October 2010 Newsletter v2 by gjjur4356


									A Bimonthly Newsletter	                                                                                                                                                October 2010

              Presidentʼs Column"............................................................................................................................................1
              2010 Medical Toxicology Board Review Course".............................................................................................2
              ACMT Events at NACCT"
              Welcome New Board Members".........................................................................................................................4
              Welcome 2010 Fellows of the American College of Medical Toxicology"......................................................5
              ACMT Leadership Delivers Symposium at Safety Pharmacology Society Meetings"..................................5
              Journal of Medical Toxicology"..........................................................................................................................5
              MTFITA Minute"....................................................................................................................................................6
              Toxicology in the News"
              Calendar of Events".............................................................................................................................................8

                                                                 I began my ACMT journey first as an official                      Becoming President on June 1, 2008, however,
   Presidentʼs                                                   member in 1994. I was elected to the Board of                   became one destiny in life for me. One of my
                                                                 Directors in 1999 (finally….after being                          primary goals as ACMT’s new President was
   Column                                                        nominated 3 times!) under the leadership of                     to foster and cultivate change to enhance the
                       Michael Shannon MD FACMT, my mentor                             organization’s present and future capacity to
                                                                 and dear friend. For the past 11 years, I have                  adapt successfully to the new and ever-
               strived to improve, grow, and elevate this                      changing healthcare environment. This goal
  Journey                                professional organization to one that                           always included continuing to address the
   Erica L. Liebelt, MD, FACMT                                   represents the highest standards of the                         needs of our own members first and foremost.
   President                                                     specialty of medical toxicology. Being                          In my past 9 President’s Columns in the
                                                                 intimately involved in the numerous and                         ACMT Newsletter, I have also stressed the
                                “Life is a                       various activities that ACMT has undertaken                     importance of aligning our organization’s
                                journey, not a                   in these past years has brought such                            growth and activities with the mission of
                                destination” is a                excitement to my own career as well as                          ACMT:
                                popular quote                    personal fulfillment. On a personal note, my                     The mission of the American College of
                                (credited to                     journey in these past 11 years has included                     Medical Toxicology is to advance quality care
                                Ralph Waldo                      living in 3 different places, having 3 different                of poisoned patients and public health
                                Emerson) that                    jobs, and transitioning my career into the area                 through physicians who specialize in
                                many people                      of patient/medication safety. In addition, I                    consultative, emergency, environmental,
                                use to explain                   have confronted numerous personal and                           forensic, and occupational toxicology.
                                the “how” and                    family challenges which have made me a                          It is important for an organization to have a
                                “why” of many                    stronger person and appreciate every day of                     mission and vision to guide the members and
                                of our life’s                    my life. This entire professional and personal                  its leaders. The themes of my past President
   experiences as well as to understand and                      journey has taught and reaffirmed to me the                      columns and our ACMT Newsletters sum up
   have a better awareness of why we are doing                   importance of so many of life’s principles and                  wonderfully the strategies, activities, and
   what we are doing. However, for me,                           leadership principles—the need for ongoing                      exponential growth that ACMT has
   becoming the President of the American                        learning, trust, patience, tolerance,                           undergone in the past 10 years. All of these
   College of Medical Toxicology was both a                      communication, collaboration, fostering the                     accomplishments have been achieved through
   destination and a journey.                                    growth of others, and gratitude, to name only                   the creativity, dedication, hard work, and
                                                                 a few.                                                          tireless efforts of our members, the Board of

              American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Directors, and our new Administrative Staff.             Fall 2009: Expanding our Boundaries Further              I am looking forward to continuing my
I invite you to read or reread them to                   – “The Medical Toxicologist and Medication               journey, now that this destination is over. I am
demonstrate how ACMT, your organization,                 Safety”                                                  planning on spending more time with my
is advancing and improving the specialty of                                                                       family, traveling the world for new cultural
medical toxicology in a fiscally responsible              Winter 2009: “Transitioning an Award…A                   experiences, and exploring new opportunities
manner through educational, practice and                 New ACMT Tradition” (well, this wasn’t so                for my professional development and career.
research initiatives; collaboration with other           great!)
toxicology organizations; expansion into new                                                                      I encourage you to become involved with the
healthcare areas; outreach to our                        February 2010: “New Initiatives for a New                College and/or the Medical Toxicology
international medical toxicology colleagues;             Year 2010”                                               Foundation, as ACMT and the MTF will only
and mentorship to our future and present                                                                          flourish and grow as a national organization
medical toxicologists on all levels.                     Spring 2010: “Setting a Research Agenda for              as long as its members continue to be
                                                         Medical Toxicology – A Call for Priorities,              involved and contribute their thoughts and
Summer 2008: “Change is Good”                            Collaboration, and Action”                               efforts. I also ask you to please consider
                                                                                                                  making a financial donation to the Medical
Winter 2008: “Who and What is ACMT”                      Summer 2010: “Advancing Medical                          Toxicology Foundation. No other
                                                         Toxicology through Mentorship”                           organization is better equipped to help meet
Spring 2009: “ACMT’s Important Role in                                                                            the demand for better patient care today
Fostering the Growth of Medical Toxicology”              It has been an honor serving the members of              through sustaining our specialty, while
                                                         ACMT as its President for the past 28 months.            advancing education and research that will
Summer 2009: “The Economy and ACMT:                      It is now time to turn over the leadership to            yield tomorrow’s medical breakthroughs in
Toxic Assets or Assets in Toxicology”                    Lewis Nelson MD FACMT who will provide                   our specialty.
                                                         new energy and new ideas through his
                                                         ongoing dedication to our organization.                                          Return to Table of Contents

2010 Medical Toxicology Board Review Course"
                                 On September 11-13, 2010, ACMT held its biennial Medical Toxicology Board Review Course. Over 100
                                 ACMT members were in attendance at the Westin hotel overlooking Fountain Square in the middle of
                                 downtown Cincinnati. The three day course was filled with toxicology information from mechanisms to
                                 antibodies, including occupational and environmental toxins. Highlights included a stimulus room and
                                 an outstanding group of ACMT lecturers. A special thanks to Sean Bryant, MD and Stephen Munday,
                                 MD for all their hard work as course organizers. The course is held every other year prior to the ABEM
                                 toxicology certification and re-certification exams. The course will be held again in the fall of 2012.

    Sean Bryant, MD, FACMT

              American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
ACMT Events at NACCT
That time of year is here again - the annual NAACT meeting is just around the corner. As always, ACMT will be very active at the
meeting. All of our programs promise to be interesting and relevant, from our pre-meeting symposium on “Euphoria and Dysphoria” to
our always entertaining, educational and popular CPC.

       Please check here for a schedule of all of the ACMT activities, including ACMT symposia,
                               committees, and other ACMT workgroups.

                                                   2010 ACMT BUSINESS MEETING
                                                       Thursday, October 7, 2010
                                                        11:45am-1:00pm MDT
                                             Hyatt Regency in Mineral Hall A,B,C (3rd floor)

                                                     Lunch will not be provided.
                     Prepackaged sandwiches will be available for purchase in the hotel lobby at Perks Coffee & More.

                                                             Click HERE
                for the meeting agenda, 2009 meeting minutes, financial statements, and documents for membership vote.

                                                                                                    FACMT Reception
          Join us at NACCT to honor                                                                Thursday, October 7th at 6:00pm
            Kent Olson, MD, FACMT                                                                      Earl's Restaurant & Bar
                                                                                                    1600 Glenarm Place, Suite 140
                with the 2010
         Matthew J. Ellenhorn Award.                                               All Fellows of the College (FACMT) are invited to attend
                                                                                       the annual ACMT Fellows Reception to recognize
        Monday, October 11th, 2010                                                          newly inducted Fellows of the College.

                5:00pm MDT                                                                                  RSVP is Required.
      Centennial Ballroom D, 3rd Floor                                                                      Click here to RSVP

                                                               ACMT CPC
                                                    Friday, October 8, 2010 at 5:15pm
                                                       Centennial Ballroom ABC


    Don’t forget to stop by the ACMT booth in your free time. We look forward to seeing everyone again to continue our education and
                                        networking, as well as to renew long lasting friendships.
                                                                                                                                           Return to Table of Contents

           American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Welcome New Board Members
ACMT is pleased to welcome three new members to our Board of Directors
Steven E. Aks, DO, FACMT

                                          I am honored to serve on the ACMT Board of Directors. After completing my training in Medical Toxicology with the Toxikon Consortium (Cook
                                          County Hospital, University of Illinois, Rush University and the Illinois Poison Center), I stayed with our group and initially served as the Education
                                          Director. For the Past 13 years I have been the Toxikon Fellowship Program Director. I followed in the footsteps of our founder and my mentor, Daniel
                                          Hryhorczuk, and have been the Director of the Toxikon Consortium for the past 7 years. Toxikon is a unique and fantastic model of medical toxicology
                                          practice. We have learned that by pooling our scarce toxicology resources throughout the city, we maintain strength. We have also been able to amplify
                                          our ability to educate and collaborate through this model.

                                          Collaboration and developing the next generation of toxicologists is the key to our successful future. I am very proud to have had a significant role in
                                          the development of a board certification process for graduates of Osteopathic Residency Programs who train in our fellowships alongside of our ABMS
                                          certified fellows. I would love to work with the ACMT as it takes a leadership stance in developing training programs and collaborations, and to reach
                                          out to prospective toxicologists and international clinicians.

                                          Over the past 2 years I have thoroughly enjoyed my role as the Chair of the ACMT’s Fellowship Directors Committee. During this time we were able to
                                          give specific feedback to the ACGME about the current state of the fellowship requirements. Under the leadership of Patrick Daubert, we successfully
                                          launched the first pilot fellows-in-training practice examination. I took over this committee from Mark Kirk and he made the fantastic suggestion that
                                          we should do more things like the Council of Residency Directors does for EM. I agree with that thought, and I would be eager to continue to foster
                                          collaboration between the fellowship programs, and be involved with developing programs that strengthen the Toxicology training throughout our
                                          specialty. I hope to bring my skills and energy as a member of the ACMT Board of Directors.

Michele Burns Ewald, MD, FACMT
I am thrilled to have been elected to the ACMT Board of Directors. Having attended both Emory College and Emory School of Medicine followed by my
pediatric residency at the University of Texas Southwestern (Parkland Hospital/Children’s Medical Center), I moved to Boston in 1995 for a combined
fellowship in Pediatric Emergency Medicine & Medical Toxicology at Children's Hospital Boston. I became the Medical Director of the Poison Control Center
for Massachusetts & Rhode Island in 2000 and the Harvard Medical Toxicology Fellowship Director/Chief of the In-Patient Toxicology Program in 2001. I am
an Assistant Professor of Pediatrics at Harvard Medical School.
My previous involvement with ACMT includes active participation in the Education Committee; I both organized and lectured at the NACCT Pre-Meeting
Symposium in 2004 and then again will coordinate and speak at this same NACCT Symposium in Denver in the fall. I have spoken at the Board Review Course
in 2004 and 2006 as well as lectured at the Agents of Opportunity courses in New England. I have taken part in the annual CPC and have served as a judge for
this exciting competition. I am involved with ToxIC (Toxicology Investigator’s Consortium) and am a reviewer for the Journal of Medical Toxicology. Finally, I
participate in the Fellowship Directors Committee and am contributing to the development of the newly updated in-service examination.
My goal as an ACMT Board Member would be to advance our specialty forward by both expanding the recognition of the medical toxicologist’s role within the
American Academy of Pediatrics (AAP), American College of Emergency Physicians (ACEP) and American College of Occupational & Environmental
Medicine (ACOEM) organizations as well as advocating for ourselves in terms of subspecialty fiscal remuneration. Focus on fellowship recruitment and
training is paramount as innovative teaching strategies and peer/collaborative mentorship models encourage longitudinal professional growth. I am honored
to serve on the Board and I fully commit to further promoting our expertise amongst the medical community and in the public health arena.

Dan Rusyniak, MD
                                          In telling his fellow soldiers why he joined the army, Bill Murray, in the in the movie Stripes, states it's the “stories that you tell”. As medical toxicologists we are, at
                                          our core, story tellers. For many of us this was the draw to medical toxicology. The overdoses, exposure, envenomations that one could never, nor would ever,
                                          dream up. They did what? Ingested how much? Where? But we are more then the stories we tell. We also must treat the unthinkable, know what unique tests to
                                          order, what treatments that have never been tried that need to be tried, know what unexpected complications arise from the drugs or chemicals our patients are
                                          exposed to, and so much more. This is what makes our profession one of the few that still relies not only clinical knowledge but on basic science (e.g. Pharmacology,
                                          Physiology, and Biochemistry). While I would guess that within our own hospital systems we are viewed of as the “really smart” consultants who can figure out the
                                          unfigureable medical problems, as a profession we are still largely thought of as … well storytellers. It is this notion that we as a medical profession need to
                                          overcome. As a board member of ACMT, I will work toward helping us accomplish this.

                                          To achieve recognition beyond our hospital systems, Medical Toxicology will need to convince the medical profession, as a whole, of what our hospitals already
                                          know –we are brilliant clinicians, teachers and researchers. Much of what ACMT has accomplished to date has helped put us on the road to achieving this. Clinical
                                          collaborations with government agencies like ATSDR, CDC, WHO have expanded our reach nationally. Forming a research consortium (ToxIC) is a great start
                                          toward developing a network of clinical researchers; by increasing the amount and quality of the research manuscripts we produce in our speciality we will increase
                                          our national recognition. And lastly, by recruiting highly qualified and skilled fellows into the field and then preparing them for success, we will seed many more
                                          hospital systems with many more toxicologists. It should be our goal to have a medical toxicologist in every hospital system in the country, to have a NIH study
                                          section dedicated to toxicology research, and to create new fellowships to meet the demands of our graduating residents interested in toxicology – imagine having to
                                          create new programs because interest outstrips demand. While these long term goals may seem a bit “pie in the sky”, I believe they are achievable if we make them
                                          our society’s goals. It is as a board member of ACMT that I will advocate for this.

I have been an active member of ACMT since my fellowship. For the last two years I have served as the research chair and in this role have helped lead a group of talented physicians who created new
programs such as the first ever scientific poster session at our spring meeting: A session that would only accept research and no case reports. Our committee has also helped with the development of the
ToxIC research consortium. In addition, last year I joined the board of the Journal of Medical Toxicology. It is in this capacity that I hope to help get our message out to a wider public by increasing the quality
and visibility of our work. As a board member I will continue to work on helping our profession achieve its long term goals – national recognition in service, teaching and research.

                                                                                                                                                                                              Return to Table of Contents

                 American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Welcome 2010 Fellows of the                                                         Journal of Medical Toxicology
                                                                                    JMT Update
American College of Medical                                                         David H. Jang, MD
Toxicology                                                                          New York University
                                                                                    Fellow-in-training Editorial Board Member
Please join us in congratulating the following members of ACMT who
have applied for and have been recommended for Fellow                                                         Many members may have noticed the changes in
status (FACMT) to be recognized at NACCT in Denver.                                                           JMT mentioned in the previous newsletter. The
                                                                                                              June 2010 issue introduces the first article in one
                      Vikhyat Bebarta, MD, FACMT                                                              of the two new features to JMT, ‘Articles you
                        João Delgado, MD, FACMT                                                               may have missed’ authored by William Kerns II.
                         James Diaz, MD, FACMT                                                                The purpose of this new feature is to briefly
                      Matthew Hedge, MD, FACMT                                                                review important articles relevant to the practice
                     Robert Hendrickson, MD, FACMT                                                            of medical toxicology printed from non-
                         Mark Kostic, MD, FACMT                                                               mainstream toxicology journals. The articles
                       Mitchell Ross, MD, FACMT                                                               reviewed cover a range of topics including basic
                       Aaron Schneir, MD, FACMT                                                              science and occupational exposures. The
                    Matthew Sztajnkrycer, MD, FACMT                                 advantage of this new section is that it allows readers to stay current in
                                                                                    this rapidly growing field, even if they do not have access or time to
                          Click here to see their bios.                             review all of the relevant journals.
Physicians who are full members of ACMT and apply for fellow status in
the College (FACMT) are evaluated by a subcommittee of the                          Perhaps the most striking characteristic of the June 2010 JMT is the size!
Membership Committee. Criteria includes significant involvement in the               The first comment I heard from my colleagues was about the size of this
practice, research, and teaching of medical toxicology, as well as                  issue. It is easily double, if not triple the length of previous issues. While
contributions in poison center medical affairs, public service, and service         length alone does not determine the quality of a journal, this issue of JMT
to the College. If these rigorous criteria are met, the subcommittee                is full of not only well-written case reports, but most importantly cutting-
recommends to the Board of Directors and the membership of the                      edge investigations including the study of verapamil inhibition on
College that the application be approved and the member granted the                 glucose transport activity.
honor of recognition as a Fellow of the College (FACMT).
                                                                                    So why the dramatic increase in the number of quality articles in this
                                                                                    issue of JMT. As a fellow-in-training (FIT) editorial board member, I also
ACMT Leadership Delivers                                                            participate in all board meetings. Many leaders in our field come
                                                                                    together (whether at our national meetings or by phone) to discuss the
Symposium at Safety                                                                 future direction of JMT. To give members a sense of the quick growth of
                                                                                    JMT in the past few years, in the year of 2007 there were 57 submissions,
Pharmacology Society                                                                which more than doubled to 121 submissions last year. Some other
                                                                                    important reasons also includes rapid online publishing prior to print
Meetings                                                                            publication which increases attractiveness to authors as well as JMT
On September 22, 2010 ACMT President, Erica Liebelt, MD, FACMT and                  obtaining indexing. Perhaps most importantly, a significant proportion of
ACMT Executive Director, Paul Wax, MD, FACMT presented a                            submissions are from non-US countries such as India and Australia,
symposium at the Safety Pharmacology Society (SPS) Annual Conference                which reflects worldwide interest in our journal.
entitled “Medical Toxicology: Extension of Safety Pharmacology
Principles to a Clinical Setting.” Invited by SPS’s Vice President Elect            Another important factor for the growth of JMT is the significant change
Hugo Vargas, PhD, Drs. Liebelt and Wax were asked to provide an                     in journal turnaround time. For members who may not be aware, when a
overview of medical toxicology to these mostly preclinical safety                   manuscript is first submitted it is reviewed by the managing editor who
pharmacologists and toxicologists who are engaged with the functional               determines if the submission should be sent for review. Worthy
characterization (CV/CNS/Resp, etc) of potential off-target drug effects            submissions are then sent to a editor to send out for review. Once all
prior to human testing. Sam Jackson, MD, an ACMT member who works                   reviews are received, a decision is made. Having a prolonged turnaround
for Amgen, was instrumental in introducing medical toxicology and                   time would discourage authors from submitting quality manuscripts.
ACMT to Dr. Vargas, which in turn resulted in this new networking                   When comparing journal turnaround time from 2008 to last year, the time
opportunity for ACMT. The talks were very well received and led to                  has nearly been cut in half! There are other parameters that many
discussion about how those involved in the preclinical arena may be                 journals also evaluate such as rejection rate, pages published, and journal
interested in our overdose experiences and correlation with their                   usage. In summary, this current issue of JMT represents a large milestone,
preclinical high dose data. As a result of this initial exchange ACMT               and I look forward to continued growth and change.
hopes to interact more with this society in the future.
                                                                                                                                        Return to Table of Contents

            American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Medical Toxicology Fellows-In-Training Association
Soumya L. Pandalai, MD
Medical Toxicology Fellow
Emory University/CDC/Georgia Poison Center

Greetings to everyone as we prepare to meet at our annual congressional meeting in the mile-high city of Denver, Colorado! I’m sure it
has been a busy summer for all of us with new fellows eagerly taking their first calls and transitioning into a fellowship that is exciting,
invigorating and continuously evolving. National and annual conferences offer multiple opportunities for toxicologists in various aspects
of their training to meet other fellow colleagues, increase awareness of new areas of scientific research, and explore career opportunities
for the future. There are many opportunities to socialize and get-to-know fellow colleagues during the course of the week. Two specific
activities organized by the fellow board of ACMT include a Friday night social on October 8th at 8pm at 5 Degrees Bar on 1475 Lawrence
Street and a visit to Cru- a premier wine bar with fine selections on Sunday October 10th at 8pm on 1442 Larimer Street.

As we gather together for several days to share common interest for the field of medical toxicology, let us remember the founding of these
organizations that now serve to advance the field into the future of scientific advancement. The American College of Medical Toxicology
(ACMT) was organized in 1993 as the primary organization to serve physicians who are Medical Toxicologists. The field of medical
toxicology was initiated in the late 1960’s mainly as the need for specialists who had an interest and expertise in natural and chemical
toxins including envenomations and the impact of adverse drug reactions and medication errors on our healthcare system. While these
subjects continue to excite and interest clinicians and scientists world-wide, the field of medical toxicology has expanded exponentially to
include other topics such as radiation, food safety, alternative and complementary medicine, environmental health and quality
improvement of hospitals to reduce system-wide errors.

This year alone has been one of grave environmental concern and impact. In early 2010, a devastating earthquake affected millions of
people in Haiti, where they continue to suffer from the impacts of poor living conditions and pollutants that have been released into the
environment. The volcanic eruption in Iceland on April 5, 2010 released large quantities of toxic gases into the atmosphere and caused
rifts of other adjacent volcanic beds to erupt highlighting the fragility of the earth’s crust, all of which raised concerns about other
volcanoes that could erupt in the future. The oil spill that occurred in the Gulf of Mexico in early July had a large impact on the bio-
aquatic ecosystem, as well as a financial burden to local residents, fisheries and industries covering a large geographical area. Finally, the
floods in Pakistan in August 2010 were one of the largest ever recorded in SE Asia, and raised concerns about toxic aquatic organisms
that are washed ashore having severe health impacts on starving communities. These events are by no means the only environmental
disasters worth mentioning, but serve as a reminder of the acute and long-term impact of natural and environmental disasters on
ecosystems, habitat and communities and the critical role that medical toxicologists can play as scientists, educators and public health
advocates to assist during times of environmental disasters. Additionally, collaborating with specialists like those in infectious diseases to
investigate food borne outbreaks serves as an opportunity to expand our own scientific dimensions while sharing our expertise and
insights with other disciplines and organizations.

While many of our patients represent populations that suffer from illicit drug abuse, prescription drug overdoses continue to be the
second major leading cause of death in the United States today, second only to that of motor vehicle collisions. These emphasize the
importance of educating both health care providers and the public on the safety and adverse effects of these medications and instituting
quality improvement measures in hospitals to optimize patient and public safety.

Finally, the need for continuing and expanding current toxicology rotations for prospective students and residents cannot be under-
estimated and is a critical component to the growth and success of our field. If members of your team or institution are unable to attend
the conference in Denver of 2010, please share the information and insights you gain as it may serve as an opportunity for all of our
departmental colleagues to benefit from our shared experience.

We hope that you can join us as we meet the first-year fellows (our newest colleagues), re-unite with old friends and continue to share a
few days in the company of those who share a common passion for a field that is continuously evolving and will stimulate the neuronal
cells in our brain for years to come.

    Please send along any questions, comments and feedback that you have. Thank you!	


                              American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Toxicology in the News
A “black widow” ethylene glycol poisoner dies of propranolol                        There’s not an App for That
poisoning                                                                           Forests aren’t just dangerous for brown tree snakes, but children, too. A
A Georgia woman who had fatally poisoned her husband and boyfriend                  toddler in Canada was hiking with her parents when they spotted her
with ethylene glycol was found dead in her prison cell. The manner and              with a mouthful of unknown berries. They were not able to stop her
cause of death was determined to be suicide from propranolol poisoning.             from swallowing the berries, but her father snapped a picture of the bush
Her husband had been found dead in 1995, and initially believed to have             with his iPhone. They posted a picture of the plant on Twitter. The plant
died from a cardiac dysrhythmia. When her boyfriend died in 2001 from               was identified as the toxic White Baneberry, Actaea pachypoda. The child
ethylene glycol, her husband was exhumed and the medical examiner                   developed some gastrointestinal symptoms, but did fine.
found traces of this same chemical.                                                 Click here for full story
Click here for full story.
                                                                                    Penn and Teller
                                                                                    This video by the comedic duo explains why vaccinations would save
Poisoned Rhinoceros horns and mice paratroopers?
                                                                                    lives even if they did cause a few cases of autism (and they don’t.) This
A single rhino horn can go for $70,000 on the black market. In some
                                                                                    video is not as informative as the position statement by the American
Asian medicine practices they are used as aphrodisiacs or treatments for
                                                                                    Academy of Pediatrics but try getting your Facebook friends to read that
cancer. These health claims have not been backed by any medical
                                                                                    position statement.
evidence. “I don’t care about medical evidence,” said one poacher who
was about to collect $70,000. (Quote invented for this story.) Trade in
                                                                                    Other blogs call crock on vaccine-induced dystonia story
rhino horns is illegal under the Convention on International Trade in
Endangered Species of Wild Fauna and Flora (CITES.) Conservationists
worry rhino poaching is threatening the species. One South African has
an idea- inject cyanide into rhino horns. The cyanide won’t hurt the
rhinos, because the horns are keratinized and do not have a blood
supply. Of course, the cyanide would be toxic to anyone who ingested
products made from the horn. This isn’t ethical, even though the sound              Serious Toxicology News
of orphaned a baby rhinos makes me very sad.
Click here for full story                                                           The FDA has approved the use of pralidoxime in organophosphate-
                                                                                    poisoned children. I am not sure what was the immediate impetus for
Here is a crazy idea that just might work - air dropping frozen mice,               this announcement, but better later than never.
loaded with acetaminophen, into a forest canopy in order to kill snakes.            http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements
The United States Department of Agriculture helped formulate this plan
to kill the brown tree snakes, introduced in the 1950’s, that are eating
indigenous species. The planners don’t want the mice to fall to the                 ACMT member weighs in on ABC about vaccine-induced dystonia story
ground, however, where they might poison native mice predators. So, the
planners developed biodegradable parachutes (made from materials                    Gas sickened girls in Afghan schools
from a party store) that will get tangled in the trees where only the
nonnative tree snakes can get them. After reading this story my first                High school lab technician jailed for poisoning girl with chlorform
thought was, “How did they know that acetaminophen is poisonous to
brown tree snakes?”
Click here for full story.
                                                                                                            GET INVOLVED!
Poisoning Prevention 101
Don’t use a sippy cup to apply insecticide. Thankfully, no one got hurt in            Our members are the lifeblood of our organization and
this one.                                                                            you are always invited to become a more active member
Click here for full story.
                                                                                                     by joining a committee.

                                                                                         Click here to learn more about ACMT Committees.

                                                                                      Email info@acmt.net if you are interested in joining one.

            American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net
Calendar of Events
October 7"         "         ACMT PreMeeting Symposium                      ACMT 2011                                        MARCH 18-20
                                                                                                                             HYATT REGENCY RESORT
October 8"
October 9-12"
                             AACT PreMeeting Symposium
                             NACCT - Main Conference
                                                                            S PRING C ONFERENCE                              CLEARWATER BEACH, FL

                                                                                                             Tots, Teens
"       "          "         Denver, CO
                                                                            Day - 1
November 8-9"      "         ACMT Seminars in Forensic                      Adverse

"     "            "         Toxicology: Opioids                            Drug Effects
"     "            "         Philadelphia, PA

"     "            "         Course Brochure
                                                                            Day - 2
"     "            "         Register Here
                                                                            Drug Abuse
November 16-17"    "         ACMT-IST Joint American-Israeli
                                                                                                              Current Drug & Environmental
"     "            "         Conference
"     "            "         Conference Agenda                              Day - 3                            Threats to Children’s Health
"     "            "         Registration Form                              Environmental
"     "            "         Haifa, Israel                                  Toxins                                         Register Here
                                                                                                                      Reserve Hotel Here
December 13-14" "            ACMT Seminars in Forensic
"      "        "            Toxicology: Ethanol & Marijuana
"      "        "            San Francisco, CA"       "                 "
"      "        "            Course Brochure
"      "        "            Register Here


March 18-20"       "         9th Annual ACMT Spring Conference
"       "          "         Clearwater, FL
"       "          "         Preliminary Program
"       "          "         Register Here
                                                                                                                                       Return to Table of Contents

    ACMT members please share with us any news of yourself or                         Board of Directors
    ACMT colleagues. We would like to hear about awards, grants,                      Erica Liebelt, MD, FACMT — President
    collaborations, moves, promotions, interviews, media                              Lewis Nelson, MD, FACMT— Vice President
    interactions, invited national or international presentations or                  Suzanne White, MD, FACMT — Secretary-Treasurer
    any other accomplishments for incorporation into our                              Leslie Dye, MD, FACMT
    bimonthly newsletter. How do you like the new format of the                       Howard Greller, MD, FACMT
    newsletter? Send information to newsletter@acmt.net.                              Charles McKay, MD, FACMT
                                                                                      Stephen Munday, MD, FACMT
                                                                                      Michelle Ruha, MD, FACMT
                                                                                      Curtis Snook, MD, FACMT
    Thank you - The Editors

    Josef Thundiyil, MD (joseft@mindspring.com)                                       Staff
                                                                                      Paul Wax, MD, FACMT - Executive Director
    Craig Smollin, MD (csmollin@gmail.com)                                            Tricia Steffey - Administrative Assistant
                                                                                      Jim Wiggins, MPH - Educational Coordinator
    Andrew Stolbach, MD (andrewstolbach@hotmail.com)

           American College of Medical Toxicology 10645 N. Tatum Blvd. Suite 200-111 Phoenix, AZ 85028 Phone: (623) 533-6340 Email: info@acmt.net

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