Ryan Feldman (empoisonpharmd.bsky.social)

You're working in the ED when a 30 y.o male presents 30 minutes after envenomation to the right index finger by his pet snake (left). He has a picture of culprit (right) , and it is definitely NOT from America. A 🧵on U.S. exotic envenomation management. (shared with consent)

Another unintended consequence of the 2018 Farm Bill, which effectively legalized THC nationwide with no oversight: 85 people, age 1–91, accidentally got high after a Wisconsin pizza place used THC oil from a neighboring kitchen. 30% had panic attacks. cdc.gov/mmwr/volumes/7…

the hardest part about doing a lot of things is that once per year yo have to tally up all those things you are doing and show your boss

Watching the Overton window shift in real time is wild

My student told me they always just use bing because they are too lazy to switch to chrome if bing auto pops up, and now I know technology will control the future population

IT SHOULD BE CALLED INSIDE YOUR HOUSE MIX. YOU ARE NEVER EATING IT ON A TRAIL

Excited to share that I’m joining The American Journal of Emergency Medicine as the Toxicology Section Editor! AJEM has published some of my favorite tox work, I’m excited to help others do the same—and help shape the future of tox literature! Have a tox article? Send it in!

🚨 We’re going LIVE on the radio! 📻 Tune into Wisconsin Public Radio’s (@WPR ) Larry Meiller Show this Thursday, July 17 @ 11:45am CT. 🎙️ We’ll talk poisons, The podcast, & take live call-in questions. 🌍 Listen from anywhere: wpr.org/shows/larry-me… Call & say hi!

🚨 From the AJHP EM issue: EM pharmacists are on the front lines of an ever-evolving toxicology landscape—overdoses, antidote shortages, novel street drugs, shifting treatments. This article from a great team of EM/Tox PharmDs gets you caught up fast! 🧪 doi.org/10.1093/ajhp/z…

What happens when 12 people are rushed to the hospital, some collapsing from deadly arrhythmias, after eating at the same restaurant? Hear first hand from the people on the front lines in this new #ThePoisonLab Series: Listen here (or anywhere)🎧 shorturl.at/ctyJ9

🚨 New #ThePoisonLab Series: Outbreak 🚨 🎙 Ep 1: The Markham Aconite Outbreak 12 people poisoned by a lethal plant toxin—hidden in a mislabeled spice jar. Deadly arrhythmias, a Google-savvy nurse, and a race to stop the next case. 🎧 shorturl.at/ctyJ9 #MedEd #Toxicology

SO EXCITED 🚨 New Series from @LabPoison: Outbreak🚨 Learn from frontline teams in real mass poisonings. First up: The 2022 Markham Aconite Poisonings, expertly treated and contained. Hear exactly how! 🎧 Listen now, anywhere you pod: thepoisonlab.com/episode/outbre… #MedEd

3rd ER visit for my kiddos croup in 5 days. The concept of doing racemic epi outpatient seems to be totally foreign to concept yet coming to the ER for rac epi every time is somehow not insane

Someone explain why big harm has not made a treatment for hand foot and mouth because this would sell like gangbusters

🔥 Off the Press: Risk factors for enterococcal UTI in ED patients (n=1836, 5% Enterococcus) 🧪 Combination of positive leukocyte esterase (LE+) and negative nitrite (NI−)  significantly associated w/ Enterococcus UTI (aOR 7.1, 95 % CI 3.73–13.5)  sciencedirect.com/science/articl…

I have been drinking lots of water because humans are like 60% water, but that means the other 40% is human and I am not sure how much of that I am supposed to have.

When nature wants you really dead, it sends a snake. Or a tick. Or a bean. Or a mushroom. Or sometimes… a sausage. Had fun diving into the toxins that target the soft underbelly of your nervous system: the neuromuscular junction. 🧠💀🧵👇 pubmed.ncbi.nlm.nih.gov/40541463/

📣Have you heard of antiamyloid therapies for AD? They cause ADEs called ARIAs that are non-specific, typically require MRI & can mimic stroke ⛔ Concomitant thrombolytics/anticoagulants are contraindicated Learn more in our JAMA IM Clinical Insight👉 jamanetwork.com/journals/jamai…

Once again civil suits are the only thing providing any pushback on these crazy unregulated products classaction.org/nitrous-oxide-…

Excited to co-moderate this @AACTinfo webinar today on some topics that won't just raise your hair, but might cause you to lose it all together! Hope to see you there!

This was a practice-changing episode for me back when it came out. Love the podcast!