Detailed Scientific Programme

DETAILED SCIENTIFIC PROGRAMME

PRECONGRESS

PRE-CONGRESS

FUNDAMENTAL AND APPLIED STUDIES IN POISONING – AN OVERVIEW OF THEIR ROLE FOR THE CLINICAL TOXICOLOGIST

09:00-09:01 Welcome and opening Martin Wilks, Switzerland, and Paul Dargan, United Kingdom Session 1 Moderators: Martin Wilks, Switzerland, and Paul Dargan, United Kingdom 09:01-09:30 In silico studies: Modelling drug-induced liver injury using machine learning Felix Hammann, University Hospital Bern, Switzerland 09:30-10:00 Use of in vitro studies for prediction of clinical NPS toxicity Dino Lüthi, Medical University of Vienna, Austria 10:00-10:30 Animal models to understand the mechanisms of toxicity and optimise poisoning management Bruno Mégarbane, Paris-Diderot University, France

At the end of this session the audience should be able to:  Explain the potential and limitations of machine learning and cheminformatics for drug induced liver injury.  Name at least one advantage and one disadvantage of in vitro research as predictor of the clinical toxicity of NPS.  To understand how experimental animal models are designed and to which level they contribute to understand toxicity in humans.

10:30-11:00 Rest break

11:00 Session 2 Moderators: Bruno Megarbane, France and Katrin Faber, Switzerland

11:00-11:30 Genomics, pharmacogenomics and genotyping, an overview for the clinical toxicologist Alexander Jetter, University Hospital Zürich, Switzerland 11:30-12:00 Identifying exposure biomarkers with metabolomics: the example of dioxin Serge Rudaz, Université de Genève, Switzerland 12:00-12:30 Pharmacokinetic-pharmacodynamic modelling in clinical toxicology Lucie Chevillard, Paris Descartes University, France

At the end of this session the audience should be able to:  Describe the opportunities and the limits of pharmacogenomics in patient care.  Know how metabolomic approaches could be useful to tackle the impact of toxicant such as acute dioxin exposure on human metabolism.  Learn the interest of different methods of pharmacokinetics analysis and how to relate PK to the markers of intoxication (pharmacodynamic) to better understand the possible mechanisms involved.

12:30-13:45 Lunch break

13:45 Session 3 Moderators: Evangelia Liakoni, Switzerland, and Geert Verstegen Belgium

13:45-14:15 Cell cultures: In vitro human cell cultures to predict drug toxicity Dirk Steinritz, Institut für Pharmakologie und Toxikologie der Bundesweh, Münich, Germany 14:15-14:45 A general roadmap to investigate the main mechanisms of mitochondrial toxicity Bernard Fromenty, INSERM, Rennes, France 14:45-15:15 Organ chips: principles and applications for clinical toxicology Pierre-Jean Ferron, INSERM, Rennes, France

At the end of this session the audience should be able to:  Explain the benefit but also the limitations of in vitro cell culture models for predicting acute drug toxicity.  Describe how xenobiotics disrupt mitocondrial metabolic pathways and the methods of investigation for these.  Overview of the different models of organ on chips and organoids used to identify toxicity mechanism: from the clinical case to the cell biology laboratory.

15:15-15:45 Rest break / (opportunity for short individually arranged satellite meetings)

15:45 Session 4 Moderators: Laura Hondebrink, The Netherlands and Piotr Kabata, Polonia

15:45-16:15 Imaging in neuropharmacology: applications to clinical toxicology Nicholas Tournier, CEA, Orsay, France 16:15-16:45 Neuro-electrophysiology - principles and applications in organophosphate poisoning Tharaka Dassanayake,University of Peradeniya, Sri Lanka 16:45-17:15 Understanding individual differences from big data analysis of patient records Heikki Nikkanen, Mount Auburn Hospital, Boston, USA

At the end of this session the audience should be able to:  Outline how PET imaging and specific biomarkers may be utilised to study kinetics and interactions in the CNS.  Outline the basis of neuroelectrophysiological tests that assess peripheral nerves, neuromuscular junctional transmission and the central nervous system in organophosphate poisoning.  Describe the strengths and weaknesses of manipulation of large data sets for meaningful research in toxicology.

17:15 End of Pre-congress symposium 2021 Moderators: Laura Hondebrink, The Netherlands and Piotr Kabata, Polonia

MAIN CONGRESS 26 to 28 May 2021

DAY 1

08:45-09:00 WELCOME AND OPENING / INTRODUCTION TO THE CONFERENCE PLATFORM Hosts: Horst Thiermann, EAPCCT President Lotte Hoegberg, EAPCCT/SMC Chair

CAUSTIC INGESTION SYMPOSIUM Moderators: - Ingrid Berling, Australia and Davide Lonati, Italy

09:00-09:20 Epidemiology of caustic ingestions in children and adults Maren Hermans-Clausen, University Hospital, Freiburg, Germany 09:20-09:40 The role of CT in the assessment of oral caustic injury Pierre Cattan, Saint-Louis Hospital, Paris, France 09:40-10:00 The role of endoscopy in the assessment of oral caustic injury Filippo Torroni, Bambino Gesu' Children's Hospital, Rome, Italy 10:00-10:20 Risk factors for oesophageal stricture in alkali ingestion in children Viorela Nitescu, Bucharest, Romania (2020- Abstract 199) 10:20-10:40 Effectiveness of endoscopic application of human collagen Type 1 in the treatment of oesophageal chemical burns Anastasia Yu Simonova, Moscow, Russia (2021- Abstract 293) 10:40-11:00 Management of caustic injury and the indications for surgical intervention Wolfram Kluwe, University Hospital, Freiburg, Germany 11:00-11:10 Questions & Answers to the Caustic Ingestion Symposium speakers

At the end of this session the audience should be able to:  Describe factors influencing outcome of caustic ingestions regarding patterns of exposure, characteristics of agent involved and age of exposed patients.  Outline the potential benefits of CT in the emergency management of caustic injuries and discuss the optimal use of endoscopy in the emergency management of caustic injuries in children.  Explain the main points of the pathophysiology of caustic injuries and describe the management in acute situations and in the follow up.

11:10-11:40 Rest break and AUTHORS WITH POSTERS (Morning grouping)

ORAL PLATFORM AND SHORT ORAL PRESENTATIONS Moderators: Maren Hermans-Clausen Germany and Patricia Casey, Ireland

11:40-11:50 Characteristics and clinical features of patients attending UK emergency departments with analytically-confirmed exposure to the synthetic cannabinoid MDMB-4EN Pinaca Simon HL Thomas, Newcastle, United Kingdom (2021 Abstract 294) 11:50-12:10 Changing patterns of synthetic cannabinoid receptor agonists encountered in UK emergency departments Simon HL Thomas, Newcastle, United Kingdom (2021 Abstract 295) 12:10-12:20 Patterns of teenage heroin exposures reported to the US poison centres Saumitra Vijay Rege, Charlottesville, Virginia, USA (2021- Abstract 296) 12:20-12:30 Questions & Answers to the Oral platform and Short Oral Presentation speakers

12:30-13:00 Lunch 7

13:00-13:30 AUTHORS WITH POSTERS (Lunchtime grouping)

ALCOHOL AS A CO-INGESTANT IN THE POISONED PATIENT Moderators: Michael Eddleston, United Kingdom and Knut Erik Hovda, Norway

13:30-13:50 Alcohol as a co-ingestant with stimulant recreational drugs and energy drinks Chris Yates, SAMU 061 Balears, Palma de Mallorca, Spain 13:50-14:10 Alcohol as a co-ingestant with benzodiazepines and/or other CNS depressants Tobias Zellner, TUM School of Medicine, Technical University of Munich, Munich, Germany 14:10-14:30 Interactions between alcohol and organophosphate insecticide poisoning Michael Eddleston, University of Edinburgh, UK 14:30-14:50 Poisonings where ethanol may be acutely protective – paracetamol Kim Dalhoff, Bispebjerg University Hospital, Copenhagen, Denmark 14:50-15:10 Poisoning where ethanol is protective - the toxic alcohols Ken McMartin, Louisiana State University Health Sciences Center, Shreveport, USA 15:10-15:20 Fomepizole during continuous renal replacement therapy, an observational study Yvonne Lao, Oslo, Norway (2021 Abstract 297) 15:20-15:30 Questions & Answers to the Alcohol as a Co-ingestant in the Poisoned Patient speakers

At the end of this session the audience should be able to:  Discuss mechanistically how alcohol complicates management of stimulant drug ingestion and provide specific examples.  Describe the effect of ethanol when co-ingested with CNS-depressants in regard to symptoms, clinical management and outcome.  Explain how blood alcohol concentration interacts with insecticide dosing to worsen outcome in OP insecticide poisoning.  Listing clinically relevant studies of the effect(s) of alcohol on paracetamol toxicity, explain the possible protective mechanism of alcohol and debate the pros and cons of alcoholuse in the treatment of paracetamol poisoning.  Describe how ethanol can be used to treat methanol and ethylene glycol poisonings

UPDATE FROM THE GUIDELINES COLLABORATIVE GROUP Moderators: Alex Campbell, United Kingdom and Lotte Hoegberg, Denmark 15:30-15:45 STATUS: QT prolongation in poisoning, Activated Charcoal, Paracetamol Sophie Gosselin, CISSS de la Montérégie-Centre, Montreal, Canada

15:45-16:15 Rest break and AUTHORS WITH POSTERS (Afternoon grouping)

FELLOWS LECTURE Moderators: Allister Vale, United Kingdom and Hugo Kupferschmidt, Germany

16:15-16:20 Introduction 16:20-17:15 Inaugural Fellows Lecture: “Vaping Induced Lung Injury” David Christiani, Harvard University , Boston, USA

At the end of this session the audience should be able to:  Understand the exposures contained in current electronic vaping products in common use.  Understand the Acura effects of vaping aerosol exposure on the henna lung.  Understand the clinical syndromes associated with vaping.  Understand management and prevention interventions in EVALI. 7

17:15 END OF DAY 1 Hosts: Allister Vale, United Kingdom and Hugo Kupferschmidt, Germany

DAY 2

08:45-09:00 WELCOME DAY 2 / RE-INTRODUCTION TO THE CONFERENCE PLATFORM Host: Alex Campbell, United Kingdom

APAMT SYMPOSIUM: TOXICOVIGILANCE DURING COVID-19 IN THE ASIAN-PACIFIC REGION Moderators: Nick Buckley, Australia and David Wood, United Kingdom

09:00-09:05 Introduction to the session Nick Buckley, Australia 09:05-09:25 Covid-19, disinfection and methanol poisoning: A report from Iran Hossein Hassanian-Moghaddam, Iran 09:25-09:45 Toxic disasters in India during Covid-19 pandemic Ashish Bhalla, India 09:45-10:00 Caveat Emptor: Covid-19 and impacts on surPRISE illicit drug poisonings in Australia Thanjira Jiranantakan, Australia 10:00-10:20 Ketamine Adulteration in Thailand: the issue of supply and demand during Covid-19 Summon Chomchai, Thailand 10:20-10:30 Questions & Answers to the Session

At the end of this session the audience should be able to:  Learn about significant toxic exposures during COVID-19 pandemic in the Asian-Pacific area  Understand key steps of toxicovigilance taken in an Asian-Pacific context  Apply lessons learned about the signal identification, data gathering, risk assessment and responses measures to their local context.

10:30-11:00 Rest break and AUTHORS WITH POSTERS (Morning grouping)

ORAL PLATFORM AND SHORT ORAL PRESENTATIONS Moderators: Gabija Laubner, Lithuania and Katrin Faber, Switzerland

11:00-11:20 Unintentional exposure to immediate-release Tramadol in ≤6-year old children: A nationwide French Poisons Control Centre study Dominique Vodovar, Paris, France (2021- Abstract 298) 11:20-11:30 Enquiries to the National Poisons Information Centre, Ireland concerning patients who required tracheal intubation Myles Monaghan, Dublin, Ireland (2021 Abstract 299) 11:30-11:35 Questions & Answers to the Oral Platform and Short Oral Presentations

11:40-12:30 FELLOWS MEETING Hosts: 3 - Allister Vale, Hugo Kupferschmidt, Ian Whyte

11:40-12:30 Lunch

12:30-13:00 AUTHORS WITH POSTERS (Lunchtime grouping)

YOUNG INVESTIGATORS AWARD Moderators: Mark Zammit, Malta and Piotr Kabata, Polonia

13:00-13:05 Introduction to the session 13:05-13:20 A 2 bag intravenous acetylcysteine regimen results in fewer treatment delays in the management of paracetamol overdose Anselm Wong, Australia (YIA 2021- Abstract 300) 13:20-13:35 Decision support for toxin prediction using artificial intelligence Tobias Zellner, Munich Germany (YIA 2021- Abstract 301) 13:35-13:50 "Flu" the Looking-Glass: observational poison center study evaluating adverse events secondary to flumazenil administration over time Varun Vohra, USA (YIA 2021 -Abstract 302) 13:50-14:00 Collection of votes and Announcement of the winner of YIA

COVID-19 SYMPOSIUM Moderators: Evangelia Liakoni, Switzerland and Erik Lindeman, Sweden

14:00-14:20 Impact of COVID on poisons centres - a European perspective Davide Lonati, Pavia Poison Control Centre, Pavia, Italy 14:20-14:40 Impact of COVID-19 on poisons centers - a US perspective Diane Calello, Rutgers New Jersey Medical School, USA 14:40-15:00 The impact of the first wave of COVID-19 on Poisons Centre (PC) activities in 4 European countries: a pilot study Laura Hondebrink, Utrecht, Netherlands (2021- Abstract 303) 15:00-15:10 A networked approach to a SARS-COV-2 information hotline in the state of Florida - design, implementation and lessons learned Alfred Aleguas, Tampa, Florida, USA (2021 -Abstract 304) 15:10-15:20 Virtual education and networking during COVID: the ACMT COVID-19 Webinar series Paul Wax, ACMT, Phoenix, USA 15:20-15:30 Questions & Answers to the Oral Platform Session speakers

At the end of this session the audience should be able to:  Describe the effect of pandemic waves on Europe Health System and how the EAPCCT working-group is investigating the influence of the COVID-19 pandemic on the work of European Poison Control Centres (PCCs).  Describe the process of expanding the role of a regional poison center to provide a 24/7 public health hotline in response to the COVID-19 pandemic, as an information service as well as a critical component of surveillance and response.  Describe the opportunities for virtual toxicology education and networking during a pandemic.

15:30-16:00 Rest break and AUTHORS WITH POSTERS (Afternoon grouping)

COVID-19 SYMPOSIUM Moderators: Ana Ferrer Dufol, Spain and Paul Dargan, United Kingdom

16:00-16:20 Toxicity of drugs and "other treatments" - Toxicity of therapeutic drugs used for COVID or overview of the drugs used to treat COVID Caroline Samer, Geneva University Hospitals, Switzerland 16:20-16:40 Toxicity of drugs and "other treatments" - Use of non-recommended toxic treatments (toxic alcohols/cleaning products etc. Craig Smollin, University of California, San Francisco, USA 16:40-17:00 Impact of COVID-19 on recreational drugs in Europe - an overview from the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) Isabelle Giraudon, EMCDDA, Lisbon, Portugal 17:00-17:20 Intentional poisoning cases reported to the National Poisons Information Centre during the initial lockdown phase of COVID-19 Public Health restrictions Edel Duggan, Dublin, Ireland (2021 Abstract 305) 17:20-17:30 Recreational drug toxicity Emergency Department presentations during the initial months of the COVID-19 pandemic Juan Ortega Pérez, Palma de Mallorca, Spain (2021- Abstract 306) 17:30-17:40 Questions & Answers to the Oral Platform Session speakers

At the end of this session the audience should be able to:  List the repurposed and new drugs used in the context of COVID19 and outline the available clinical data regarding their efficacy and safety for COVID19 prophylaxis and treatment  Describe the mechanism of toxicity and treatment of patients exposed to sodium chlorite.  To learn about the impact of COVID-19 on recreational drugs in Europe (including on market, use, harm and treatment) based on a 'Trendspotter analysis' of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA).

17:40 END OF DAY 2 Hosts: Ana Ferrer Dufol, Spain and Paul Dargan, United Kingdom

DAY 3

0845-0900 WELCOME DAY 3 / RE-INTRODUCTION TO THE CONFERENCE PLATFORM Host: Alex Campbell , United Kingdom

DRUG FORMULATION AND ITS IMPORTANCE IN THE POISONED PATIENT Moderators: Davide Lonati, Italy and Anselm Wong, Australia

09:00-09:20 The impact of new drug formulations on the assessment of the poisoned patient Andis Graudins, Monash Health, Melbourne, Australia 09:20-09:35 The pharmacology of pharmacobezoars Lotte Hoegberg, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark 09:35-09:55 Management of pharmacobezoars Soeren Boegevig, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark 09:55-10:10 Misuse of prescriptions medicines by routes other than the intended route of use David Wood, Guy's and St Thomas' NHS Foundation Trust, London, UK 10:20-10:30 Questions & Answers to the Drug Formulation symposium

At the end of this session the audience should be able to:  Explain the pharmacokinetic and pharmacodynamic features of poisoning with various newer drug formulations that can influence the risk assessment and initial management of the poisoned patient.  Identify known physicochemical properties of pharmaceutical preparations prone to cause pharmacobezoar formation - the formation and degradation.  Describe ways to identify the formation of pharmacobezoars and possible treatment modalities in the poisoned patient where their formation is suspected or identified.  Understand the frequency of and methods by which prescription medicines can be used by routes other than the intended licenced route(s) of use.

10:30-11:00 Rest break and Authors with posters (Morning grouping)

LOUIS ROCHE LECTURE 11:00-11:15 Introduction and presentation of the Louis Roche Lecturer Horst Thiermann, EAPCCT President 11:15-12:00 Improving the evaluation, management and outcome of cardiotoxicant-poisoned patients - still a challenge for clinical toxicologists Bruno Mégarbane, Paris-Diderot University, France

At the end of this session the audience should be able to:  Understand the contribution of the proposed different therapies in cardiotoxicant poisonings

12:00-12:30 Authors with posters (Lunchtime grouping)

12:30-13:30 Lunch

13:00-14:15 GENERAL ASSEMBLY Hosts: Horst Thiermann (EAPCCT President), Davide Lonati (EAPCCT General Secretary), Sergej Zakharov and Bruno Mégarbane (EAPCCT Treasurers)

TOXICOLOGY 2.0 SYMPOSIUM Moderators: Chris Yates, Spain and Mark Zammit, Malta

14:15-14:30 Games for dissemination of poison prevention education to the public Yu-Hao Cheng, Taiwan National Poison Control Center, Taipei, Taiwan 14:30-14:45 Artificial intelligence in medicine and toxicology: current trends and outlook Matjaž Kukar, University of Ljubljana, Slovenia 14:45-14:55 Using Artificial Intelligence to understand recreational drug usage and toxicity from internet forums Michael Chary (2020- Abstract 098) 14:55-15:10 The role of data from drug user forums in determining recreational drug and NPS toxicity Sage Wiener, SUNY Downstate Health Sciences University, New York, USA 15:10-15:25 Google metrics and twitter to monitor recreational drugs and NPS trends Jean Marie Perrone, University of Pennsylvania , Philadelphia, USA 15:25-15:35 The geospatial and linguistic dynamics of conversations on Twitter about vaping Michael Chary (2020 -Abstract 099) 15:35-15:50 Robotic wastewater analysis to understand community consumption of opioids, cocaine, NPS and methamphetamines Claire Duvallet, Biobot Analytics, Boston, USA 15:50-16:05 Web monitoring tools to monitor trends in prescription medicine misuse Rick Dart, Denver Health and Hospital Authority, Denver, USA 16:05-16:20 Ingestible Electronics and Robotic Systems to measure medication adherence and drug use events Peter Chai, Brigham and Women's Hospital, Boston, USA 16:20-16:35 Telemedicine as an assessment tool in chemical weapon attacks, experience in Syria with global implications Tim Erickson, Brigham Health / Harvard Medical School, Boston, USA 16:35-16:45 Questions & Answers to the Toxicology 2.0 speakers

At the end of this session the audience should be able to:  Identify important poisoning trends.  State the features of poisoning events in different age groups.  Describe the importance and challenges of poison prevention education.  List two effective strategies for delivering poison prevention knowledge to children.  Describe various modern artificial intelligence techniques, applicable in different scenarios and types of data (tabular data, images, text), as well as determine and decide which particular problems are suitable for application of AI techniques.  Explain the role of online drug information forums in both reflecting and driving patterns of drug use, and their utility and limitations in studying these patterns.  Describe tools in Google and Twitter that can help characterize novel psychoactive substance trends.

 Explain the basic concepts behind using wastewater epidemiology to measure population- level exposure and consumption of opioids, cocaine, NPS and methamphetamines and describe results from a pilot study applying wastewater epidemiology to map opioid consumption in a US municipality.  Understand the appropriate use of data derived from various types of social media.  Understand the current state of art in ingestible electronics and the principles of biosensing in drug testing.  Describe current use of telemedicine and other emerging technologies in the setting of chemical weapon attacks.

16:45-17:15 Rest break and AUTHORS WITH POSTERS (Afternoon grouping)

ORAL PLATFORM AND SHORT ORAL PRESENTATIONS Hosts: Horst Thiermann, Munich, Germany and Lotte Hoegberg, Copenhagen, Denmark

17:15-17:25 Foodborne botulism: a large outbreak in Sicily Azzurra Schicchi, Pavia, Italy (2021 Abstract 307) 17:25-17:45 Shiitake Dermatitis: a French nationwide study 2014-2019 David Boels, Nantes, France (2021- Abstract 308) 17:45-17:50 Questions & Answers to the Oral platform and Short Oral Presentation speakers

17:50 END OF DAY 3, END OF EAPCCT 2021 VIRTUAL CONFERENCE Hosts: Horst Thiermann, Munich, Germany and Lotte Hoegberg, Copenhagen, Denmark

E-POSTERS

(sorted by topic) Adverse reactions from medications 219 Clozapine-induced anemia: a case report Andrea Giampreti, Emergency care, Poison Control Center, Bergamo, Italy. Lunchtime Posters - Room 07

220 Lacosamide-induced recurrent ventricular fibrillation Andrea Giampreti, Emergency care, Poison Control Center, Bergamo, Italy. Lunchtime Posters - Room 07

222 Bleeding events due to warfarin therapy: how much does it cost? Gabija Laubner, Toxicology centre, Vilnius University Faculty of Medicine, Clinic of Anaesthesiology and Intensive Care, Toxicology centre, Vilnius, Lithuania. Lunchtime Posters - Room 07

223 Phenytoin intoxication associated with omeprazole administration in a child with CYP2C9 polymorphism Marco Marano, Emergency Department PICU. Regional Pediatric Poison Control Center., Bambino Gesù Children Hospital, Rome, Italy. Lunchtime Posters - Room 07

226 Olanzapine overdose-induced agranulocytosis Gordana Vukovic Ercegovic, Department of Clinical Toxicology, National Poison Control Center, Military Medical Academy, Belgrade, Serbia. Lunchtime Posters - Room 07

227 From kitchen to clinical use, to emergency department admission: an Italian story about curcumin Francesco Gambassi, Toxicology Unit, Poison Control Center of Careggi University Hospital, Florence, Italy. Lunchtime Posters - Room 07

229 Bowel perforation due to methotrexate therapeutic error: a case report. Marco Cirronis, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Lunchtime Posters - Room 07

390 Pharmacovigilance for identification and prevention of therapeutic errors Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Lunchtime Posters - Room 07

391 Lamotrigine-induced Stevens-Johnson syndrome: a case report Andrea Giampreti, Emergency Department, Poison Control Center, Bergamo, Italy. Lunchtime Posters - Room 07

392 Dimethyl fumarate-induced hepatotoxicity confirmed by biopsy Ophir Lavon, Clinical Pharmacology and Toxicology Unit, Carmel Medical Center, Haifa, Israel. Lunchtime Posters - Room 07

224 Two case of opioid withdrawal syndrome precipitated by alcohol dependence treatment with nalmefene successfully treated with morphine Jonas Moens, Belgian Poison Centre, Brussels, Belgium. Afternoon Posters - Room 09

228 Accidental injection of pseudorabies pigs vaccine in humans Azzurra Schicchi, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 09

393 Iodoform medications may cause iodine toxicosis: two case reports Marco Cirronis, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 09

394 Fooled by adrenaline: a pyrogenic-like reaction during treatment of a common European viper bite Anton Gustafsson, Swedish Poisons Information Center, Swedish Poisons Information Center, Stockholm, Sweden. Afternoon Posters - Room 09

395 Symptomatic therapeutic errors in the elderly: a case study Carlo A Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 09

396 Severe adverse effects after a second dose of paliperidone palmitate long-acting injectable administration: a case report Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 09

397 Soft capsules formulated with ethanol: unexpected disulfiram-ethanol reaction after one dosage of ciclosporin Jonas Moens, Belgian Poison Control Centre, NEDER-OVER-HEEMBEEK, Belgium. Afternoon Posters - Room 09

398 Effect of a 12-hour intravenous acetylcysteine (SNAP) regimen on the International Normalized Ratio (INR) Ruben Thanacoody, Newcastle University, Newcastle Upon Tyne, United Kingdom. Afternoon Posters - Room 09

Alcohol as a co-ingestant 001 Effect of ethanol coingestion in patients with central nervous system (CNS)-depressant intoxication Eva-Carina Heier, Division of Clinical Toxicology and Poison Control Centre Munich, Department of Internal Medicine II, TUM School of Medicine, Technical University of Munich, Munich, Germany. Lunchtime Posters - Room 08

031 Adults admitted to the emergency department of a university hospital in Belgium for acute poisoning with ethanol as a co-ingestant: characteristics and direct medical costs Anne-Marie K Descamps, Belgian Poison Centre, Brussels, Belgium. Lunchtime Posters - Room 08

Analytical and Forensic Toxicology - including bedside testing 204 Bedside formate analysis in methanol poisoned patients: a pilot study Knut Erik Hovda, The National CBRNE Centre of Medicine, Department of Acute Medicine, Oslo University Hospital, Oslo, Norway. Morning Posters - Room 09

210 False positive result on colorimetric methanol screening test: report of two cases with hyperglycaemia Jones CM Chan, Medicine and Therapeutics, Prince of Wales Hospital, Shatin, Hong Kong. Morning Posters - Room 09

203 Emergent toxicological molecular screening test on ICU admission: can it be trusted? Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Afternoon Posters - Room 12

211 The value of post-mortem toxicology in deciding whether a death is drug-induced James M Coulson, Clinical Pharmacology, Cardiff University, Cardiff, United Kingdom. Afternoon Posters - Room 12

216 Laboratory practice variations complicate poison centre recommendations for massive paracetamol overdose Timothy C Backus, NYU School of Medicine, New York, United States. Afternoon Posters - Room 12

218 Poison center recommendations for methylxanthine toxicity may be complicated by limited access to theophylline measurements Timothy C Backus, NYU School of Medicine, New York, United States. Afternoon Posters - Room 12

361 Biological sample collection in the emergency department and laboratory substance abuse investigation and confirmation: a methamphetamine case report Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Afternoon Posters - Room 12

362 Post-mortem ethanol concentrations James M Coulson, All Wales Therapeutics & Toxicology Centre, Cardiff University, Cardiff, United Kingdom. Afternoon Posters - Room 12

Caustic ingestion 207 A one-year retrospective study of caustic injury in adults admitted to a toxicology department Julia V Radenkova-Saeva, Clinic of Toxicology, UMHATEM "N.I.Pirogov", Sofia, Bulgaria. Morning Posters - Room 09

Covid-19 and toxicology 402 Acute poisoning in Moscow during COVID-19 restrictive measures Anastasia Yu Simonova, Toxicological department, N.V. Sklifosovsky’ Research Institute of Emergency Medicine, Moscow, Russian Federation. Afternoon Posters - Room 02

403 Unintended consequences of public health measures: exposures to alcohol-based hand sanitisers during the COVID-19 pandemic 2020 Patricia Casey, National Poisons Information Centre of Ireland, Dublin, Ireland. Afternoon Posters - Room 02

404 Increased exposures to alcohol-based hand sanitizers reported by an Italian Poison Center during the COVID-19 pandemic Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Afternoon Posters - Room 02

405 Pediatric eye injuries related to public location of alcohol-based hand sanitizers during the first pandemic COVID-19 context: French Poison Control Centers data Alexis Descatha, PCC, Ester Unit (IRSET U1085), UNIV Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset,, Angers, France. Afternoon Posters - Room 02

406 Has the COVID-19 pandemic changed the pattern of poisoning cases attending Emergency Departments? Ana Ferrer-Dufol, Unit of Clinical Toxicology, Clinical University Hospital, Zaragoza, Spain. Afternoon Posters - Room 02

407 The only thing we have to fear is fear itself: inadvertent disopyramide toxicity during the COVID-19 pandemic Emma R Furlano, Division of Medical Toxicology, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, United States. Afternoon Posters - Room 02

408 Nicotine does not affect SARS-CoV-2 in-host viral kinetics in a modeling and simulation study Charlotte Kern, Department of General Internal Medicine, Clinical Pharmacology and Toxicology, Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern; Graduate School for Health Sciences, University of Bern, Bern, Bern, Switzerland. Afternoon Posters - Room 02

409 A human exposure to chlorine dioxide solution...not the solution Valle Molina, Emergencie, Complejo Hospitalario de Navarra, pamplona, Spain. Afternoon Posters - Room 02

410 Changes in the epidemiological profile of poisonings during COVID-19: differences between the first half of 2019 and 2020 Zanina Pereska, University Clinic of Toxicology, Skopje, Macedonia. Afternoon Posters - Room 02

411 Multiple factors in a COVID-19 patient leading to an elevated 5-oxoproline as cause of high- anion gap metabolic acidosis: a case report Marian Piqueur, Departement of Laboratory Medicine, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. Afternoon Posters - Room 02

Drugs of abuse and NPS poisoning 116 Massive gamma-hydroxybutyric acid overdose resulting in severe metabolic acidosis requiring continuous venovenous haemofiltration Anselm Wong, Victorian Poisons Information Centre, Austin Toxicology and Emergency Department, Austin Health, Victoria, Australia. Morning Posters - Room 01

138 Just “nanging” around: case series of neurological sequelae from chronic nitrous oxide abuse Angela L Chiew, Clinical Toxicology Unit, Prince of Wales Hospital, Sydney, Australia. Morning Posters - Room 01

197 Analytically-confirmed exposure to new psychoactive substances in patients with severe clinical toxicity in the UK, 2015-2018: a report from the IONA study Simon H Thomas, Narional Poisons Information Service, Newcastle Hospitals NHS Foundation Trust, Newcastle, United Kingdom. Morning Posters - Room 01

198 Increasing abuse and addiction to nitrous oxide (N2O): still a legal high in Denmark Lotte CG Hoegberg, Department of Anaesthesiology, The Danish Poisons Information Centre, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. Morning Posters - Room 01

309 Severe cardiac and neurological toxic effects due to synthetic cannabinoid cumyl-pegaclone (SGT-151) alone: a case report Andrea Giampreti, Bergamo Poison Control Center, Bergamo Poison Control Center, Bergamo, Italy. Morning Posters - Room 01

310 Beta-hydroxybutyrate closed the gap in a sober patient with high anion gap metabolic acidosis: a case report Marian Piqueur, Department of Laboratory Medicine, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. Morning Posters - Room 01

117 Hyperemesis and acute kidney injury following a “rebirth” ceremony with kambô and iboga in the Netherlands Marian Piqueur, Laboratory Medicine, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. Morning Posters - Room 02

126 Clinical effects following the use of freely available herbal drugs: the toxicity of “Happy Caps” Antoinette JHP Riel, Dutch Poisons Information Center(DPIC), Univesity Medical Center Utrecht, Utrecht University, Utrecht, Netherlands. Morning Posters - Room 02

131 Recreational nitrous oxide use rises dramatically after change in EU legislation Antoinette JHP Van Riel, Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht Univeristy, Utrecht, Netherlands. Morning Posters - Room 02

136 Treating patients with opioid overdose at a primary care emergency outpatient clinic: a cost- minimization analysis Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

137 Self-discharge during treatment for acute recreational drug toxicity: an analysis of four-years of Euro-DEN Plus presentations Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

150 Treatment with naloxone and follow up after opioid overdose outside of hospital: observational data 2014-2018 in Oslo, Norway Arne K Skulberg, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; Pre-hospital Division, Air Ambulance Department, Oslo University Hospital, Oslo, Norway ; The Norwegian Air Ambulance Foundation, Oslo, Norwa, Trondheim, Norway. Morning Posters - Room 02

158 Change of quality of life in prescription opioid patients after rapid opioid detoxification Gabija Laubner, Republican Vilnius University Hospital, Centre of Toxicology; Vilnius University Faculty of Medicine, Vilnius University, Vilnius, Lithuania. Morning Posters - Room 02

160 First identification of synthetic cannabinoid 5F-MDMB-PICA in Italy Carlo Alessandro Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Morning Posters - Room 02

313 Poisoning by central stimulant drugs in Oslo, Norway Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

314 Acute poisoning from concurrent use of opioids and amphetamine Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

315 Acute recreational drug toxicity among young patients Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

316 Acute poisonings involving cannabis in Oslo, Norway Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

317 Psychosis associated with acute recreational drug toxicity Odd Martin Vallersnes, Department of General Practice, University of Oslo, Oslo, Norway. Morning Posters - Room 02

119 3,4-Methylenedioxy-α-pyrrolidinohexiophenone (MDPHP): four severe confirmed intoxications Dieter Müller, Clinical Toxicology Laboratory, GIZ-Nord Poisons Centre, University Medical Center Göttingen, Georg-August-University, Göttingen, Germany. Lunchtime Posters - Room 01

143 Methadone poisonings admitted to the ICU: investigation of the predictive value of plasma methadone concentration and the required naloxone dose regimen Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Lunchtime Posters - Room 01

147 Severe acidosis and prolonged coma after a massive overdose of gamma-hydroxybutyrate (GHB) Johanna Nordmark Grass, Swedish Poisons Information Centre, Stockholm, Sweden. Lunchtime Posters - Room 01

155 The development of poisonings with illegal substances: data from the Danish Poisons Information Centre (DPIC) Dorte F Palmqvist, Department of Anaesthesiology, The Danish Poisons Information Centre, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. Lunchtime Posters - Room 01

318 E-liquid sold as CBD e-liquid containing XRL-11: 4 cases reported. A warning signal to health authorities and e-cigarettes users Francis Grossenbacher, University Hospital Reims, Clinical Toxicologist Emergency Department, Reims, France. Lunchtime Posters - Room 01

319 Significant cannabidiol (CBD) urine concentration in a young male admitted after using an e- cigarette obtained from a street market Francis Grossenbacher, University Hospital Reims, Clinical Toxicologist Emergency Department, Reims, France. Lunchtime Posters - Room 01 24

320 Swedes like their O-juice from Florida and their E-juice from California Sonny Larsson, Swedish Poisons Information Center, Swedish Poisons Information Center, Stockholm, Sweden. Lunchtime Posters - Room 01

321 Hydroxyphencyclidines (OH-PCPs), fluoroamphetamine (FA) and fluoromethamphetamine (FMA): an explosive NPS mixture and a challenge for appropriate sedation in a severely intoxicated patient patient. Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Lunchtime Posters - Room 01

322 Recreational, inhalational misuse of hyoscine butylbromide (Buscopan®) tablets as reported to the UK National Poisons Information Service Emma J Moyns, National Poisons Information Service (Birmingham Unit), Birmingham, United Kingdom. Lunchtime Posters - Room 01

323 A case of crack-lung-like syndrome due to new synthetic opioid consumption with analytical confirmation Azzurra Schicchi, Pavia Poison Control Centre - National Toxicology Information Centre – Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy. Lunchtime Posters - Room 01

124 In-patient prescription opioid detoxification: peculiarities of consumption and treatment outcomes Gabija Laubner, Vilnius University, Faculty of Medicine, Vilnius, Lithuania, Vilnius University Emergency hospital, Vilnius, Lithuania. Lunchtime Posters - Room 02

125 In-patient prescription opioid detoxification: gender differences and harmful habits Gabija Laubner, Vilnius University, Faculty of Medicine, Vilnius, Lithuania, Vilnius University Emergency hospital, Vilnius, Lithuania. Lunchtime Posters - Room 02

132 Analysis of drugs in blood and urine samples from suspected spiked drink victims Odd Martin Vallersnes, Department of General Practice, Institute of Health and Society,, University of Oslo, Oslo, Norway. Lunchtime Posters - Room 02

142 Transient delayed brain edema after consumption of synthetic cathinones Sabrina Schmoll, Department for clinical toxicology and poision control centre munich, Klinikum rechts der Isar München, München, Germany. Lunchtime Posters - Room 02

149 GHB overdose in nightlife settings and effectiveness of on-site harm-reduction organization Miran Brvar, Centre for Clinical Toxicology and Pharmacology, University Medical Centre Ljubljana, Ljubljana, Slovenia. Lunchtime Posters - Room 02

152 Acute intoxication with α-pyrrolidinohexanophenone, 4-fluoromethylphenidate and aminopropylbenzofuran complicated with rhabdomyolysis: a case report Gambassi Francesco, Toxicology Unit and Poison Control Center, Careggi University Hospital, Florence, Italy. Lunchtime Posters - Room 02

157 Characteristics of ecstasy toxicity in a Norwegian cohort of hospitalized poisoned patients Per Sverre Persett, Department of Acute Medicine, Oslo University Hospital, Oslo, Norway. Lunchtime Posters - Room 02

324 A comparative analysis between acute ethanol poisoning and acute ethanol combined with drugs of abuse poisoning in adolescents Viorela Nitescu, Pediatric Poisoning Centre Emergency Clinical Hospital for Children "Grigore Alexandrescu", Bucharest, Romania. Lunchtime Posters - Room 02

325 Predicting hypertension using subjective symptoms in recreational drug users at first-aid stations at dance events Yoram P Prins, Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht, Netherlands. Lunchtime Posters - Room 02

109 Non-medical use and injection use of prescription opioids in Europe in the Non-Medical Use of Prescription Drug (NMURx) National Surveys Janetta L Iwanicki, Rocky Mountain Poison and Drug Safety, Denver, United States. Afternoon Posters - Room 01

118 Drug abuse trends, focussing on novel psychoactive substances (NPS) over the last three years (2016-2018) from the perspective of the Austrian Poisons Information Centre Kinga Bartecka-Mino, Poisons Information Centre Austria, Vienna, Austria. Afternoon Posters - Room 01

122 A retrospective study of observation times in a healthcare facility and 48-hour mortality after heroin overdose with naloxone rescue William Rushton, Office of Medical Toxicology, Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, United States. Afternoon Posters - Room 01

127 Analysis of Twitter content to explore use of modafinil and methylphenidate as drugs to facilitate studying in the UK David Wood, Clinical Toxicology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom. Afternoon Posters - Room 01

128 Non-medical use of prescription and over the counter opioids in the UK David Wood, Clinical Toxicology, Guy's and St Thomas's NHS Foundation Trust, London, United Kingdom. Afternoon Posters - Room 01

140 Comparison of drugs involved in acute recreational drug toxicity presentations to the Emergency Department in young people versus adults reported to the Euro-DEN Plus project Alison M Dines, Clinical Toxicology, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners, London, United Kingdom. Afternoon Posters - Room 01

145 Mining and analysis of opioid content in longitudinal data posted in a social media forum Jeanmarie Perrone, Emergency Medicine, University of Pennsylvania, Philadelphia, United States. Afternoon Posters - Room 01

156 Global interest in tramadol and polysubstance use Janetta Iwanicki, Rocky Mountain Poison & Drug Safety, Denver Health, Denver, United States. Afternoon Posters - Room 01

326 Acute recreational drug toxicity in Ghent, Belgium. Comparison of self-reports and analytical detection by immunoassay (IA) and mass spectrometry (MS) testing Laurence Daveloose, Emergency medicine, UZ Ghent, Ghent, Belgium. Afternoon Posters - Room 01

327 In vino veritas: accidental MDMA poisoning by illicit drug trafficking Katrin Faber, National Poisons Information Centre, Associated Institute of the University of Zurich, Zurich, Switzerland. Afternoon Posters - Room 01

328 Frequent hospitalization for synthetic cathinone poisonings: a case series reported to the Dutch Poisons Information Center Johanna J Nugteren-Van Lonkhuyzen, Dutch Poisons Information Center, University Medical Center Utrecht, Utrecht, Netherlands. Afternoon Posters - Room 01

329 Exposures involving opioids and alcohol reported to the US Poison Centers Saumitra Rege, Department of Emergency Medicine, University of Virginia, Charlottesville, United States. Afternoon Posters - Room 01

330 The Color Purple: death associated with brorphine, an emerging novel synthetic opioid Varun Vohra, Emergency Medicine, Michigan Poison Center, Wayne State University School of Medicine, Detroit, United States. Afternoon Posters - Room 01

Epidemiology of poisoning 011 Hydrofluoric acid exposure: a five-year review of enquiries made to the UK National Poisons Information Service (NPIS) Michael J Beech, NPIS (Birmingham Unit), City Hospital, Birmingham, United Kingdom. Morning Posters - Room 05

012 Enquiries to the National Poisons Information Centre in Ireland from ambulance control, emergency medical dispatchers and paramedics attending poisoning incidents from 2010-2018 Edel Duggan, National Poisons Information Centre, Beaumont Hospital, Dublin, Ireland. Morning Posters - Room 05

014 109 toxicological inquiries for one patient Daniela Pelclova, Toxicological Information Centre, First Medical Faculty and General University Hospital, Prague, Czech Republic. Morning Posters - Room 05

019 Eye injuries: case reports to the BfR from 2004 to 2018 Kathrin Begemann, Department Exposure, Federal Institute for Risk Assessment (BfR), Berlin, Germany. Morning Posters - Room 05

020 A worrying trend: Poisonings with pharmaceuticals in young girls in Norway Merethe Midtervoll, Norwegian Poison Information Centre, National Institute of Public Health, Oslo, Norway. Morning Posters - Room 05

021 Study on e-liquids: risk of exposure and effectiveness of regulation by Tobacco Products Directive 2 Nina Glaser, German Federal Institute for Risk Assessment (BfR), Berlin, Germany. Morning Posters - Room 05

025 Mortality and patient characteristics in paracetamol overdosing: a retrospective study Soeren Boegevig, Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark. Morning Posters - Room 05

106 Assessment of advice given by the Danish Poisons Information Centre concerning medication errors in nursing homes and institutions Soeren Boegevig, Department of Clinical Pharmacology, The Danish Poisons Information Centre, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. Morning Posters - Room 05

009 Colchicine: telephone enquiries to the UK’s National Poisons Information Service (NPIS) and UK trends in TOXBASE® accesses and prescribing data Victoria A Eagling, NPIS Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. Lunchtime Posters - Room 05

010 An analysis of cases of methaemoglobinaemia reported in telephone enquiries to the UK’s National Poisons Information Service (NPIS) Victoria A Eagling, NPIS Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. Lunchtime Posters - Room 05

017 Drug-induced death in the intensive care unit in France: what are the characteristics? Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Lunchtime Posters - Room 05

023 Review of drug poisoning assessment at Emergency Department Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University

after Mkhitar Heratsi, Yerevan, Armenia. Lunchtime Posters - Room 05

100 Poisoning in adolescents Patricia Casey, National Poisons Information Centre of Ireland, Dublin, Ireland. Lunchtime Posters - Room 05

115 The ICU Requirement Score (IRS) - does it identify poisoned patients who do not need intensive care unit referral? A validation cohort study Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Lunchtime Posters - Room 05

344 Comparison of acute kidney injury and renal replacement therapy in patients with rhabdomyolysis acutely intoxicated with psychotropic or chemical substances Aleksandra Babulovska, Toxicology, University Clinic of Toxicology, Skopje, Macedonia. Lunchtime Posters - Room 05

345 Increasing enquiries to the Norwegian Poison Information Center (NPIC) concerning ozone Marte S Evje, Norwegian Institute of Public Health, Norwegian Poison Information Centre, Oslo, Norway. Lunchtime Posters - Room 05

346 A 10-year review of ocular exposures reported to the Irish National Poisons Information Centre Conor P Malone, National Health Library and Knowledge Service, HSE, Dublin, Ireland. Lunchtime Posters - Room 05

347 Fatalities due to acute poisoning: a one year retrospective study Julia V Radenkova - Saeva, Clinic of Toxicology, University Hospital for Emergency Medicine „ N.I.Pirogov”, Sofia, Bulgaria. Lunchtime Posters - Room 05

112 Mushroom poisonings in Finland: a 15-year retrospective study Anne Tähkäpää, Poison Information Center, University of Helsinki and Department of Emergency Medicine and Services, Helsinki, Finland. Lunchtime Posters - Room 06

104 Long-term exposure to Sargassum-seaweed pollution in the French Caribbean Islands: clinical consequences and outcome Dabor Resiere, Critical Care Medicine, University Hospital of Martinique, Fort de France, Martinique. Afternoon Posters - Room 11

Heavy Metal Poisoning 103 Mass acute thallium poisoning treated with enteral detoxification using Prussian blue and gut lavage Anastasyja Yu Simonova, N.V.Sklifosovsky Rtesearch Institute of Emergency Medicine, Poisonings Treatment Department, Moscow, Russian Federation. Afternoon Posters - Room 05

162 Arsenic exposure and peripheral neuropathy Chay J Markham, Cardiff University, Cardiff, United Kingdom. Afternoon Posters - Room 05 29

163 Gadolinum contrast media: old substance, new challenges Gabija Laubner, Toxicology Centre, Vilnius University Faculty of Medicine, Clinic of Anaesthesiology and Intensive Care, Vilnius, Lithuania. Afternoon Posters - Room 05

165 Comparison of unithiol (DMPS) treatment effect in two patients with severe cobalt intoxication Daniela Pelclova, Toxicological Information Centre, First Medical Faculty and General University Hospital, Prague, Czech Republic. Afternoon Posters - Room 05

168 Toxicokinetics of silver and chelation unithiol (DMPS) challenge tests in argyria due to colloidal silver Gasper Razinger, Centre for Clinical Toxicology and Pharmacology, University Medical Centre Ljubljana, Ljubljana, Slovenia. Afternoon Posters - Room 05

412 An unsolved mystery: idiopathic thallium exposure resulting in clinically significant toxic effects Varun Vohra, Emergency Medicine, Michigan Poison Center at Wayne State University School of Medicine, Detroit, United States. Afternoon Posters - Room 05

Household Products Poisoning 046 Unanticipated sources of methanol poisoning: report of two cases Jones CM Chan, Medicine & Therapeutics, Prince of Wales Hospital, Shatin, Hong Kong. Morning Posters - Room 07

049 Laundry pod exposure in children: evaluation of 17 years’ of cases in a tertiary care hospital in Italy Marcello Montibeller, Department of Emergency. Regional Paediatric Control Center., Bambino Gesù Children's Hospital, Rome, Italy. Morning Posters - Room 07

351 Protective effects of hypercalcaemia in the setting of severe hypermagnesaemia David Emmerig, Western Sydney Local Health District Toxicology Service, Western Sydney Local Health District Toxicology Service, Westmead, Australia. Morning Posters - Room 07

352 Caustic exposures attending the Emergency Department: results of the Spanish Toxic Surveillance System (STSS) 2010-2019 Ana Ferrer-Dufol, Unit of Clinical Toxicology, Clinical University Hospital, Zaragoza, Spain. Morning Posters - Room 07

008 Portal embolism in hydrogen peroxide ingestion: a case series Marco Cirronis, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Afternoon Posters - Room 07

051 Artificial nail primer: a case series from Pavia Poison Control Centre Carlo A Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Afternoon Posters - Room 07

052 Nail glue: a beauty hazard Carlo A Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Afternoon Posters - Room 07

353 Accidental exposures to caustic drain cleaners Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Afternoon Posters - Room 07

354 The “lactate gap” as a useful tool to detect ethylene glycol intoxications Dieter Geysels, Department of Laboratory Medicine, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. Afternoon Posters - Room 07

355 A one-year review of enquiries to the UK National Poisons Information Service involving cosmetic products Emma J Moyns, National Poisons Information Service (Birmingham Unit), Birmingham, United Kingdom. Afternoon Posters - Room 07

356 Acute ethylene glycol poisoning: a one year epidemiological study Julia V Radenkova - Saeva, Clinic of Toxicology, University Hospital for Emergency Medicine „ N.I.Pirogov”,, Sofia, Bulgaria. Afternoon Posters - Room 07

357 Button battery ingestion: experience of the UK National Poisons Information Service (NPIS) Simon H L Thomas, National Poisons Information Service (Newcastle Unit), Regional Drugs and Therapeutics Centre, Newcastle upon Tyne, United Kingdom. Afternoon Posters - Room 07

Mechanisms of Toxicity and Basic Research 196 Is fentanyl responsible for more severe neuro-respiratory depression than morphine? A rat in vivo investigation Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

005 Is lithium exposure responsible for brain injuries with prolonged treatment or overdose? A rat investigation Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Lunchtime Posters - Room 05

Occupational poisoning 175 EXP3OP study: occupational eye exposures reported to a western France poison center Gaël Le Roux, Centre antipoison et Toxicovigilance Grand Ouest, CHU d'Angers, Angers, France. Lunchtime Posters - Room 08

399 Severe gasoline poisoning and its treatment. The autonomy of the lung response facing different pathogenic agents Ana Ferrer-Dufol, Unit of Clinical Toxicology, Clinical University Hospital, Zaragoza, Spain. Lunchtime Posters - Room 08

400 The health and blood aluminium concentration in firefighters following the Alytus tyre recycling factory fire Gabija Laubner, Toxicology center, Republic Vilnius university hospital, Vilnius, Lithuania. Lunchtime Posters - Room 08

401 A case of acute occupational exposure to sodium molybdate with determination of molybdenum concentration Azzurra Schicchi, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Lunchtime Posters - Room 08

Paediatric Poisoning 057 Alcohol "abuse" among children younger 5 years Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Morning Posters - Room 10

060 Overrepresentation of flavoured, orodispersible tablets in paediatric paracetamol overdoses Johanna Nordmark Grass, Swedish Poisons Information Centre, Stockholm, Sweden. Morning Posters - Room 10

061 Drug-induced liver injury induced by nicotinamide Maren Hermanns-Clausen, Poisons Information Centre, Department of Pediatrics and Adolescent Medicine, Faculty of Medicine, Medical Center – University of Freiburg, Freiburg, Germany. Morning Posters - Room 10

064 Pediatric and adolescent self-poisoning: a 3-year case series Carlo Alessandro Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Morning Posters - Room 10

367 The importance of free digoxin serum concentrations: case report of an infant treated for digoxin poisoning Marco Marano, Pediatric Intensive Care Unit; Pediatric Poison Control Center, Children's Hospital Bambino Gesù, Rome, Italy. Morning Posters - Room 10

368 Fentanyl transdermal patch mistaken for wound patch: two pediatric case reports Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Morning Posters - Room 10

369 Bottles and messages revisited: circumstances of poisonings among infants under 1 year old in Estonia Ruth Kastanje, Poisonings Information Centre, Estonian Health Board, Tallinn, Estonia. Morning Posters - Room 10

370 Alcohol abuse among teenagers during the vacation period: description and pattern differences by gender Juan Ortega Pérez, Adult emergency department. Toxicology Unit, Attending physician, Palma de Mallorca, Spain. Morning Posters - Room 10

372 Paediatric paracetamol overdose: reducing side-effects with the SNAP 12 hour N- acetylcysteine regime David G Cairney, Acute Receiving Unit, Royal Hospital for Sick Children, Edinburgh, United Kingdom. Morning Posters - Room 10

058 Sticky eye: a pediatric case of cyanoacrylate ocular exposure Presented By Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Spain. Afternoon Posters - Room 10

063 Pediatric cannabis poisonings in France: more and more frequent and severe. Gaël Le Roux, Centre antipoison et Toxicovigilance Grand Ouest, CHU d'Angers, Angers, France. Afternoon Posters - Room 10

371 Childhood poisonings: five-years’ experience from an Italian pediatric emergency department Andrea Giampreti, Bergamo Poison Control Center, ASST Papa Giovanni XXIII, Bergamo, Italy. Afternoon Posters - Room 10

373 Altered mental status following a large ondansetron ingestion in a toddler Vincent Calleo, Emergency Medicine, SUNY Upstate Medical University, Syracuse, United States. Afternoon Posters - Room 10

374 Severe salicylic acid intoxication with a topical skin preparation in a newborn Andrea Giampreti, Bergamo Poison Control Center, Bergamo Poison Control Center, Bergamo, Italy. Afternoon Posters - Room 10

375 38 Weeks pregnant: managing a mother and neonate after a third-trimester acetaminophen ingestion Charlotte Goldfine, Emergency Medicine, Brigham and Women's Hospital, Boston, United States. Afternoon Posters - Room 10 33

376 Epidemiology of pediatric benzodiazepines exposures using the National Poison Data System Saumitra Rege, Department of Emergency Medicine, University of Virginia, Charlottesville, United States. Afternoon Posters - Room 10

Pesticide Poisoning 036 Assessment of the effectiveness of gastric lavage in organophosphorus poisoning by quantifying pesticide in lavage fluid Indira Madhavan, General Medicine, Associate Proferssor, Thrissur, India. Morning Posters - Room 08

042 Human exposures to pesticides: results of a subproject of the German pilot study PiMont Esther Feistkorn, German Federal Institute for Risk Assessment, Department Exposure, Unit Exposure Assessment of Hazardous Products, Berlin, Germany. Morning Posters - Room 08

358 Hepatorenal dysfunction following fipronil ingestion Indira Madhavan, Government Medical College, Thrissur, India. Morning Posters - Room 08

359 Malathion poisoning causing prolonged cholinergic crisis and refractory hypotension requiring high-dose atropine treatment Kit Rowe, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. Morning Posters - Room 08

035 Amitraz: an unfamiliar insecticide with familiar toxicity William Rushton, Office of Medical Toxicology, University of Alabama at Birmingham, Birmingham, United States. Afternoon Posters - Room 08

040 The impact of obidoxime on duration of hospitalization in acute organophosphate poisoning in Muratsan University Hospital, Yerevan, Armenia, 2012-2019 Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Afternoon Posters - Room 08

041 Poisoning risk of acute exposures to repellents: results from a prospective observational study Maren Hermanns-Clausen, Poisons Information Centre, Department of Pediatrics and Adolescent Medicine, Faculty of Medicine, Medical Center – University of Freiburg, Freiburg, Germany. Afternoon Posters - Room 08

043 Organophosphate poisoning among children and adolescents in Armenia: a retrospective case study Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Afternoon Posters - Room 08

044 Lethal intoxication by pentachlorophenol Francesca Maida, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 08

360 Evaluation of biocidal product enquiries to the Austrian Poisons Information Centre, 2017 Tara Arif, Poisons Information Centre, Vienna, Austria. Afternoon Posters - Room 08

Pharmaceutical Poisoning 007 The severity and mortality prediction of calcium-channel blocker poisoning in the intensive care unit Chun Kuei Chen, Emergency department, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan. Morning Posters - Room 03

201 Comparison of the Australian and New Zealand Referral Criteria versus the King’s College Criteria to predict mortality or liver transplant in paracetamol overdose Anselm Wong, Victorian Poisons Information Centre, Austin Toxicology Unit and Emergency Department, Austin Health, Victoria, Australia. Morning Posters - Room 03

241 Angiotensin axis antagonists increase the severity of dihydropyridine poisoning Betty S Chan, Clinical Toxicology & Emergency Medicine, Prince of Wales Hospital, Sydney, Australia. Morning Posters - Room 03

242 A case series of flecainide poisoning Betty S Chan, Clinical Toxicology & Emergency Medicine, Prince of Wales Hospital, Sydney, Australia. Morning Posters - Room 03

243 Effect of serum alkalinisation on QRS narrowing in tricyclic antidepressant poisoning Betty S Chan, Clinical Toxicology & Emergency Medicine, Prince of Wales Hospital, Sydney, Australia. Morning Posters - Room 03

244 Optimal way to achieve serum alkalinisation in tricyclic antidepressant overdose Betty S Chan, Clinical Toxicology & Emergency Medicine, Prince of Wales Hosptial, Sydney, Australia. Morning Posters - Room 03

246 An uncommon cause of high-anion gap metabolic acidosis after repeated supratherapeutic paracetamol ingestion Hwee Min D Lee, Emergency, Monash Health, Melbourne, Australia. Morning Posters - Room 03

262 Lurasidone mono-ingestion overdoses: a case series with minimal toxicity Andis Graudins, Clinical Toxicology Unit, Emergency Medicine Service, Monash Health and Monash University, Dandenong, Australia. Morning Posters - Room 03

331 A 1-year prospective analysis of propranolol exposures reported to the UK National Poisons Information Service (NPIS) Pardeep S Jagpal, National Poisons Information Service (Birmingham Unit), Birmingham, United Kingdom. Morning Posters - Room 03

332 Intravenous pentobarbital overdose treated with supportive care and multidose activated charcoal Rachel Wc Ng, Clinical Pharmacology and Toxicology, Western Sydney Local Health District Toxicology Service, Westmead, Australia. Morning Posters - Room 03

333 The impact of codeine upscheduling on prescriptions, overdoses, Emergency Department presentations and mortality in Victoria, Australia Anselm Wong, Victorian Poisons Information Centre and Austin Toxicology Unit, Austin Health, Victoria, Australia. Morning Posters - Room 03

231 Sarolaner-poisoning in an infant: a case report Angelika Holzer, Poisons Information Centre Austria, Vienna, Austria. Morning Posters - Room 04

252 Acute kidney failure due to acetaminophen overdose: a case report Marian Piqueur, Departement of Laboratory Medicine, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. Morning Posters - Room 04

253 Venlafaxine-associated hypoglycemia: frequency and correlation with symptom severity Elias Bekka, Department of Clinical Toxicology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany. Morning Posters - Room 04

254 Hydroxyzine poisoning in the intensive care unit: predictive factors of cardiovascular complications and toxicokinetics Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

255 Lamotrigine poisoning in the ICU: a case series with evaluation of the toxicocokinetics and the predictive value of the plasma concentration on admission Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

256 Rispiridone poisoning in the intensive care unit: evaluation of the poisoning severity on admission Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

257 Nicardipine poisoning in the intensive care unit: management, outcome and toxicokinetics Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

258 Poisonings involving angiotensin-converting enzyme inhibitors in the intensive care unit: a case series Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

259 Salicylate poisoning admitted to the intensive care unit: features and toxicokinetics Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

260 Antidepressant drug poisonings and the risk of thromboembolic complications: a case series from an intensive care unit Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Morning Posters - Room 04

263 Combined beta-blocker and beta-agonist drugs overdose: an unusual balance Andrea Giampreti, Bergamo Poison Control Center, Papa Giovanni XXIII Hospital, BERGAMO, Italy. Morning Posters - Room 04

264 Characteristics of use and outcome of naloxone administration to non-intensive care and non-surgical hospitalized adult patients: a pilot study Ophir Lavon, Clinical Pharmacology and Toxicology Unit, Carmel Medical Center, Haifa, Israel. Morning Posters - Room 04

266 Medication errors in nursing homes and other residential institutions with full-time staff attendance: a Danish Poisons Information Centre quality project Karen R Eriksen, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. Morning Posters - Room 04

268 Crisis averted? Olanzapine as an antidote for serotonin toxicity: a case report Erik Lindeman, Swedish Poisons Informatiom Center, Stockholm, Sweden. Morning Posters - Room 04

269 Non-cardiogenic pulmonary edema in amlodipine poisoning: the lesser evil? Erik Lindeman, Swedish Poisons Information Center, Stockholm, Sweden. Morning Posters - Room 04

271 Pharmacobezoar and gastric perforation in severe quetiapine intoxication: a case report Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Morning Posters - Room 04

273 Intoxication with colchicine: a retrospective study Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Morning Posters - Room 04

334 Intravenous iron overdose: don’t trust the blood levels Ann-Charlott Svanhagen, Swedish Poisons Information Center, Swedish Poisons Information Center, Stockholm, Sweden. Morning Posters - Room 04

205 Bedside quantitative electroencephalographic monitoring using the Patient State Index correlates poorly with Glasgow Coma Score in acutely poisoned patients Shaun L Greene, Victoria Poisons Information Centre, Austin health, Melbourne, Australia. Morning Posters - Room 09

335 Favorable acute toxicity profile of the “hiking” stimulant nikethamide Colette Degrandi, National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, Zurich, Switzerland. Lunchtime Posters - Room 03

336 Successful 40-hour delayed acetylcysteine treatment in a severe acetaminophen acute hepatitis Andrea Giampreti, Bergamo Poison Control Center, Bergamo Poison Control Center, Bergamo, Italy. Lunchtime Posters - Room 03

337 “Reversal” of dabigatran-induced anticoagulation with idarucizumab: experience of an Italian hospital Andrea Giampreti, Bergamo Poison Control Center, Bergamo Poison Control Center, Bergamo, Italy. Lunchtime Posters - Room 03

338 Metformin-related enquiries from hospitals to the National Poisons Information Service (NPIS) between 2010-2019: a comparison of metformin only and polypharmacy exposures Bethan W Hughes, National Poisons Information Service, Cardiff, United Kingdom. Lunchtime Posters - Room 03

339 Characteristics of emergency department presentations following a drug suicide attempt Mirjam Kummer, Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. Lunchtime Posters - Room 03

340 Propylthiouracil administration in 5 cases of thyroid hormone intoxication Francesca Maida, Pavia Poison Control Centre - National Toxicology Information Centre - Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Lunchtime Posters - Room 03

341 Evaluation of the overdosage section in Summaries of the Product Characteristics for medicines responsible for exposure calls to the Belgian Poison Centre Jonas Moens, Belgian Poison Control Centre, Neder-Over-Heembeek, Belgium. Lunchtime Posters - Room 03

342 Is haem arginate safer in overdose than previously thought? An uneventful four-fold accidental overdose Nandesh C Patel, National Poisons Information Service (Birmingham Unit), City Hospital, Birmingham, United Kingdom. Lunchtime Posters - Room 03

200 Efficacy of a 12h intravenous acetylcysteine (SNAP) regimen following single acute paracetamol overdose Ruben HK Thanacoody, National Poisons Information Service (Newcastle), Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom. Afternoon Posters - Room 03

239 Torsade de pointes following repeated massive loperamide ingestion Aza Kader, Swedish Poisons Information Centre, Stockholm, Sweden. Afternoon Posters - Room 03

247 Using “symptom search” to resolve an unusual case of poisoning reported to the UK National Poisons Information Service (NPIS) Ho MR Lee, NPIS (Birmingham Unit), City Hospital, Birmingham, United Kingdom. Afternoon Posters - Room 03

249 Different courses of quetiapine poisoning in two patients with gastric decontamination Anne Stuerzebecher, Poisons Information Centre Erfurt, Erfurt, Germany. Afternoon Posters - Room 03

261 Massive polypharmacy overdose resulting in diltiazem pharmacobezoar formation David Goldberger, Emergency Medicine, Albert Einstein Medical Center, Philadelphia, United States. Afternoon Posters - Room 03

232 General characteristics of acute poisonings by hypotensive and antiarrhythmic drugs in Moscow, 2010-2017 Presented By Anastasia Yu Simonova, Moscow N.V.SklifosovskyResearch Institute of emergency medical Help, Poisonng teatment Center, Moscow, Russian Federation. Afternoon Posters - Room 04

233 Acute toxicity profile of levomepromazine in overdose: a consecutive case series Stefan Weiler, National Poisons Centre, Tox Info Suisse, Associated Institute of the University of Zurich, Zurich, Switzerland. Afternoon Posters - Room 04

234 Be(a)ware of the fentanyl patch: unusual accidental cases of fentanyl intoxication Marianne EC Leenders, National Poisons Information Center/Department of Anesthesiology, University Medical Center, Utrecht, Netherlands. Afternoon Posters - Room 04

235 Calls to the Finnish Poison Information Centre related to drug poisoning in older people Mervi Saukkonen, Poison Information Center, University of Helsinki and Department of Emergency Medicine and Services, Helsinki University Hospital, Helsinki, Finland. Afternoon Posters - Room 04

236 Preliminary experience with plasmapheresis instead of molecular adsorbent recirculating system as liver support for paracetamol-induced hepatic failure Philippe Hantson, Intensive Care, Cliniques St-Luc, Université catholique de Louvain, Brussels,

Belgium. Afternoon Posters - Room 04

237 Acute poisoning with antihypertensive drugs: a retrospective study Julia V Radenkova-Saeva, Clinic of Toxicology, UMHATEM “N.I.Pirogov”, Sofia, Bulgaria. Afternoon Posters - Room 04

238 Rectal overdose of paracetamol Johanna Nordmark Grass, Swedish Poisons Information Centre, Stockholm, Sweden. Afternoon Posters - Room 04

248 Favorable toxicity profile of escitalopram in acute overdose in adults Katharina M Schenk-Jaeger, National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, Zurich, Switzerland. Afternoon Posters - Room 04

250 The association between phenytoin (diphenylhydantoin) and permanent cerebellar damage Rachel Day, National Poisons Information Service, Birmingham Centre, Birmingham, United Kingdom. Afternoon Posters - Room 04

343 Literature review of antidotal carbapenem use in valproic acid toxicity William Rushton, Alabama Poison Information Center, Children's of Alabama, Birmingham, United States. Afternoon Posters - Room 04

Plant and Mushroom Poisoning 077 Beauty can occasionally be toxic: local irritation from a houseplant Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Morning Posters - Room 06

087 Kombucha tea: a potential hepatotoxic agent Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Morning Posters - Room 06

348 Veratrum Aqua poisonings resulting from its misuse: a case series from Moscow, Russia Elizaveta V Melnik, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation. Morning Posters - Room 06

071 A 16 year (2002-2017) review of enquiries regarding plant abuse in Austria Susanna Dorner-Schulmeister, Poisons Information Centre Austria, Vienna, Austria. Lunchtime Posters - Room 06

072 A 16-year (2002-2017) review of suicide attempts by plant ingestion in Austria Susanna Dorner-Schulmeister, Poisons Information Centre Austria, Vienna, Austria. Lunchtime Posters - Room 06

091 Mistaking monkshood for radish resulting in a potentially fatal blood concentration of aconitine 40

Uwe Stedtler, Faculty of Medicine, Medical Centre, University of Freiburg, Freiburg, Germany. Lunchtime Posters - Room 06

092 Intoxication with castor beans Marine Grigoryan, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Lunchtime Posters - Room 06

349 Lethal poisoning with Oenanthe crocata. Survive or not? Alexis Descatha, PCC, Ester Unit (IRSET U1085), Univ Angers- CHU Angers- Inserm, Angers, France. Lunchtime Posters - Room 06

070 Suicidal Cerbera odollam poisoning: a case report Angelika Holzer, Poisons Information Centre Austria, Vienna, Austria. Afternoon Posters - Room 06

081 A severe and prolonged case of Amanita phalloides poisoning Anja J Huusom, Department of Occupational and Environmental Medicine, The Danish Poisons Information Centre, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. Afternoon Posters - Room 06

085 Facial paralysis after cutaneous burns from Heracleum mantegazzianum Azzurra Schicchi, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 06

088 Does combining vitamin C and vitamin B17 (amygdalin) worsen toxicity? Faisal S Minhaj, Maryland Poison Center, Baltimore, United States. Afternoon Posters - Room 06

089 Confusion between toxic and edible plants registered by the French Poison Control Centres from 2012 to 2018 Sandra Sinno-Tellier, Health Alerts and Vigilance department, French Agency for Food, Environmental and Occupational Health & Safety, MAISONS-ALFORT, France. Afternoon Posters - Room 06

090 Acute poisoning due to Datura ingestion: case report Marine Grigoryan, Toxicology and Pediatric Intensive Care Unit, Yerevan State Medical University after Mkhitar Heratsi, Yerevan, Armenia. Afternoon Posters - Room 06

093 Severe plant poisonings admitted to the intensive care in France: management and outcome Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Afternoon Posters - Room 06

350 The White Panther: rare exposure to Amanita multisquamosa causing clinically significant toxicity Varun Vohra, Emergency Medicine, Michigan Poison Center, Wayne State University School of Medicine, Detroit, United States. Afternoon Posters - Room 06

Toxinology (bites, stings, antivenom etc) 195 Antidote treatment in viper envenomation in Italy: a comparison of 4 antivenoms during a 6 year study Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Morning Posters - Room 11

278 The changing pattern of treatment for latrodectism over time in a toxicology unit: red-back spider antivenom or standard analgesic therapy: nothing to RAVE about Andis Graudins, Clinical Toxicology Unit, Emergency Medicine Service, Monash Health and Monash University, Dandenong, Australia. Morning Posters - Room 11

280 A serious viper bite in a pregnancy Francesco Gambassi, Toxicology Unit and Poison Control Center, Firenze, Italy. Morning Posters - Room 11

281 Spider bites in France: a retrospective study using the French Poison Control Centers Network from 2007 to 2017 Gaël Le Roux, Centre antipoison et Toxicovigilance Grand Ouest, Centre antipoison et Toxicovigilance Grand Ouest, Angers, France. Morning Posters - Room 11

283 Recurrent thrombocytopenia after Italian viper bite: a case report Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy, Pavia, Italy. Morning Posters - Room 11

377 Hyperbaric oxygen therapy in Loxoscelism skin necrosis: a case report Anna Celentano, Milan Poison Control Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. Morning Posters - Room 11

378 Exotic venomous snakebites in Switzerland reported to the National Poisons Information Centre over 22 years Joan Fuchs, Tox Info Suisse, University of Zurich, Zurich, Switzerland. Morning Posters - Room 11

379 Far from home: compartmental syndrome after envenomation by Crotalus atrox in metropolitan France Gaël Le Roux, Poison Control Center and Toxicovigilance, Angers, France. Morning Posters - Room 11

380 Human exposure to larvae of processionary moths in France: study of symptomatic cases registered by the French Poison Control Centres between 2012 and 2019 Sandra Sinno-Tellier, Health Alerts and Vigilance Department, French Agency for Food, environmental and Occupational Health & Safety, MAISONS-ALFORT, France. Morning Posters - Room 11

284 Latrodectus tredecemguttatus poisoning: a case report treated with antidote Marco Cirronis, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and

Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Afternoon Posters - Room 11

285 Prolonged neurological effects after delayed antivenin administration Alfred Aleguas, Poison Information Center-Tampa, Tampa General Hospital, Tampa, United States. Afternoon Posters - Room 11

286 Cardiovascular complications following ciguatera fish poisoning in the French West Indies: a case series Dabor Resiere, Critical Care Medicine, University Hospital of Martinique, Fort de France, Martinique. Afternoon Posters - Room 11

287 Epidemiology of bites by indigenous venomous snakes in Switzerland reported to Tox Info Suisse over a 22 year period Joan Fuchs, Swiss National Poisons Information Center, Tox Info Suisse, Associated Institute of the University of Zurich, Zurich, Switzerland. Afternoon Posters - Room 11

289 An analysis of envenoming features in adder bite cases referred to the UK National Poisons Information Service (NPIS) David Stewart, NPIS Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. Afternoon Posters - Room 11

290 Kambô: a healing potion or a poisonous toxin? Annie Watt, NPIS Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. Afternoon Posters - Room 11

291 Viper bite neurotoxicity: two pediatric cases in central Italy Marco Marano, Emergency Department PICU. Regional Pediatric Poison Control Center, Bambino Gesù Children Hospital, Rome, Italy. Afternoon Posters - Room 11

292 Thromboelastogram use in Crotalus adamanteus envenomation William F Rushton, Office of Medical Toxicology, Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, United States. Afternoon Posters - Room 11

381 Rattlesnake bite in Austria: a case report Susanna Dorner-Schulmeister, Poisons Information Centre, Vienna, Austria. Afternoon Posters - Room 11

382 Bitten abroad, an unforgettable souvenir: bites and stings reported to the UK National Poisons Information Service (NPIS) sustained whilst travelling overseas, 2009-2019 Pardeep S Jagpal, National Poisons Information Service (Birmingham Unit), Birmingham, United Kingdom. Afternoon Posters - Room 11

Veterinary toxicology (poisoning in animals) 065 Animal PoisonLine: review of a new public access veterinary poisons information service Zoe Tizzard, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04 43

066 Flurbiprofen toxicosis in dogs Nicola Bates, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04

067 A retrospective study of cement exposure in 42 dogs Nicola Bates, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04

068 Cases of botulism in waterfowls in the Po river valley Carlo A. Locatelli, Pavia Poison Control Centre - National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Lunchtime Posters - Room 04

383 Role of decontamination in dogs poisoned by alphachloralose-based rodenticides: a case series Marieke A Dijkman, Dutch Poisons Information Center (DPIC), University Medical Center Utrecht, Utrecht, Netherlands. Lunchtime Posters - Room 04

384 “Curiosity killed the cat”: cats poisoned by alphachloralose containing rodenticides Marieke A Dijkman, Dutch Poisons Information Center (DPIC), University Medical Center Utrecht, Utrecht, Netherlands. Lunchtime Posters - Room 04

385 A case series of hypothermic, sedated cats with sensory-induced CNS excitation: alphachloralose poisoning? Marieke A Dijkman, Dutch Poisons Information Center (DPIC), University Medical Center Utrecht, Utrecht, Netherlands. Lunchtime Posters - Room 04

386 When does xylitol-induced hypoglycaemia occur in dogs? Nick Edwards, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04

387 The effect of the COVID-19 pandemic on call numbers to the Veterinary Poisons Information Service (VPIS) and Animal PoisonLine (APL) Nick Edwards, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04

388 The effect of the COVID-19 pandemic on animal poisons cases reported to the Veterinary Poisons Information Service (VPIS) and Animal PoisonLine (APL) Nick Edwards, Veterinary Poisons Information Service, London, United Kingdom. Lunchtime Posters - Room 04

389 The successful treatment of thallium sulfate toxicity in a dog using Prussian blue Anne Kan, Dutch Poisons Information Center, University Medical Center, Utrecht, Netherlands. Lunchtime Posters - Room 04

Miscellaneous 108 Utilization of the Danish Poisons Information Centre: a nationwide registry study Tonny S Petersen, Department of Clinical Pharmacology, Bispebjerg Hospital, Copenhagen, Denmark. Morning Posters - Room 05

002 A watchful foretaste of Article 45 Annex VIII: things you will wish you knew before Geert Verstegen, Belgian Poison Centre, Brussels, Belgium. Morning Posters - Room 09

003 Current experience of the Belgian Poison Centre with the new product notification requirements implementing article 45 Anne-Marie K Descamps, Belgian Poison Centre, Brussels, Belgium. Morning Posters - Room 09

179 Human skin explants ex vivo study: lesions caused by topical exposure to 25% tetramethylammonium hydroxide (TMAH) Alan H Hall, Medical Toxicology, Toxicology Consulting and Medical Translating Services, Azle, Texas, United States. Morning Posters - Room 09

190 Risk assessment and lessons learned: a collaboration between Public Health and a National Poisons Information Centre Edel Duggan, National Poisons Information Centre, Dublin, Ireland. Morning Posters - Room 09

202 Three years of experience implementing a chemical submission protocol at an Emergency Department Juan Ortega Pérez, Emergengy Department Hospital Universitari Son Espases, Attending Physician, Palma de Mallorca, Spain. Morning Posters - Room 10

178 The role of CYP450 in the molecular toxicology of sulfur mustard in vitro Presented By Simone Rothmiller, Bundeswehr Institute of Pharmacology and Toxicology, Munich, Germany. Lunchtime Posters - Room 09

181 “All right, I’ll be more careful next time”: frequent callers in Finnish Poison Information Centre (FPIC) Suvi Pajarre-Sorsa, Poison Information Centre, Poison Information Centre, University of Helsinki and Department of Emergency Medicine and Services, Helsinki University Hospital, Helsinki, Finland, Helsinki, Finland. Lunchtime Posters - Room 09

184 Risky dietary supplements: self-harm with potassium salt capsules Sonny Larsson, Swedish Poison Information Centre, Solna, Sweden. Lunchtime Posters - Room 09

188 Supporting the establishment of an Ethiopian Poisons Centre Ruben Thanacoody, National Poisons Information Service (Newcastle Unit), Newcastle Hospitals NHS Foundation Trust, Newcastle, United Kingdom. Lunchtime Posters - Room 09 45

192 Diphtheria: two cases treated with antitoxin Davide Lonati, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia, Pavia, Italy. Lunchtime Posters - Room 09

363 Requests regarding snus to the Poisons Information Centre in Austria Tara Arif, Poisons Information Centre, Vienna, Austria. Lunchtime Posters - Room 09

364 Multiple treatments of clotrimazole during pregnancy Sian C D Harbon, National Poisons Information Service, Cardiff, United Kingdom. Lunchtime Posters - Room 09

365 Challenges facing the UK National Poisons Information Service (NPIS) ahead of EU Exit and commencement of Annex VIII of Article 45 (Classification, Labelling and Packaging) Pardeep S Jagpal, National Poisons Information Service (Birmingham Unit), Birmingham, United Kingdom. Lunchtime Posters - Room 09

366 When volvulus hides a poisoning: a case of severe foodborne botulism Roberto Zoppellari, Department of Anaesthesia and Intensive Care, S. Anna Hospital, Ferrara, Italy. Lunchtime Posters - Room 09

105 Toxicological evaluation of a cluster of reports of hepatitis related to turmeric dietary supplements in Italy Azzurra Schicchi, Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS and University of Pavia (Italy), Pavia, Italy. Afternoon Posters - Room 06

185 Valproic acid in the management of delirious, agitated critically ill toxicology patients Joseph J Rasimas, Consultation - Liaison Psychiatry, Hennepin County Medical Center, Minneapolis, United States. Afternoon Posters - Room 12

186 Takotsubo syndrome during benzodiazepine withdrawal: a case report Francesco Gambassi, Medical Toxicology Unit and Poison Control Center, Azienda Ospedaliero- Universitaria Careggi, Firenze, Italy. Afternoon Posters - Room 12

191 Myocardial infarction in the acutely poisoned patient: a case series Bruno Mégarbane, Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMRS-1144, Paris, France. Afternoon Posters - Room 12

193 QTc interval and electrolyte derangement in alcohol withdrawal-related seizures Agnesa Mustafa, Clinical Toxicology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom. Afternoon Posters - Room 12