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poisonreview @poisonreview.bsky.social · 13h

GLP-1 drugs such as Wegovy and Mounjaro can cause dramatic changes in GI motility and function, as well as dehydration and malnutrition. Will this change the way we treat poisoned patients on these meds?

journals.lww.com/em-news/full...

journals.lww.com

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poisonreview @poisonreview.bsky.social · 3d

www.statnews.com/2025/10/11/c...

poisonreview @poisonreview.bsky.social · 9d

www.statnews.com/2025/10/06/t...

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poisonreview @poisonreview.bsky.social · 9d

It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead. www.nytimes.com/2025/10/05/w...

It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.

www.nytimes.com

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poisonreview @poisonreview.bsky.social · 9d

www.nytimes.com/2025/10/05/w...

poisonreview @poisonreview.bsky.social · 9d

GLP-1 receptor agonists can impair gastric emptying, decrease gallbladder contractility, and cause dehydration and malnutrition. Will this affect management of poisoned patients? I discussed in this month's Toxicology Rounds column.

journals.lww.com/em-news/full...

journals.lww.com

poisonreview @poisonreview.bsky.social · 9d

The Nobel Prize in Physiology or Medicine 2025 was awarded to Mary E. Brunkow, Fred Ramsdell and Shimon Sakaguchi “for their discoveries concerning peripheral i…

poisonreview @poisonreview.bsky.social · 10d

www.foxnews.com/world/brazil...

Brazil methanol poisonings top 120 cases after deadly tainted liquor fuels nationwide panic

The Brazilian Ministry of Health says 127 suspected cases are tied to methanol-laced liquor as antidote shipments are rushed to five states and panic spreads.

www.foxnews.com

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Reposted by poisonreview

josh farkas 💊 @pulmcrit.bsky.social · 12d

we're seeing *lots* of cocaine & methamphetamine use, especially via inhalational routes

presentations vary, including:

🥵 acute agitation/psychosis
🥵 seizures
🥵 vascular events, esp in young people (stroke, MI)

Local news www.wcax.com/2025/10/02/v...

IBCC chapter emcrit.org/ibcc/symp/ #EMIMCC

Vermont health officials alarmed by shift from opioid abuse to stimulants

Vermont health officials say the state is entering a new wave of the drug crisis.

www.wcax.com

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poisonreview @poisonreview.bsky.social · 12d

www.barrons.com/news/caipiri...

Caipirinhas Cancelled: Brazil On Alert Over Deadly Drinks

From chic Sao Paulo bars to Rio de Janeiro's beaches, Brazilians are on edge after a wave of suspected poisonings from tainted liquor has left people dead, blind, or in a coma.

www.barrons.com

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poisonreview @poisonreview.bsky.social · 14d

The new weight loss drugs like Ozempic and Mounjaro cause all sorts of changes in the GI tract. How may these changes affect management of poisoned patients?

journals.lww.com/em-news/full...

journals.lww.com

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Reposted by poisonreview

josh farkas 💊 @pulmcrit.bsky.social · 17d

"consensus" guideline on the management of DKA & HHS

with ZERO input from:
- anyone in emergency medicine
- anyone in critical care
- anyone in hospital medicine

the guidelines (published in 2024) contain many antiquated practices and big errors... 🧵#1/3 #EMIMCC

pubmed.ncbi.nlm.nih.gov/39052901/

https://diabetesjournals.org/care/article/47/8/1257/156808/Hyperglycemic-Crises-in-Adults-With-Diabetes-A

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Reposted by poisonreview

The Medical Journal of Australia @mja.com.au · 19d

🔔 New in InSight+

An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’

Read more: buff.ly/gU5OJ0Y

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poisonreview @poisonreview.bsky.social · 22d

Harvard Dean was paid $150,000 as expert witness in Tylenol lawsuits

poisonreview @poisonreview.bsky.social · 27d

journals.lww.com/em-news/full...

AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.

Prompt Engineering: A Critical Skill for Emergentologists... : Emergency Medicine News

An abstract is unavailable.

journals.lww.com

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poisonreview @poisonreview.bsky.social · 28d

www.wsj.com/world/americ...

America Loves Cocaine Again—Mexico’s New Drug King Cashes In

The Trump administration’s war on fentanyl created an opening for ‘El Señor Mencho’ to smuggle cocaine into the U.S. by the ton.

www.wsj.com

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poisonreview @poisonreview.bsky.social · Sep 12

www.statnews.com/2025/09/11/p...

Psychedelics are suddenly drawing interest from big drugmakers

Big pharmaceutical companies are getting more comfortable with psychedelic drugs, despite the FDA’s rejection of MDMA last year.

www.statnews.com

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poisonreview @poisonreview.bsky.social · Sep 9

www.huffpost.com/entry/what-i...

This Latest Injectible Trend Is 'A Terrible Idea', According To Doctors

Innotox is like Botox, but without FDA approval or a whole lot of other important things.

www.huffpost.com

poisonreview @poisonreview.bsky.social · Sep 8

www.wsj.com/style/beta-b...

The Pill That Women Are Taking for Everything From Speeches to First Dates

Influencers have described propranolol as a magic pill that eases nervous jitters in all kinds of settings. Prescriptions are on the rise, especially for young women.

www.wsj.com

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Reposted by poisonreview

josh farkas 💊 @pulmcrit.bsky.social · Sep 7

super important point 👇

sometimes creatinine falls due to dilution from large-volume fluid resuscitation.

if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).

Zaven Sargsyan @sargsyanz.bsky.social · Sep 7

The serum creatinine level is a concentration, amount per volume.

If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.

Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.

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poisonreview @poisonreview.bsky.social · Sep 7

www.nytimes.com/2025/09/06/n...

Hikers on Psychedelic Mushrooms Are Rescued From New York Wilderness

www.nytimes.com

poisonreview @poisonreview.bsky.social · Sep 5

www.nytimes.com/2025/09/05/t...

The Doctors Are Real, but the Sales Pitches Are Frauds

www.nytimes.com

Reposted by poisonreview

poisonreview @poisonreview.bsky.social · Sep 2

journals.lww.com/em-news/full...

Prompt Engineering: A Critical Skill for Emergentologists... : Emergency Medicine News

An abstract is unavailable.

journals.lww.com

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poisonreview @poisonreview.bsky.social · Sep 3

I would add that fomepizole, in addition to inhibiting CYP2E1, blocks the cascade of increasing oxidative damage that eventually leads to hepatocyte death. This suggests fomepizole may add benefit even when the acetaminophen level is low or undetectable and there's no more drug left to metabolize.

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poisonreview @poisonreview.bsky.social · Sep 2

journals.lww.com/em-news/full...

Prompt Engineering: A Critical Skill for Emergentologists... : Emergency Medicine News

An abstract is unavailable.

journals.lww.com

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