriers CA.

260. Outpatient Therapy with Baking Soda for Acute Salicylate Overdsose. Cumpston KL, Rose SR.

261. A Cool Case? – Oral Propylene Glycol Antifreeze Ingestion. Kalimullah EA, Leikin JB.

262. Managing Neuroparalytic Snake Bite: Evolving Treatment Paradigms. Bhalla A, Singh S, Kumar A, Suri V.

263. Successful Use of Intravenous Lipid as Adjunctive Therapy in a Severe Calcium Channel Antagonist Poisoning. Oakes JA, Piquette C, Barthold CL.

264. Appalling WA State Poisoning Mortality Trends from 1981 to 2005. Martin TG, Sullivan S.

265. Poison Center Data Identifies Increase in Energy Drink Consumption and Teens as Highest At-Risk Group. Hernández RA, Villarreal CL, Fernández MC.

266. “First Fridays” in the Emergency Department: Chronobiological Implications. Meehan TJ, Prendergast HM.

267. Permanent Vision Loss after Occupational Methanol Inhalation. Young AC, Wax PM, Kleinschmidt KC.

268. An In Vitro Study To Determine the Ability of Albumin and Plasma To Scavenge Organophosphate Compounds. Priyadarshini MJ, Ramachandran A, Oommen A.

269. Clinical Effects and Outcomes Following Unintentional Ingestion of Citalopram (Celexa®) by Young Children. Deitche AL, Morgan DL, Borys DJ.

270. Ibuprofen Ingestion with Delayed Coma, Respiratory Failure, Hypotension and Metabolic Acidosis. Acciani J, Froberg B.

271. Thrombocytosis Induced by Rosuvastatin. Buchanan JA, Varney SM, Chuang R, Waksman JC.

272. Isolated Tramadol Overdose Associated with Brugada Pattern EKG Changes. Cole JB, Sattiraju S, Pace SL, Bertog SC, Asinger RW.

273. Youngest Reported Case of Serotonin Syndrome from Ingestion of Sertraline Alone. Pinchasik D, Pizon AF, Lynch MJ.

274. Conflict of Interest (COI) Management among Pharmacy and Therapeutics (P&T) Committees. Farmer BM, Lesar T, Nelson LS.

275. Unique Lookalike Medication Error Leads to Patient Harm. Farmer BM, Hoffman RS, Nelson LS.

276. Ethiopian Mountain Viper Strikes in the Texas Hill Country. Gonzalez A.

277. Tracking Melamine Exposure Calls Via the National Poison Data System. Skinner CG, Wolkin A, Bronstein AC, Cooper CG, Thomas R, Thomas JD, Schier JG.

278. Whole Fentanyl Patch Ingestion: A Multi-Center Case Series. Mrvos R, Katz KD, Durback-Morris L, Brooks D, Krenzelok EP.

279. Drug ID's or Known Outcomes: Which Do You Prefer? Ryan ML, Arnold TC.

280. Iatrogenic Intralipid Overdose in a Case of Amlodipine Poisoning. West PL, Hendrickson RG.

281. Metformin Associated Lactic Acidosis from a Medication Error. Ferguson KL, Su M, Greller HA, Majlesi N, Chan GM.

282. Encephalopathy after Bladder Irrigation with an Aluminum-Containing Solution. Aleguas A, Patil N.

283. Methemoglobinemia from Radiator Antifreeze Ingestion: Toxicity from an Additive. Murphy NG, Keefe LD, Magee KD, Carew MA, Sonier T, Thompson JR, Bona RD.

284. Impact of Mandatory Carbon Monoxide (CO) Detectors on CO Exposure and Severity. Prosser JM, Soghoian S, Manini AF, Nelson LS, Hoffman RS.

285. Seizure Following Kratom Exposure. Nelsen JL, Hodgman MJ, LaPoint J, Aldous KM.

286. The Addition of an Alpha-Agonist to High-Dose Insulin in the Rescue of Swine Poisoned with a Dihydropyridine Does Not Improve Outcome. Morgan MW, Engebretsen KM, Stellpflug SJ, Vigesaa GS, Dillon CC, Holger JS, Anderson CP.

287. Neonatal Triglyceride Levels after Massive Lipid Bolus – Implications for Lipid Rescue. Bora KM, Hedge MW.

288. Failure of Standard Octreotide Dosing To Prevent Recurrent Hypoglycemia Following Sulfonylyurea Exposure in a Child. Lugassy DM, Nelson LS, Hoffman RS, Howland MA.

289. Do NPDS Opioid Related Human Exposure Calls Reflect Opioid Sales? Bond GR, Woodward RW, Ho M.

290. A Cocaine Death with Concomitant Adulterant-Induced Toxicity. Matthews AR, Oladapo O, Morgan BW.

291. Child Abuse with Cough/Cold Medications. Yin S, Rose B, Green JL, Dart RC, Pediatric Cough/Cold Medication Surveillance Team.

292. Minimal Sequelae after Large Ingestion of Arsenical Herbicide. Majlesi N, Lee DC, Chan GM, McGuigan MA, Caraccio TR, Su MK, Greller HA.

293. Where Do Calls Come from? Analysis of RADARS® System Opioid and Stimulant Poison Center (PC) Mentions by Caller Site and Intent. Sweet LE, Zolot L, Bailey JE, Dart RC, RADARS System Poison Center Group.

294. Munchausen Syndrome from High Dose Caffeine Presenting with Ventricular Dysrhythmias. Williams SR, Vaglio JC, Schoenhard JA, Saavedra P, Raj SR.

295. Transient Diabetes from the Administration of Human Growth Hormone for Performance Enhancement. Schneir AB.

296. Medical Toxicologist Attitudes on Compensation for Services Provided to Poison Control Center. Offerman SR, Brent J, Wax PM.

297. Reversal of Ventricular Tachycardia (VT) from Lidocaine with Amiodarone. Patel G.

298. Long Term Outcome from Selenosis Due to Nutritional Supplementation. Haggerty DA, Curtis J.

299. Fatal Pediatric Exposure to Household Glass Etching Cream. Hoyt J, Rose R, Foster R, Cumpston K.

300. Use of Dexmedetomidine in the Treatment of Scorpion Envenomations. Levine M, Zorn E, O'Connor AD, Truitt C.

301. Know Your Pet–How Important Is It To Know the Snake You Own? Cooper GA, Dyas J, Thompson JP.

302. Inhalant Online Education: Any Time. Any Place. Finkelstein GB, Heinen MA.

303. Colchicine Kinetics in Non-Fatal Overdose. Bora KM, Dolcourt BA, Aaron CK.

304. Role of Poison Control Centers in a Public Water Contamination Warning and Response System. Colvin J, McNally J, Goetz R, Yund C, Bond R.

305. Adverse Drug Effects of Therapeutic Psychotropic Medication in Young Children. Abdulrahman E, Costello B, Al‐Khamees W, DeGuzman M, Geller RJ.

306. Hydrofluoric Acid as an Agent for Self-Mutilation. Greenberg MI, Madsen JM, Curtis JA.

307. Kinetics of Zinc Elimination with and without Chelation. Bora KM, Dolcourt BA, Katiyar A, Aaron CK.

308. Incidence of Actual Toxic Alcohol Exposure in Patients Given Fomepizole Therapy. Wong S, Labat M, Fleishman J, Molai S, King R, Commons B, Kleinschmidt K.

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