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    Health & Fitness

    The Dantastic Mr Tox & Howard

    With help from leading experts, dark web entrepreneurs, and a homegrown house band, Toxicologists Howard Greller (@heshiegreshie) and Dan Rusyniak (@drusyniak) take you on an entertaining and educational journey into the field of Medical Toxicology.

    Special thanks to our announcer, Josh Shelov (@shelovj), Witness Protection Products™, and our house band, Meconium Aspirate.

    Comments, questions, suggestions, future topics, recipes? @dantastictox.

    Stay Healthy, True Believers!

    Advertise
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    Latest Episodes:
    The Ergogenic Academic Dec 25, 2018
    Show notes

    That’s not a lump of coal in your stocking . . . Join Dan (@drusyniak) &Howard (@heshiegreshie) as they speak with Dr. Dan Rusyniak (@drusyniak) live on stage at the 2018 North American Congress of Clinical Toxicology Pre-Meeting Symposium. Dan cleverly tricked Howard into being the foil for his live presentation. Enjoy a couple of turkey burgers as they discuss MDMA and other amphetamines, brown fat, fatigue and why Dan is going straight away to rat-hell. Wishing you all a wonderful holiday season and a Happy New Year from all of us at Mus Maximus.

    Delicious Links (or a brief preview of Dan’s CV . . . )
    1. What area of the brain mediates exercise-induced fatigue and exhaustion? Very likely the dorsomedial hypothalamus (DMH).
    2. Just in case you were wondering, inhibition of the DMH decreases hyperthermia and mortality from MDMA given in a warm environment.
    3. But, you may ask, how does one go about suppressing the MDMA-evoked sympathetic and behavioral responses?
    4. Running on the treadmill, however, will restore the MDMA-mediated hyperthermia prevented by inhibition of the DMH.
    5. Running the Indianapolis half-marathon instead of a treadmill? You might wind up taking a bath . . .
    6. Running the Boston Marathon may put you at risk for hyponatremia . . .
    7. Ergogenic. adjective Intended to enhance physical performance, stamina, or recovery. As in the ergogenic effect of amphetamine.
    8. Can you use dantrolene for MDMA-mediated hyperthermia? Nope. Just remember the Dirty on Dantrolene.
    9. Body temperature regulation involves a homeostatic balance between heat production and dissipation. This review examines cellular mechanisms involved in MDMA-induced thermogenesis.
    10. Turkey burgers . . . delicious turkey burgers pair well with . . . ?
    Special Thanks

    Thank you for your continued support. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj), Reverend Matt Winston and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Local Forecast Kevin MacLeod (incompetech.com)

    Licensed under Creative Commons: By Attribution 3.0 License

    http://creativecommons.org/licenses/by/3.0/


    Don’t Call Her Czarina Nov 29, 2018
    Show notes

    Join Dan (@drusyniak) &Howard (@heshiegreshie) as they welcome the first Chief Opioid Officer at UMass Memorial Health Care, Dr. Kavita Babu (@kavitababu) and talk about tackling the opioid crisis as toxicologists from boots on the ground to the halls of government. Get involved and get “the right, smart people in the room.”

    Also welcome a new sponsor, онлайн-журнал интернет-мошенничества!

    Delicious Links
    1. “That’s why we’re here. That’s why we’re crusaders.” UMass launches opioid task force with Dr. Babu as the first chief opioid officer.
    2. Physician self-perception of opioid prescribing is frequently inaccurate
    3. A novel assay for detecting clandestine opioids after a heroin overdose
    4. Self identification of non pharmaceutical fentanyl exposure
    5. The relationship between opioid analgesics and patient satisfaction
    6. UMass Tox Overdose Prevention Fund
    7. UMass Tox Opioid Safety Videos
    8. Dont’ forget to check out Establishing an Opioid Stewardship Program in Your Health System - webinar featuring Dr. Jeanmarie Perone and Dr. Scott Weiner
    9. Another compelling video from Dr. Perrone - The Opioid Crisis
    Special Thanks

    Thank you for your continued support. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Kalinka music https://www.youtube.com/watch?v=XzjRwbQdASg


    The Bloody Mess Oct 08, 2018
    Show notes

    Join Dan (@drusyniak) &Howard (@heshiegreshie) as they chat with Dr. Steve Aks as they talk about one of the more concerning toxicologic outbreaks in recent memory - the exposure to brodifacoum through synthetic cannabinoid use. Although still ongoing, this crisis highlights the importance of teamwork and collaboration.

    Delicious Links
    1. From the Department of Health in Illinois - synthetic cannabinoids.
    2. A brief discussion of this very topic from Leon Gussow.
    3. Not the first problem associated with the synthetic cannabinoids. From the archive, Zombie Day in NYC.
    4. The emerging threat of superwarfarins: history, detection, mechanisms, and countermeasures.
    5. A case of brodifacoum intoxication with marijuana smoking.
    6. And if that wasn’t good enough, a case of severe coagulopathy as a consequence of smoking crack cocaine laced with rodenticide.
    7. Why is vitamin K so expensive? Rattled by drug price increases, hospitals seek ways to stay on guard.
    8. Why don’t we worry about kids with unintentional exposures to brodifacoum?
    9. From the Illinois Poison Center on the dangers of “Fake Weed” on NPR.
    10. Who was Wally Pipp? Why is Steve the “Wally Pipp” of the Dantastic Tox? That’s an answer for over a few drinks . . .
    11. Where have you gone, McGruff the Crime Dog?
    Special Thanks

    Thank you for your continued support. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!


    The Scent of Bitter Almonds Always Reminded Him of Deadly Bacon Aug 31, 2018
    Show notes

    Join Dan (@drusyniak) &Howard (@heshiegreshie) as they chat with Dr. Vik Bebarta and learn about cyanide infused bacon, hydrogen sulfide, detergent suicide, military teletoxicology and the variety of antidotes and therapies to make you well. Chock full of smoky goodness, this is a delightful listen for your holiday weekend.

    Delicious Links
    1. Looking out for salad bar terrorism
    2. Think salad bar terror is new? Don’t forget the OG, the one, the only, Bhagwan Shree Rajneesh
    3. Be thoroughly entranced by this excellent Netflix series on the same. I am Dan’s Ma Anand Sheela. . .
    4. Terrorists attempt to use a hydrogen sulfide bomb to destroy a plane.
    5. Which also happens to be a the agent in ‘detergent suicide’ in Japan. . .
    6. While we’re on the subject, check out the surprising items found at OBL’s compound.
    7. Don’t forget to pack your Landjäger in your rucksack
    8. Always a good refresher at the Khan Academy
    9. Lots of famous cyanide malfeasance . . . The Chicago Tylenol Murders . . . Cyanide Coffee . . . Dr. Robert Ferrante and Dr. Autumn Klein . . . The Peoples Temple Agricultural Project . . .

    It was inevitable: the scent of bitter almonds always reminded him of the fate of unrequited love.

    A selection of the excellent work that Dr. Bebarta has done.

    1. Hydroxocobalamin vs sodium thiosulfate for acute cyanide
    2. Hydroxocobalamin and thiosulfate versus sodium nitrite and sodium thiosulfate for acute cyanide
    3. IM sodium nitrite and thiosulfate for acute cyanide
    4. Does this smoke inhalation victim require treatment with cyanide antidote?
    5. IV cobinamide vs hydroxocobalamin or saline for H2S
    6. Bedside toxicology consultation in a combat theater
    7. Wartime toxicology - Evaluation of military medical toxicology telemedicine
    Special Thanks

    Thank you for your continued support. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Sign by Antonio Barroro


    The Podcast That Mistook its Pediatrician for a Pork Roll Jul 31, 2018
    Show notes

    Join Dan (@drusyniak) &Howard (@heshiegreshie) as they chat with Dr. Diane Calello and learn what a pediatrician, pediatric emergency physician, addiction specialist, medical toxicologist and lyric soprano does for fun. Learn what makes a kid a kid and what special things to look out for when managing future big humans. Lots to learn here.

    Delicious Links
    1. This one is for our tox peeps. What’s the best non-toxicology diagnosis you’ve made on a toxicology call? #toxnottox
    2. Check out this excellent podcast from Radiolab on Poison Centers.
    3. Read all about it. Small Poisoned Humans via Tox and Hound.
    4. Pediatric Toxicology: Specialized Approach to the Poisoned Child.
    5. The great battle rages on. Pork Roll vs Taylor Ham.
    6. Who ya gonna chat, text or call? NJPIES!
    7. The Prevention of Childhood Lead Toxicity.
    8. Listen to more of Diane with the Caritas Chamber Chorale.
    9. Or, check her out at The Princeton Singers.
    10. Then Governor Christie explains why Jersey Girls don’t pump their own gas.
    Special Thanks

    Thank you for your continued support. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) Witness Protection Products, @Thor_T_Thor, and of course the multi-talented @DrDianeC and the amazing Caritas Chamber Chorale and Simply Strings for the outro song. Available for download at caritaschamberchorale.org.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Nicola Ricca


    Two Boards and a COWS Jun 27, 2018
    Show notes

    Join Dan (@drusyniak) &Howard (@heshiegreshie) as they chat with Dr. Laura Tormoehlen about her experience as a neurologist and toxicologist. Dispel the myths and common misperceptions about the determination of brain death in the toxicology patient and learn the mimics that you need to look out for. Beware the oculovestibular reflex and welcome to Season 2!

    Delicious Links
    1. ACMT Position Statement: Determining Brain Death in Adults After Drug Overdose.
    2. American Academy of Neurology. Evidence-based guideline update: Determining brain death in adults.
    3. Pediatric determination of brain death. Guidelines for the determination of brain death in infants and children: an update of the 1987 task force recommendations.
    4. Know your local regulations. Organ donation legislation and policy
    5. Scary. Baclofen overdose mimicking brain death.
    6. Grab your copy of Dr. Schaumburg’s excellent textbook. Experimental and Clinical Neurotoxicology.
    7. A video demonstrating cold calorics in an awake patient. Nauseating.
    8. Fascinating article from the New Yorker. What Does It Mean to Die?
    Special Thanks

    Thank you for your continued support and determined feedback. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Take a gander at The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!


    Isbister Bitsy Spider May 25, 2018
    Show notes

    Join Dan (@drusyniak) &howard (@heshiegreshie) as they palaver with Dr. Geoff Isbister (@geoff_isbister) about the poison playground that is Australia. Snakes, spiders and quetiapine, oh my! Learn what color of snake to look out for (hint: all of them), learn how Australians do research (on themselves), and why generally leaving your house down under is a terrible idea. So be like an Aussie, have no fear and turn up the volume.

    Delicious Links
    1. Join Dr. Isbister at The University of Newcastle Australia clinical toxicology research group
    2. The amazing, and bizarre, discovery of Irukandji Syndrome
    3. A great overview of neurotoxic marine poisoning
    4. And what discussion of Australia would be complete without a discussion of spider bites. And another. . .
    5. More than dermal problems. Catecholamine-induced cardiomyopathy resulting from life-threatening funnel-web spider envenoming.
    6. “A pints a pound the whole world round”. As it is with intentional overdoses.Quetiapine Poisoning - A Case Series
    7. Potentially practice changing, practical approach to a commonly misinterpreted value. Drug induced QT prolongation: the measurement and assessment of the QT interval in clinical practice
    8. Hungry? Not sure what to do with that little yellow and brown jar? Hugh Jackman Shows Jimmy How to Really Eat Vegemite
    9. The official Twitter account of Vegemite
    10. Before trying anything, learn about the pioneers who did it first. Who Goes First? The Story of Self-Experimentation in Medicine by Lawrence K. Altman
    11. How a prank phone call to Tobias Drundridge sparked an international controversy.
    12. Well, it's true. Apparently, the dingo really did eat (kill) the baby.
    ReBOA Official Translation Australian:

    Strewth, I got into a bingle after chucking a u-e on my way to the bottle o. Coppas and ambos came, blood everywhere. Took me to the A&E, it was chockablock.

    Non-bogan / English:

    Oh no. I was in a car accident, when I was on my way to the liquor establishment. I was performing a U-turn. The police and the paramedics arrived, there was blood all around. I was taken to the ER and it was full.

    Australian:

    G’day ya bastards! Howaaaare youse, awrite? Out in the whoop whoop, if trauma strikes, you’re in the sticks kilometers away from bugger all. With a massive injury, you’d be stuffed if you used outdated technology like the MAST snake. Its pretty flaky mate and is all cracking the shits.

    Non-bogan / English:

    Hello friends. How are you? Good? In the Outback, if trauma strikes, you’re in the remote countryside, quite isolated. With massive trauma, you’d be in trouble if you used outdated technology like the MAST (military anti shock trouser) snake. It’s pretty unreliable and quite frustrating.

    Australian:

    But thanks to your ‘ol cobbers at Witness Protection Products Straya, we have a better way. ReBOA - Resuscitative Extra-Vascular BOA constrictor. She’s a bloody ripper. It’s got a swish design, unlike other devices that have heads like a dropped pie and frankly, I reckon they’ve got a few ‘roos loose in the top paddock. But with ReBOA, she’ll be right mate.

    Non-bogan / English:

    But thanks to your friends at Witness Protection Products Australia, we have a better way. ReBOA. Resuscitative Extravascular BOA constrictor. It’s great. It’s got a nice design, unlike other unattractive devices that I don’t consider sensible. But with ReBOA, it’s going to be fine.

    Australian:

    When you’re flat out like a lizard drinking and need to make sure patients, who are like dog’s breakfast, get a fair suck of the sauce bottle, you don’t want to carry on like a pork chop. ReBOA is an absolute piece of piss. Just take the snake and apply right above the budgie smugglers and let nature do her work. No complications. Just continuous, unremitting abdominal pressure. Is that good or what? Bloody oath!! And its a fair dinkum mate.

    Non-bogan / English:

    When you’re very busy and need to make good decisions for patients that are a mess, you don’t want to be dramatic. The ReBOA is super easy. Just take the snake and apply right above the undies and let nature do her work. No complications. Just continuous, unremitting abdominal pressure. Is that good? The answer is an enthusiastic yes. Honestly.

    Australian:

    In Straya, everything’s out to kill ya, so get the toughest gear around. Don’t be a drongo. REBOA - it’s Aussie for resuscitation.

    Non-bogan / English:

    In Australia, everything’s deadly, so get the best tool for the job. Don’t be a fool. ReBOA - it’s Australian for resuscitation.

    Special Thanks

    We just want to take a moment to thank you, our listeners, for one year of toxicology fun. This is the last episode of our first season, and we’re thrilled to have you along with us for the ride. As a bit of housekeeping, we’re going to be discontinuing the @dantastictox Twitter handle, and focus our social media efforts on the larger endeavor at The Tox & The Hound. As always, we are looking for feedback - comments, questions, suggestions, recipes, etc. Let us know. Reach us at @toxandhound. We want to hear from you!

    Thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products, Australia.

    Interested in #FOAMtox? Like this podcast? Join us over on The Tox and The Hound. It’s like a podcast, but for your eyes.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Koala by Holger Link

    Down Under by lurii78


    In the Weeds with the Full Monte Apr 20, 2018
    Show notes

    Join Dan (@drusyniak) &howard (@heshiegreshie) as they discuss all things marijuana with Dr. Andrew Monte (@PreciseMDMonte) on this very special day. Learn about the interaction between marijuana and ERs in Colorado before and after legalization, the influence of Big Green, and why Turtle isn’t the only one experiencing the Entourage effect. We discuss the issues with edibles, airport amnesty bins, and the issues surrounding increased exposure to marijuana including a disturbing uptick in psychiatric presentations. Learn from the experts the management of cannabinoid hyperemesis syndrome with a new item from Chili’s™, olanzapine-to-go. And find out Where’s Waldos?

    Delicious Links
    1. Wang GS. Pediatric Concerns Due to Expanded Cannabis Use: Unintended Consequences of Legalization. J Med Toxicol 2017. doi: 10.1007/s13181-016-0552-x. PMID: 27139708.
    2. Colorado Department of Public Health & Environment Marijuana use trends and health effects
    3. Hall KE, Monte AA, et al. Mental Health-related Emergency Department Visits Associated With Cannabis in Colorado. Acad Emerg Med 2018. doi: 10.1111/acem.13393. PMID: 29476688.
    4. Kim HS, Anderson JD, Saghafi O, Heard KJ, Monte AA. Cyclic vomiting presentations following marijuana liberalization in Colorado. Acad Emerg Med 2015. doi: 10.1111/acem.12655. PMID: 25903855.
    5. Bradford AC, Bradford WD. Medical Marijuana Laws Reduce Prescription Medication Use In Medicare Part D. Health Aff 2016. doi: 10.1377/hlthaff.2015.1661. PMID: 27385238.
    6. Bell C, Slim J, Flaten HK, Lindberg G, Arek W, Monte AA. Butane Hash Oil Burns Associated with Marijuana Liberalization in Colorado. J Med Toxicol. 2015 Dec; 11(4):422-5. doi: 10.1007/s13181-015-0501-0. PMID: 26289652.
    7. Nappe, T. M, & Hoyte, C. O. (2017). Pediatric Death Due to Myocarditis After Exposure to Cannabis. Clinical Practice and Cases in Emergency Medicine, 1(3). http://dx.doi.org/10.5811/cpcem.2017.1.33240. See also the response in the Washington Post, by Ellie Silverman.
    What to watch
    1. Up in Smoke (1978)
    2. Fast Times at Ridgemont High (1982)
    3. Friday (1995)
    4. Half Baked (1998)
    5. Harold & Kumar Go to White Castle (2004)
    What to eat

    Taylor Ham and Egg sandwich

    Special Thanks

    Thanks to Scott Holmes for use of his song “We Made It” (CC BY-NC 4.0). Check out more of his music http://www.scottholmesmusic.com

    Thanks to the Digital Scholarship Accelerator for providing Dr. Monte with his setup to record this episode.

    And as always, thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Interested in #FOAMtox? Like this podcast? Join us in our new endeavor The Tox and The Hound. It’s like a podcast, but writing.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Excerpted dialog from the months-long marijuana conversation . . .

    DR - Sweet. Thanks Andrew. This will be a smoking good podcast.

    AM - Sounds good. I hadn’t decided on ACMT yet but perhaps this will push me over the edge to go. I’ve got to clear it with my wife and am coming back from DC now so will wait a couple of days to have that discussion, for strategic reasons! Otherwise I get vaporized at home. . .

    DR - Understand. Give yourself some time to let the smoke clear.

    AH - Was OOT last week too. Worried I’ll get stoned at home if I push it too early.

    DR - Yes, wait. You don’t want to get into the weeds on this one.

    HG - Thanks Andrew. I find that whenever my wife wants to vaporize me for a blitz of behavior that leaves me fried, a nice baked item brings a sense of mellow. Look forward to talking with you, ACMT or not.

    AM - She gets green with envy when I travel too much.

    HG - She’s jealous that you are a toke-n ganjapreneur. Alright. I’m wrecked.

    AM - Alright, these double entendres are way too low bar. Like CBD low. We’ll need to raise the bar for this podcast. Cannabis Cup level. Much higher.

    KH - And I expect we will have relive these all on Twitter when the podcast drops...

    AM - Hey guys. I’m just updating you that I won’t be at ACMT after all. Hopefully that will save you the extra podcast baggage, at least. Should I keep a block of time free on 4/20 or do you want to pre-record it? Figured we should hash it out before schedules get too tight. . .

    DR - Bummer dude. Howard was hoping to say high. We don’t record live so will need to schedule this month. Are their daze that work better for you. This will be a smoking podcast.

    KH - Please stop. All these puns are going to give me hyperemesis...

    AM - Take a hot shower and settle down, Kennon. OK, I'm available. Just let me know what works. Is this a joint session or am I going dolo?

    HG - Don’t harsh on it, bud. It’ll all be mellow. I could do whichever daze sparks your interest.

    KH - I just wish you guys could hash this out like adults


    The Tox and The Hound Apr 01, 2018
    Show notes

    A very special episode, on this First Day of April. We want to welcome you to our new endeavor!

    Rabid Toxicologists are FOAMing at the mouth to launch their blog

    As medical toxicologists we have sat, laid down, and rolled over, as other medical professionals have dominated FOAMtox and social media. We know that you are begging for toxicology content. We know that the contributions we have individually made over the years are only scratching at the surface. We know this is our territory and it is time we mark it. That is why we are unleashing The Tox and The Hound. We’re collectively taking all of those meaty toxicology bones we have squirreled away over the years and dropping them at the feet of the FOAM community. As you can see, our pack has some of brightest toxicology minds in the country. Each week our hounds will sniff out the toxicology controversies. We will dig up the issues buried in the literature. We will fetch those topics that we have been itching to tackle. We have been slobbering to do this.

    But we need you, our loyal friends. We don’t want to be nosey, but we want to know what you, the reader, thinks. Let us know what you would like us to sink our teeth into. Hound us. We will do our best to be obedient. But, be patient. It is going to take some training. There will be accidents along the way. But with your help we can get over the hump and become The Big Dog in FOAMtox. Feeling friendly? You know how we like to say hi.

    Who’s a good dog? We are!

    @toxandhound


    You do you, boo boo Mar 24, 2018
    Show notes

    Join Dan (@drusyniak) &howard (@heshiegreshie) as they prevent medical errors with Nadia Awad (@Nadia_EMPharmD). Learn why pharmacists are an indispensable part of any medical team, and explore the world of FOAM. Plus, a new segment, DanRants™.

    Delicious links:

    1. Nadia’s Blog and her post on EM Pharmacists and what do you do?
    2. Global RPH
    3. The ACEP and ACMT position statements on clinical pharmacists in the ED
    4. Check out the ACMT Tweetchat from January 30th on the same topic
    5. Are we heeding the warning signs? Examining providers’ overrides of computerized drug-drug interaction alerts in primary care
    6. Gabapentin for chronic neuropathic pain in adults
    7. Ropivacaine intramuscular paracervical injections for pediatric headache: A randomized placebo-controlled trial
    8. Treatment of headaches in the ED with lower cervical intramuscular bupivacaine injections: a 1-year retrospective review of 417 patients
    9. Deprescribing.org - optimizing safe medication practices

    And as always, thank you to our house band Pretty Simple Duo (@prettysimpleduo), Josh Shelov (@shelovj) and Witness Protection Products.

    Listen on iTunes or Spotify! Earholes happy? Rate and review! Show the love!

    Super secret special thanks to Nadia for sitting and recording with me for a second time after I lost all of the audio the first time . . .


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