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Abstract Poster session First Author Abstract Title: Number 17 Friday, March 27, 2015, 8am-5pm Arens AM Cardiac Arrest and Prolonged Coma After Intentional Pentobarbital Overdose

26 Friday, March 27, 2015, 8am-5pm Calello DP Bupropion: An Atypical Cause of Report from the ToxIC Registry

32 Friday, March 27, 2015, 8am-5pm Chai PR Correlating Physical Exam Findings on Poisoned Patients Through Google Glass

33 Friday, March 27, 2015, 8am-5pm Chary M Estimating Nonmedical Use of Prescription Opioids in the United States from Social Media

2 Friday, March 27, 2015, 8am-5pm Fettiplace MR Lipid Emulsion Rapidly Activates Insulin Signaling Both Alone and to Combat During Bupivacaine-Induced Sensitization of IRS1

3 Friday, March 27, 2015, 8am-5pm Finkelstein Y Long-Term Outcomes Following Deliberate Self- in Teens: A Population-Based Study

45 Friday, March 27, 2015, 8am-5pm Genco EK Epic Win or Epic Fail? The Effectiveness of Electronic Medical Record Alerts in the Emergency Department

53 Friday, March 27, 2015, 8am-5pm Iwanicki JI Hyponatremia is Uncommon in Levamisole-positive Patients

55 Friday, March 27, 2015, 8am-5pm Kessler BK The Use of Emergency Medicine Oral Boards Simulated Sessions to Evaluate Resident Abilities to Diagnose and Manage Serotonin Syndrome

58 Friday, March 27, 2015, 8am-5pm Kirschner RI Frequency of Coagulation Testing in Acetaminophen Overdose without Injury

115 Friday, March 27, 2015, 8am-5pm Kirschner RI Nomogram Line Crossing in Acetaminophen Combination Product Overdose

116 Friday, March 27, 2015, 8am-5pm Klein LA Retrospective Evaluation of Quetiapine Abuse Reported to the National Data System

59 Friday, March 27, 2015, 8am-5pm Laskowski LK Start Me Up! Recurrent Defibrillations in Refractory Ventricular Tachydysrhythmias Following Intentional Caffeine Powder and Pill Ingestion

60 Friday, March 27, 2015, 8am-5pm Le QT Retrospective Observational Case-Control Study Comparing the Effectiveness of Activated Charcoal and Resin Hemoperfusion on Treatment of Acute Paraquat Poisoning 61 Friday, March 27, 2015, 8am-5pm Levine M Antidotal Therapy by Intravenous Lipid Emulsion: Observations from the Investigators Consortium (ToxIC)

63 Friday, March 27, 2015, 8am-5pm Levine M Clinical Characteristics and Treatment Practices in Patients with Acute Insulin Overdose

64 Friday, March 27, 2015, 8am-5pm Maddry JK A Prospective Observation Study of Medical Toxicology Consultation in a US Combat Theater

65 Friday, March 27, 2015, 8am-5pm Maddry JK Myopathy Following Acute Cutaneous Chlorophenoxy Herbicide Exposure

66 Friday, March 27, 2015, 8am-5pm Maloney GE How Frequently Are Drug Interactions Identified In Patients on Warfarin Presenting to the Emergency Department WIth a Supratherapeutic INR? 67 Friday, March 27, 2015, 8am-5pm Manini AF Clinical Toxicity of Synthetic-Cannabinoid Receptor Agonist Overdose

68 Friday, March 27, 2015, 8am-5pm Maskell KF Gastric Lavage: Ten Years' Experience at One Poison Center

4 Friday, March 27, 2015, 8am-5pm Mazer-Amirshahi ME Utilization Patterns of Carisoprodol in Ambulatory Care and Emergency Departments, 2001-10

69 Friday, March 27, 2015, 8am-5pm Mazer-Amirshahi ME Trends in Outpatient Benzodiazepine Prescribing, 2005-10

72 Friday, March 27, 2015, 8am-5pm Meggs WJ Medication Use of Chronically Ill Gulf War Veterans Presenting to a Medical Toxicology Clinic over 20 Years After the Conflict

73 Friday, March 27, 2015, 8am-5pm Mekonnen S Altered Mental Status and Renal Failure

74 Friday, March 27, 2015, 8am-5pm Menke NB An Inpatient Toxicology Service Leads to Increased Hospital Revenue by Significantly Increasing the Number of Transferred Poisoned Patients 76 Friday, March 27, 2015, 8am-5pm Merriman M The Many Faces of 'Molly' -Methylone, MDMA and Other Substituted Amphetamines.

78 Friday, March 27, 2015, 8am-5pm Nacca NE Metaxalone Associated Serotonin Syndrome

79 Friday, March 27, 2015, 8am-5pm Nguyen V #Music&Drugs+Tweets: How #Drugs and # Are Being Talked About @ Music Festivals

81 Friday, March 27, 2015, 8am-5pm Onisko NS Determination of Respiratory Depression Measured by Capnography of Acutely Intoxicated Patients Presenting to an Urban Emergency Department 80 Friday, March 27, 2015, 8am-5pm Onisko, NS Characteristics of Acute Cottonmouth Envenomation from the ToxIC North American Registry (NASBR)

1 Friday, March 27, 2015, 8am-5pm Parker Cote JL Efficacy of Trypsin in Treating Coral Snake Envenomation in the Porcine Model

82 Friday, March 27, 2015, 8am-5pm Phillips TM Dermal and Inhalational Exposure to Paint Thinner Causing Methemoglobinemia

87 Friday, March 27, 2015, 8am-5pm Roth BA Pattern of Antivenin Use in Rattlesnake Bites Reported to Poison Centers

89 Friday, March 27, 2015, 8am-5pm Ruha AM Antibiotic Use in the Management of Snake Envenomation

96 Friday, March 27, 2015, 8am-5pm Srisuma S Transdermal Patch Medication Exposures Reported to Regional Poison Center; Ten-Year Experience

102 Friday, March 27, 2015, 8am-5pm Tran AT Recurrent Neurotoxicity Following Crotalus durissus terrificus Envenomation Treated with Crotalidae Polyvalent Immune Fab (Ovine)

104 Friday, March 27, 2015, 8am-5pm Trella JD Potential for Improved Collaboration Between State Emergency Medical Services and a Regional Poison Control Center Abstract Poster Session First Author Abstract Title: Number 13 Saturday, March 28, 2015, 8am-5pm Abar B Intentional Pharmaceutical Overdoses Related to Therapeutic Misadventures: A Description of ToxIC Entries

14 Saturday, March 28, 2015, 8am-5pm Agarwal AK Change in Provider Perspectives About Opioid Analgesics Following a Multidisciplinary Educational Intervention to Enhance Safe Opioid Use.

20 Saturday, March 28, 2015, 8am-5pm Bond ME Intravenous Fat Emulsion Does Not Significantly Alter Clotting Markers in Dabigatran-Treated Blood

27 Saturday, March 28, 2015, 8am-5pm Calello DP 24/7 Bedside Toxicology Service 36 Saturday, March 28, 2015, 8am-5pm Cox D A Comparison of Vasopressor Utility for Induced Shock

113 Saturday, March 28, 2015, 8am-5pm Daniel N Outcomes in Suspected "Missed" Acetaminophen Overdose

42 Saturday, March 28, 2015, 8am-5pm Forrester MB Work-Related Hydrogen Sulfide Exposures Reported to Poison Centers

43 Saturday, March 28, 2015, 8am-5pm Fox KA Fatal Cobalt Toxicity after Total Hip Arthroplasty Revision for Fractured Ceramic Components

5 Saturday, March 28, 2015, 8am-5pm Fox L Clinical Risk Factors in ED Patients with Prescription

52 Saturday, March 28, 2015, 8am-5pm Hawley K Longitudinal Trends in U.S. Drug Shortages for Used in Emergency Departments (2001 - 2014)

7 Saturday, March 28, 2015, 8am-5pm Hoppe JA Risk Factors Associated with Opioid Analgesic Prescribing in a Cross Section of Nineteen U.S. Emergency Departments

56 Saturday, March 28, 2015, 8am-5pm Kessler BK Rapid Symptomatic Improvement of Encephalopathy From Valproic Acid Toxicity After Short Course of Intravenous Carnitine.

6 Saturday, March 28, 2015, 8am-5pm Kim HS Is CYP2C19 Genotyping Useful Prior to New Drug Administration in an ED Population?

57 Saturday, March 28, 2015, 8am-5pm Kim T Delayed Neurologic Symptoms Occurring More Than 24 Hours After Bupropion Overdose

8 Saturday, March 28, 2015, 8am-5pm Mazer-Amirshahi ME Ambulatory Care and Emergency Department Prescribing Practices Do Not Account for Gender Differences in Opioid Analgesic-Related Deaths 71 Saturday, March 28, 2015, 8am-5pm Meggs WJ Use of Home Air Fresheners is Associated with High Body Mass Index in an Emergency Department Population

75 Saturday, March 28, 2015, 8am-5pm Menke NB Effects of Medical Toxicology Specialty Care on Length of Stay Following Hospitalization of the Poisoned Patient

83 Saturday, March 28, 2015, 8am-5pm Pomerleau AC "Doc, Can I Have Something Stronger?" ED Prescribers' Perspectives and Practices Concerning Opioid Prescribing

84 Saturday, March 28, 2015, 8am-5pm Poncher ER 25i and 2C Substituted Phenylethylamine Exposures Reported to a Regional Poison Center

85 Saturday, March 28, 2015, 8am-5pm Reed JD Are you experienced? A Survey of Synthetic Drug Use and Safety

88 Saturday, March 28, 2015, 8am-5pm Roth, BA Gain Gains on Tide: Comparison of Pediatric Exposures to Two Laundry Detergent Pod Brands

90 Saturday, March 28, 2015, 8am-5pm Ruha AM Snakebite in the Elderly: A Retrospective Cohort of Patients Reported to the ToxIC North American Snakebite Registry

91 Saturday, March 28, 2015, 8am-5pm Sessions DJ The Bubbler Did It?: Methemoglobinemia Associated with Nitrate Exposure from a Water Fountain

92 Saturday, March 28, 2015, 8am-5pm Slim JJ Butane Hash Oil Burns Associated With Marijuana Liberalization in Colorado

93 Saturday, March 28, 2015, 8am-5pm Snow JW Therapeutic Plasma Exchange and Liver Transplant for Acute Hepatic Failure Due to Iron and Acetaminophen Toxicity

94 Saturday, March 28, 2015, 8am-5pm Spyres MB Pitfalls of Early Acetaminophen Concentrations in Prediction of Toxicity

95 Saturday, March 28, 2015, 8am-5pm Srisuma S Electronic Mapping of Learning Activities in a Medical Toxicology Fellowship Program

97 Saturday, March 28, 2015, 8am-5pm Stellpflug SJ Brom(ism)ance: An Escalating Relationship With Dextromethorphan

98 Saturday, March 28, 2015, 8am-5pm Stephani JA Single-Drug Exposures Associated with Rhabdomyolysis - A Review of the ToxIC Registry

99 Saturday, March 28, 2015, 8am-5pm ter Haar EG Do Good Samaritan Laws and Laws Expanding Naloxone Access Decrease Opioid Death Rates?

100 Saturday, March 28, 2015, 8am-5pm Tormoehlen LM Blood Pressure Effects of Labetalol in Sympathomimetic-associated Intracerebral Hemorrhage: A Case Series

101 Saturday, March 28, 2015, 8am-5pm Tran AT Protracted coma following 1,4-butanediol toxicity treated with fomepizole

103 Saturday, March 28, 2015, 8am-5pm Trella JD Comparative "Penetrance" of a Regional Poison Control Center Versus Emergency Medical Services for Poisoning

105 Saturday, March 28, 2015, 8am-5pm Vakkalanka JP Hemodialysis is Likely Underutilized in Severe Aspirin Poisoning

106 Saturday, March 28, 2015, 8am-5pm Varney SM A Descriptive Study of Prescription Opioid Misusers Evaluated by Medical Toxicologists

107 Saturday, March 28, 2015, 8am-5pm Wang GS Medical Toxicology Consult Service at a Tertiary Care Children's Hospital

108 Saturday, March 28, 2015, 8am-5pm Wang GS Extracorporeal Membrane Oxygenation for Severe Toxicologic Exposures: Review of the Toxicology Investigators Consortium (ToxIC)

109 Saturday, March 28, 2015, 8am-5pm Wax PM The Use of Insulin-Euglycemic Therapy by Medical Toxicologists

110 Saturday, March 28, 2015, 8am-5pm Wax PM A Pilot Program to Enhance Environmental Health Education in U.S Medical Schools

111 Saturday, March 28, 2015, 8am-5pm Wiegand TJ Intentional Pharmaceutical Overdoses: Comparison of Self-harm, Misuse/abuse and Therapeutic Misadventure ToxIC Case Registry Entries Abstract Poster session First Author Abstract Title: Number 15 Sunday, March 29, 2015, 8am-3pm Almalki MA Refractory Hyperkalemia in a Patient with Normal Renal Function

16 Sunday, March 29, 2015, 8am-3pm Anwar M Bismuth Encephalopathy Masquerading as Hypernatremia and UTI

18 Sunday, March 29, 2015, 8am-3pm Arens AM Hepatotoxicity Associated with Use of a Dietary Supplement Containing Chinese Skullcap: A Case Report

19 Sunday, March 29, 2015, 8am-3pm Beauchamp GA Toxicological Ingestions Requiring Intubation: A Review of 13 years of NPDS Data

21 Sunday, March 29, 2015, 8am-3pm Bosak A Outcomes Following Mechanical Ventilation of Salicylate-Poisoned Patients

22 Sunday, March 29, 2015, 8am-3pm Boyle KL Academic Rank of Board Certified Medical Toxicologists in U.S. Medical Schools

23 Sunday, March 29, 2015, 8am-3pm Boyle KL Characterization of Acute Opioid Overdose in the ToxIC Registry

24 Sunday, March 29, 2015, 8am-3pm Bruccoleri RE Characteristics and Treatments of Patients with ECG Findings Significant for QRS Widening

25 Sunday, March 29, 2015, 8am-3pm Burkhart KK Piperidine and Piperazine Substructures are a Common Feature of Drugs Labeled for QT Prolongation

28 Sunday, March 29, 2015, 8am-3pm Calello DP Features of Synthetic Cannabinoid Exposures: Report from the ToxIC Registry

29 Sunday, March 29, 2015, 8am-3pm Cao D Characterization of Edible Marijuana Product Exposures Reported to the National Poison Data System

30 Sunday, March 29, 2015, 8am-3pm Cao D Characterization of Medical Marijuana Product Exposures Reported to the National Poison Data System

31 Sunday, March 29, 2015, 8am-3pm Chai PR Intravenous Lipid Emulsion Does Not Resuscitate Cocaine Induced Cardiovascular Arrest in a Rat Model

34 Sunday, March 29, 2015, 8am-3pm Chen J Lead Toxicity from Lead-Contaminated Turmeric

35 Sunday, March 29, 2015, 8am-3pm Cook-Shimanek M A Characterization of Occupational Irritant and Exposures

12 Sunday, March 29, 2015, 8am-3pm Coorg V Clinical Course and Outcomes Associated with Different Treatment Modalities for Pediatric Bark Envenomation

9 Sunday, March 29, 2015, 8am-3pm Davey MP Cost-Effectiveness Analysis of Hemodialysis and Fomepizole vs. Fomepizole Alone in the Treatment of Toxic Alcohol Toxicity without Acidosis 114 Sunday, March 29, 2015, 8am-3pm Diaz JH Is Palytoxin Poisoning?

37 Sunday, March 29, 2015, 8am-3pm DiMarco VJ A Description of Practice in GI Decontamination with Activated Charcoal at a Large Academic Center

38 Sunday, March 29, 2015, 8am-3pm Farrugia LA Changes to Prescribed Psychotropics Following Intentional Overdose

39 Sunday, March 29, 2015, 8am-3pm Farrugia LA Suicidal Adolescents: Examining Self- Within the Pediatric Population

40 Sunday, March 29, 2015, 8am-3pm Fields AF Characteristics of Patients Undergoing ED and Inpatient Buprenorphine Induction by a Medical Toxicology Service.

41 Sunday, March 29, 2015, 8am-3pm Fil LJ Severe Hyponatremia due to SIADH in an Elderly Patient on a Selective Serotonin Inhibitor and a Thiazide Diuretic

44 Sunday, March 29, 2015, 8am-3pm Gardner KF A Descriptive Analysis of Naloxone Use in Suspected Opioid Overdoses by Pre-hospital Providers Using EMS Data

46 Sunday, March 29, 2015, 8am-3pm Goldberg LC Lithium Intoxication Cases at the Arizona Poison and Drug Information Center (APDIC): Analysis of Hemodialysis (HD) as Treatment

47 Sunday, March 29, 2015, 8am-3pm Gordon B Use of Cyproheptadine to Treat Serotonin Syndrome from Coingestion of Yohimbine, Methylphenidate and Dextromethorphan

48 Sunday, March 29, 2015, 8am-3pm Griswold MK A Comparison of Voluntary Reporting Systems and Naloxone Trigger Tool to Identify Adverse Opioid-related Events

49 Sunday, March 29, 2015, 8am-3pm Gugelmann HM Toxicity Associated with Massive Blood Transfusion

50 Sunday, March 29, 2015, 8am-3pm Gugelmann HM Iatrogenic Hepatotoxicity: Dosing Pitfalls of Intravenous Acetaminophen (IV APAP)

51 Sunday, March 29, 2015, 8am-3pm Hatten BW Chemical Threat Agents Reported in the ToxIC Registry (2010-2013)

112 Sunday, March 29, 2015, 8am-3pm Hendrickson RG Medications That Are Associated With Serotonin Toxicity: A Review of the ToxIC Registry

54 Sunday, March 29, 2015, 8am-3pm Kazzi ZN Geographical Relation of RITN Centers to Medical Toxicology Resources

62 Sunday, March 29, 2015, 8am-3pm Levine M Estimating the Impact of Adopting the Revised United Kingdom Acetaminophen Treatment Nomogram in the US Population

11 Sunday, March 29, 2015, 8am-3pm Lim CS The Rapid Growth of Drug-Overdose Deaths in Rural Counties from 1999-2012

70 Sunday, March 29, 2015, 8am-3pm Mazer-Amirshahi ME Drug Shortages: Implications for Medical Toxicology

10 Sunday, March 29, 2015, 8am-3pm Menke NB Effects of Medical Toxicology Specialty Care on Resource Utilization During Hospitalization of the Poisoned Patient

77 Sunday, March 29, 2015, 8am-3pm Murphy LT Inhalational Palytoxin Exposures Reported to the National Poison Data System

86 Sunday, March 29, 2015, 8am-3pm Rizer JM Interfacility Transfer Times of Salicylate Poisoned Patients in a Rural Poison Center Population