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Contributors

Editors

Lewis S. Nelson, MD, FAACT, FACEP, FACMT
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician, Emergency Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Director, Fellowship in Medical Toxicology
New York City Poison Center and New York University
School of Medicine
New York, New York

Neal A. Lewin, MD, FACEP, FACMT, FACP
The Stanley and Fiona Druckenmiller Clinical Professor of Emergency Medicine and Medicine (Pharmacology)
New York University School of Medicine
Director, Didactic Education
Emergency Medicine Residency
Attending Physician, Emergency Medicine and Internal Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Consultant, New York City Poison Center
New York, New York

Mary Ann Howland, PharmD, DABAT, FAACT
Clinical Professor of Pharmacy
St. John's University College of Pharmacy
Adjunct Professor of Emergency Medicine
New York University School of Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Senior Consultant in Residence
New York City Poison Center
New York, New York

Robert S. Hoffman, MD, FAACT, FACMT
Associate Professor of Emergency Medicine and Medicine
(Clinical Pharmacology)
New York University School of Medicine
Attending Physician, Emergency Medicine and Internal Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Director, New York City Poison Center
New York, New York

Lewis R. Goldfrank, MD, FAAEM, FAACT, FACEP, FACMT, FACP
Herbert W. Adams Professor and Chair
Department of Emergency Medicine
New York University School of Medicine
Director, Emergency Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Medical Director, New York City Poison Center
New York, New York

Neal E. Flomenbaum, MD, FACEP, FACP
Professor of Clinical Medicine
Weill Cornell Medical College of Cornell University
Emergency Physician-in-Chief
New York-Presbyterian Hospital
Weill Cornell Medical Center
Consultant, New York City Poison Center
New York, New York

Contributors

Judith C. Ahronheim, MD
Professor of Medicine
SUNY Downstate
Brooklyn, New York
Adjunct Professor of Medicine and Member
Bioethics Institute, New York Medical College
Valhalla, New York
Chapter 32, "Geriatric Principles"

Kavita M. Babu, MD
Assistant Professor of Emergency Medicine
Brown University Alpert Medical School
Program in Medical Toxicology
Department of Emergency Medicine
Rhode Island Hospital
Providence, Rhode Island
Chapter 25, "Gastrointestinal Principles"
Chapter 82, "Hallucinogens"

Theodore C. Bania, MD, MS
Assistant Professor of Medicine
Columbia University College of Physicians
and Surgeons
Director of Research and Toxicology
St. Luke's Roosevelt Hospital Center
New York, New York
Antidote in Depth A21, "Intravenous Fat Emulsions"

Fermin Barrueto, Jr., MD
Clinical Assistant Professor of Emergency Medicine
University of Maryland
Chair, Department of Emergency Medicine
Upper Chesapeake Health Systems
Baltimore, Maryland
Chapter 110, "Sodium Monofluoroacetate and Fluoroacetamide"

James Dave Barry, MD
Program Director, Naval Medical Center
Portsmouth Emergency Medicine Residency
Assistant Adjunct Professor
Uniformed Services University of the Health Sciences
Portsmouth, Virginia
Chapter 58, "Antimalarials"

Joseph M. Betz, PhD
Director, Dietary Supplement Methods and Reference
Materials Program
Office of Dietary Supplements
U.S. National Institutes of Health
Bethesda, Maryland
Chapter 118, "Plants"

Michael C. Beuhler, MD, FACMT
Adjunct Assistant Professor of Emergency Medicine
University of North Carolina at Chapel Hill
Medical Director, Carolinas Poison Center
Charlotte, North Carolina
Chapter 111, "Phosphorus"

Steven B. Bird, MD
Assistant Professor of Emergency Medicine
University of Massachusetts Medical School
Worcester, Massachusetts
Chapter 91, "Chromium"

George M. Bosse, MD
Associate Professor of Emergency Medicine
University of Louisville
Medical Director
Kentucky Regional Poison Center
Louisville, Kentucky
Chapter 48, "Antidiabetics and Hypoglycemics"

Nicole C. Bouchard, MD, FRCPC
Assistant Clinical Professor
Columbia University Medical Center
Director of Medical Toxicology
Assistant Site Director
New York-Presbyterian Hospital
New York, New York
Chapter 49, "Thyroid and Antithyroid Medications"

Edward W. Boyer, MD, PhD
Associate Professor of Emergency Medicine
University of Massachusetts Medical School
Chief, Division of Medical Toxicology
UMass-Memorial Medical Center
Worcester, Massachusetts
Chapter 57, "Antituberculous Medications"

Jeffrey R. Brubacher, MD
Assistant Professor
University of British Columbia
Emergency Physician
Vancouver General Hospital
Vancouver, British Columbia, Canada
Chapter 61, "β-Adrenergic Antagonists"

D. Eric Brush, MD
Assistant Professor of Emergency Medicine
Division of Toxicology
University of Massachusetts Medical Center
Worcester, Massachusetts
Chapter 120, "Marine Envenomations"

Keith K. Burkhart, MD
Professor of Clinical Emergency Medicine
Pennsylvania State University College of Medicine
Medical Officer
Center for Drug Evaluation and Research
Food and Drug Administration
Silver Spring, Maryland
Chapter 116, "Methyl Bromide and Other Fumigants"

Michelle Burns Ewald, MD
Assistant Professor of Pediatrics
Harvard Medical School
Fellowship Director, Harvard Medical Toxicology Fellowship
Medical Director, Regional Center for Poison Control and Prevention
Attending Physician, Emergency Medicine
Children's Hospital Boston
Boston, Massachusetts
Chapter 99, "Silver"

Diane P. Calello, MD
Assistant Professor of Pediatrics and Emergency Medicine
Chief, Section of Toxicology
Robert Wood Johnson Medical School
UMDNJ
Staff Toxicologist, New Jersey Poison Information and Education Systems (NJPIES)
New Brunswick, New Jersey
Chapter 98, "Selenium"

Louis R. Cantilena, MD, PhD
Professor of Medicine and Pharmacology
Department of Medicine
Uniformed Services University
Bethesda, Maryland
Chapter 138, "Adverse Drug Events and Postmarketing Surveillance"

Gar Ming Chan, MD
Assistant Clinical Professor of Emergency Medicine
New York University School of Medicine
Attending Physician, North Shore University Hospital
Manhasset, New York
Chapter 92, "Cobalt"

Yiu-cheung Chan, MD, MBBS, FHKAM, FHKCEM, FRCS(Ed)
Associate Consultant, Director of Toxicology Training
Hong Kong Poison Information Centre
Hong Kong SAR, China
Chapter 112, "Strychnine"

Nathan Phillip Charlton, MD
Assistant Professor of Emergency Medicine
University of Virginia
Charlottesville, Virginia
Chapter 128, "Smoke Inhalation"

Alan N. Charney, MD
Clinical Professor of Medicine
New York University School of Medicine
New York, New York
Chapter 16, "Fluid, Electrolyte, and Acid–Base Principles"

William K. Chiang, MD
Associate Professor of Emergency Medicine
New York University School of Medicine
Chief of Emergency Services, Bellevue Hospital Center
Attending Physician
Bellevue Hospital Center and New York University
Langone Medical Center
New York, New York
Chapter 20, "Otolaryngologic Principles"
Chapter 75, "Amphetamines"

Jason Chu, MD
Assistant Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Medical Toxicologist
St. Luke's-Roosevelt Hospital Center
New York, New York
Chapter 28, "Genitourinary Principles"
Chapter 51, "Antimigraine Medications"

Richard Church, MD
Fellow in Medical Toxicology
University of Massachusetts Medical Center
Worcester, Massachusetts
Chapter 25, "Gastrointestinal Principles"

Cathleen Clancy, MD
Associate Medical Director
National Capital Poison Center
Associate Professor
Department of Emergency Medicine
George Washington University Medical Center
Attending Physician
Bethesda Naval Emergency Department
Washington, District of Columbia
Chapter 22, "Electrophysiologic and Electrocardiographic Principles"

Richard Franklin Clark, MD
Professor of Medicine
University of California at San Diego
Director, Division of Medical Toxicology
University of California San Diego Medical Center
San Diego, California
Chapter 113, "Insecticides: Organic Phosphorus Compounds and Carbamates"
Antidote in Depth A35, "Antivenom (Scorpion and Spider)"

Steven C. Curry, MD
Director, Department of Medical Toxicology
Banner Good Samaritan Medical Center
Professor of Clinical Medicine
University of Arizona College of Medicine
Phoenix, Arizona
Chapter 13, "Neurotransmitters and Neuromodulators"

John A. Curtis, MD
Assistant Professor of Emergency Medicine
Associate Director, Fellowship in Medical Toxicology
Drexel University College of Medicine
Attending Physician
Hahnemann University Hospital
Philadelphia, Pennsylvania
Chapter 97, "Nickel"

Andrew Dawson, MBBS
Professor, Peradeniya University
Program Director
South Asian Clinical Toxicology Research Collaboration
Peradeniya, Sri Lanka
Chapter 109, "Barium"

Kathleen A. Delaney, MD
Clinical Professor, Division of Emergency Medicine
University of Texas Southwestern Medical School
Dallas, Texas
Chapter 12, "Biochemical and Metabolic Principles"
Chapter 15, "Thermoregulatory Principles"
Chapter 26, "Hepatic Principles"
Antidote in Depth A10, "Dextrose"

Francis Jerome DeRoos, MD
Associate Professor of Emergency Medicine
University of Pennsylvania School of Medicine
Residency Director
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
Chapter 60, "Calcium Channel Blockers"
Chapter 62, "Other Antihypertensives"

Suzanne Doyon, MD, FACMT
Medical Director
Maryland Poison Center
University of Maryland School of Pharmacy
Baltimore, Maryland
Chapter 47, "Anticonvulsants"

Dainius A. Drukteinis, MD, JD
Attending Physician
MetroWest Medical Center
Framingham, Massachusetts
Chapter 140, "Risk Management and Legal Principles"

Michael Eddleston, MD, PhD, MRCP
Clinical Pharmacology Unit
University of Edinburgh
Scottish Poisons Information Bureau
Royal Infirmary of Edinburgh
Edinburgh, United Kingdom
Chapter 113, "Insecticides: Organic Phosphorus Compounds and Carbamates"
Chapter 136, "International Perspectives on Medical Toxicology"

Brenna M. Farmer, MD
Assistant Professor of Medicine
Weill-Cornell Medical College
Attending Physician
New York Presbyterian-Weill-Cornell Medical Center
New York, New York
Chapter 80, "γ-Hydroxybutyric Acid"
Chapter 86, "Aluminum"
Chapter 139, "Medication Safety and Adverse Drug Events"

Donald A. Feinfeld, MD (Deceased)
Nephrology Fellowship Director
Beth Israel Medical Center
Professor of Medicine
Albert Einstein College of Medicine
Consultant in Nephrology
New York City Poison Center
New York, New York
Chapter 27, "Renal Principles"

Kathy Lynn Ferguson, DO
Attending Physician
Emergency Medicine and Medical Toxicology
New York Hospital Queens
Flushing, New York
Chapter 74, "Sedative–Hypnotics"

Jeffrey S. Fine, MD
Assistant Professor of Emergency Medicine and Pediatrics
New York University School of Medicine
Attending Physician
Bellevue Hospital Center and New York University
Langone Medical Center
New York, New York
Chapter 30, "Reproductive and Perinatal Principles"
Chapter 31, "Pediatric Principles"

Mark A. Flomenbaum, MD, PhD
Associate Professor of Pathology and Laboratory Medicine
Boston University School of Medicine
Director, Autopsy Services
Boston Medical Center
Boston, Massachusetts
Chapter 33, "Postmortem Toxicology"

Neal E. Flomenbaum, MD, FACEP, FACP
Professor of Clinical Medicine
Weill Cornell Medical College of Cornell University
Emergency Physician-in-Chief
New York-Presbyterian Hospital
Weill Cornell Medical Center
Consultant, New York City Poison Center
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 35, "Salicylates"
Chapter 108, "Pesticides: An Overview of Rodenticides and a Focus on Principles"

Marsha D. Ford, MD
Adjunct Professor of Emergency Medicine
University of North Carolina, Chapel Hill
Director, Carolinas Poison Center
Carolinas Medical Center
Charlotte, North Carolina
Chapter 88, "Arsenic"

Jessica A. Fulton, DO
Attending Physician
Grandview Hospital
Grandview, New Jersey
Chapter 104, "Caustics"

Howard L. Geyer, MD, PhD
Assistant Professor of Neurology
Albert Einstein College of Medicine
Director, Division of Movement Disorders
Montefiore Medical Center
Bronx, New York
Chapter 46, "Botulism"
Antidote in Depth A8, "Botulinum Antitoxin"

Beth Y. Ginsburg, MD
Assistant Professor of Emergency Medicine
Mount Sinai School of Medicine
Attending Physician
Elmhurst Hospital Center
Elmhurst, New York
Chapter 41, "Vitamins"

Jeffrey A. Gold, MD
Associate Professor of Medicine
Oregon Health and Sciences University
Portland, Oregon
Chapter 78, "Ethanol Withdrawal"

David S. Goldfarb, MD
Professor of Medicine and Physiology
New York University School of Medicine
Chief, Nephrology Section
New York Harbor VA Medical Center
New York, New York
Chapter 9, "Principles and Techniques Applied to Enhance Elimination"

Lewis R. Goldfrank, MD, FAACT, FAAEM, FACEP, FACMT, FACP
Herbert W. Adams Professor and Chair
Department of Emergency Medicine
New York University School of Medicine
Director, Emergency Medicine
Bellevue Hospital Center and New York University
Langone Medical Center
Medical Director, New York City Poison Center
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 117, "Mushrooms"
Antidote in Depth A8, "Botulinum Antitoxin"

Howard A. Greller, MD, FACEP, FACMT
Assistant Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
North Shore University Hospital
Manhasset, New York
Chapter 70, "Lithium"
Workbook Cases and Questions

Martin Griffel, MD
Associate Professor of Anesthesiology
New York University School of Medicine
Director, Cardiovascular ICU
New York University Langone Medical Center
New York, New York
Chapter 67, "Inhalational Anesthetics"

Anne-Bolette Gude, MD
Clinical Pharmacologist
Novo Nordisk
Virum, Denmark
Chapter 7, "Techniques Used to Prevent Gastrointestinal Absorption"

David D. Gummin, MD, FAACT, FACEP, FACMT
Clinical Assistant Professor
Medical College of Wisconsin
Medical Director
Wisconsin Poison Center
Milwaukee, Wisconsin
Chapter 106, "Hydrocarbons"

Jason B. Hack, MD
Associate Professor of Emergency Medicine
Program Director, Medical Toxicology
Brown University, Warren Alpert Medical School
Rhode Island Hospital
Providence, Rhode Island
Chapter 64, "Cardioactive Steroids"

David A. Haggerty, MD
Fellow in Medical Toxicology
Division of Medical Toxicology
Department of Emergency Medicine
Drexel University College of medicine
Philadelphia, Pennsylvania
Chapter 97, "Nickel"

In-Hei Hahn, MD
Assistant Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Associate Attending, Emergency Medicine
Assistant Director of Research
St. Luke's-Roosevelt Hospital Center, Danbury Hospital
New York, New York
Chapter 119, "Arthropods"

Sarah Eliza Halcomb, MD
Assistant Professor of Emergency Medicine
Washington University School of Medicine
Section Chief - Medical Toxicology
Washington University-Barnes-Jewish Hospital
St. Louis, Missouri
Chapter 42, "Essential Oils"

Richard J. Hamilton, MD
Professor and Chairman of Emergency Medicine
Drexel University College of Medicine
Philadelphia, Pennsylvania
Chapter 14, "Withdrawal Principles"

Nikolas B. Harbord, MD
Assistant Professor of Medicine
Albert Einstein College of Medicine
Attending Nephrologist
Beth Israel Medical Center
Brooklyn, New York
Chapter 27, "Renal Principles"

Robert G. Hendrickson, MD
Associate Professor of Emergency Medicine
Oregon Health and Science University
Associate Medical Director
Oregon Poison Center
Emergency Physician and Medical Toxicologist
Oregon Health and Science University
Portland, Oregon
Chapter 34, "Acetaminophen"
Antidote in Depth A4, "N-Acetylcysteine"

Fred M. Henretig, MD
Professor of Pediatrics and Emergency Medicine
University of Pennsylvania School of Medicine
Director, Section of Clinical Toxicology
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania
Chapter 94, "Lead"

Christina H. Hernon, MD
Assistant Professor of Emergency Medicine
University of Massachusetts Medical School
Division of Medical Toxicology
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts
Chapter 57, "Antituberculous Medications"

Robert A. Hessler, MD, PhD
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
Bellevue Hospital Center, New York University
Langone Medical Center and Veterans Administration Medical Center, Manhattan
New York, New York
Chapter 23, " Hemodynamic Principles"

Lotte C. G. Hoegberg, MS (Pharm), PhD
Pharmacist, Danish Poison Information Centre
Copenhagen, Denmark
Chapter 7, "Techniques Used to Prevent Gastrointestinal Absorption"

Robert J. Hoffman, MD, MS
Assistant Professor
Albert Einstein College of Medicine
Research Director
Beth Israel Medical Center
New York, New York
Chapter 65, "Methylxanthines and Selective β2 Adrenergic Agonists"

Robert S. Hoffman, MD, FAACT, FACMT
Associate Professor of Emergency Medicine and Medicine (Pharmacology)
New York University School of Medicine
Attending Physician, Emergency Medicine and Internal Medicine
Bellevue Hospital Center and New York University
Langone Medical Center
Director, New York City Poison Center
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 16, "Fluid, Electrolyte, and Acid-Base Principles"
Chapter 21, "Respiratory Principles"
Chapter 76, "Cocaine"
Chapter 90, "Cadmium"
Chapter 100, "Thallium"
Chapter 135, "Poison Centers and Poison Epidemiology"
Antidote in Depth A24, "Benzodiazepines"
Antidote in Depth A25, "Thiamine Hydrochloride"
Antidote in Depth A29, "Prussian Blue"

Michael G. Holland, MD, FAACT, FACEP, FACMT, FACOEM
Clinical Assistant Professor
SUNY Upstate Medical University
Consultant Medical Toxicologist
Upstate New York Poison Center
Syracuse, New York
Attending Physician
Center for Occupational Health at Glens Falls Hospital
Glens Falls, New York
Chapter 114, "Insecticides: Organic Chlorines, Pyrethrins/Pyrethroids, and Insect Repellents"

Christopher P. Holstege, MD
Associate Professor of Emergency Medicine and Pediatrics
University of Virginia School of Medicine
Director, Division of Medical Toxicology
University of Virginia Health System
Charlottesville, Virginia
Chapter 126, "Cyanide and Hydrogen Sulfide"

William J. Holubek, MD
Attending Physician
Department of Emergency Medicine
New York Methodist Hospital
Brooklyn, New York
Chapter 36, "Nonsteroidal Antiinflammatory Drugs"

Mary Ann Howland, PharmD, DABAT, FAACT
Clinical Professor of Pharmacy
St. John's University
College of Pharmacy
Adjunct Professor of Emergency Medicine
New York University School of Medicine
Bellevue Hospital Center and New York University
Langone Medical Center
Senior Consultant in Residence
New York City Poison Center
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 8, "Pharmacokinetic and Toxicokinetic Principles"
Chapter 32, "Geriatric Principles"
Antidote in Depth A1, "Syrup of Ipecac"
Antidote in Depth A2, "Activated Charcoal"
Antidote in Depth A3, "Whole-Bowel Irrigation and Other Intestinal Evacuants"
Antidote in Depth A4, "N-Acetylcysteine"
Antidote in Depth A6, "Opioid Antagonists"
Antidote in Depth A7, "Deferoxamine"
Antidote in Depth A9, "L-Carnitine"
Antidote in Depth A11, "Octreotide"
Antidote in Depth A12, "Physostigmine Salicylate"
Antidote in Depth A13, "Leucovorin (Folinic Acid) and Folic Acid"
Antidote in Depth A15, "Pyridoxine"
Antidote in Depth A16, "Vitamin K1"
Antidote in Depth A17, "Protamine"
Antidote in Depth A19, "Glucagon"
Antidote in Depth A20, "Digoxin-Specific Antibody Fragments (Fab)"
Antidote in Depth A23, "Flumazenil"
Antidote in Depth A24, "Benzodiazepines"
Antidote in Depth A26, "Dimercaprol (British Anti-Lewisite or BAL)"
Antidote in Depth A27, "Succimer (2,3-Dimercaptosuccinic Acid)"
Antidote in Depth A28, "Edetate Calcium Disodium (CaNa2EDTA)"
Antidote in Depth A30, "Calcium"
Antidote in Depth A31, "Fomepizole"
Antidote in Depth A32, "Ethanol"
Antidote in Depth A33, "Pralidoxime"
Antidote in Depth A34, "Atropine"
Antidote in Depth A38, "Sodium and Amyl Nitrite"
Antidote in Depth A39, "Sodium Thiosulfate"
Antidote in Depth A40, "Hydroxocobalamin"
Antidote in Depth A41, "Methylene Blue"

Oliver L. Hung, MD
Attending Physician
Department of Emergency Medicine
Morristown Memorial Hospital
Morristown, New Jersey
Chapter 43, "Herbal Preparations"

Gary E. Isom, PhD
Professor of Toxicology
Purdue University
Clinical Assistant Professor of Pharmacology
Indiana University School of Medicine
West Lafayette, Indiana
Chapter 126, "Cyanide and Hydrogen Sulfide"

David N. Juurlink, BPhm, MD, PhD, FAACT, FACMT, FRCPC
Associate Professor, Faculty of Medicine
University of Toronto
Division Head, Clinical Pharmacology and Toxicology
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
Chapter 69, "Antipsychotics"

Bradley J. Kaufman, MD, MPH
Assistant Professor, Department of Emergency Medicine
Albert Einstein College of Medicine
Bronx, New York
Attending Physician
Department of Emergency Medicine
Long Island Jewish Medical Center
New Hyde Park, New York
Division Medical Director
Fire Department of the City of New York
New York, New York
Chapter 130, "Hazmat Incident Response"

Brian Kaufman, MD
Associate Professor of Medicine, Anesthesiology and Neurosurgery
New York University School of Medicine
Co-Director Critical Care
New York University Langone Medical Center
New York, New York
Chapter 66, "Local Anesthetics"
Chapter 67, "Inhalational Anesthetics"

William Kerns, II, MD, FACEP, FACMT
Medical Toxicology Fellowship Director
Division of Medical Toxicology
Department of Emergency Medicine and Carolinas Poison Center
Attending Toxicologist
Carolinas Medical Center and Carolinas Poison Center
Charlotte, North Carolina
Antidote in Depth A18, "Insulin-Euglycemia Therapy"

Mark A. Kirk, MD
Associate Professor of Emergency Medicine and Pediatrics
University of Virginia
Charlottesville, Virginia
Special Advisor for Chemical Defense and Medical Toxicology
Office of Health Affairs
Department of Homeland Security
Washington, DC
Chapter 10, "Use of the Intensive Care Unit"
Chapter 126, "Cyanide and Hydrogen Sulfide"
Chapter 128, "Smoke Inhalation"

Barbara M. Kirrane, MD
Assistant Professor of Emergency Medicine
Yale University
Attending Physician
New Haven, Connecticut
Chapter 140, "Risk Management and Legal Principles"

Kurt C. Kleinschmidt, MD
Professor of Surgery, Division of Emergency Medicine
University of Texas Southwestern Medical Center
Medical Director, Toxicology
Parkland Memorial Hospital
Dallas, Texas
Chapter 12, "Biochemical and Metabolic Principles"

Edwin K. Kuffner, MD
Senior Director for Medical Affairs
McNeil Pharmaceuticals
Fort Washington, Pennsylvania
Chapter 79, "Disulfiram and Disulfiramlike Reactions"
Chapter 103, "Camphor and Moth Repellents"

Melisa W. Lai Becker, MD
Instructor, Harvard Medical School
Director, Division of Medical Toxicology
Emergency Physician
Department of Emergency Medicine
Cambridge Health Alliance
Cambridge, Massachusetts
Chapter 99, "Silver"

David C. Lee, MD
Clinical Associate Professor of Emergency Medicine
New York University School of Medicine
Director of Research
North Shore University Hospital–Manhasset
Manhasset, New York
Chapter 74, "Sedative–Hypnotics"

Neal A. Lewin, MD, FACEP, FACMT, FACP
The Stanley and Fiona Druckenmiller Clinical Professor of Emergency Medicine and Medicine (Pharmacology)
New York University School of Medicine
Director, Didactic Education
Emergency Medicine Residency
Attending Physician, Emergency Medicine and Internal Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Consultant, New York City Poison Center
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 29, "Dermatologic Principles"
Chapter 63, "Antidysrhythmics"

Erica L. Liebelt, MD
Professor of Pediatrics and Emergency Medicine
University of Alabama at Birmingham School of Medicine
Director Medical Toxicology Services
Birmingham, Alabama
Chapter 73, "Cyclic Antidepressants"

Heather Long, MD
Assistant Professor of Emergency Medicine
Albany Medical Center
Albany, New York
Chapter 81, "Inhalants"

Nima Majlesi, DO
Research Director
Attending Physician
Staten Island University Hospital
Staten Island, New York
Chapter 101, "Zinc"

Kishor Malavade, MD
Clinical Assistant Professor of Psychiatry
New York University School of Medicine
Director, Comprehensive Psychiatric Emergency Program
Bellevue Hospital Center
New York, New York
Chapter 17, "Psychiatric Principles"

Alex F. Manini, MD, MS
Assistant Professor of Emergency Medicine
Mount Sinai School of Medicine
Co-Director, Toxicology Service and Attending Physician
Elmhurst Hospital Center
New York, New York
Chapter 71, "Monoamine Oxidase Inhibitors"

Jeanna M. Marraffa, PharmD, DABAT
Assistant Professor of Emergency Medicine and Medicine
Section of Clinical Pharmacology
SUNY Upstate Medical University
Clinical Toxicologist
Upstate New York Poison Center
Clinical Toxicologist
Syracuse, New York
Chapter 39, "Dieting Agents and Regimens"

Michael A. McGuigan, MDCM, MBA
Clinical Professor of Emergency Medicine
State University of New York
Stony Brook, New York
Medical Director
Long Island Regional Poison and Drug Information Center
Mineola, New York
Chapter 83, "Cannabinoids"

Charles A. McKay, Jr., MD
Associate Professor of Emergency Medicine
University of Connecticut School of Medicine
Section Chief, Division of Medical Toxicology
Hartford Hospital
Hartford, Connecticut
Chapter 129, "Risk Assessment and Risk Communication"

Maria Mercurio-Zappala, RPh, MS
Associate Director
New York City Poison Control Center
New York, New York
Chapter 100, "Thallium"

Kirk Charles Mills, MD, FACMT
Medical Toxicologist
Wayne State University
Detroit Medical Center
Detroit, Michigan
Chapter 13, "Neurotransmitters and Neuromodulators"

Stephen W. Munday, MD, MPH, MS
Clinical Assistant Professor
University of California, San Diego
Medical Toxicologist
Sharp Rees Stealy Medical Group
San Diego, California
Chapter 88, "Arsenic"

Lewis S. Nelson, MD, FAACT, FACEP, FACMT
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician, Emergency Medicine
Bellevue Hospital Center and New York University Langone Medical Center
Director, Fellowship in Medical Toxicology
New York City Poison Center and New York University School of Medicine
New York, New York
Chapter 3, "Initial Evaluation of the Patient: Vital Signs and Toxic Syndromes"
Chapter 4, "Principles of Managing the Acutely Poisoned or Overdosed Patient"
Chapter 11, "Chemical Principles"
Chapter 29, "Dermatologic Principles"
Chapter 38, "Opioids"
Chapter 63, "Antidysrhythmics"
Chapter 78, "Ethanol Withdrawal"
Chapter 93, "Copper"
Chapter 124, "Simple Asphyxiants and Pulmonary Irritants"
Antidotes in Depth A6, "Opioid Antagonists"
Antidotes in Depth A24, "Benzodiazepines"

Sean Patrick Nordt, MD, PharmD
Adjunct Assistant Clinical Professor of Medicine
University of California, San Diego
Fellow in Medical Toxicology
Division of Medical Toxicology and Department of Emergency Medicine
San Diego, California
Chapter 55, "Pharmaceutical Additives"

Ayrn D. O'Connor, MD
Clinical Assistant Professor of Emergency Medicine
Department of Emergency Medicine
University of Arizona College of Medicine
Assistant Fellowship Director
Department of Medical Toxicology
Banner Good Samaritan Medical Center
Phoenix, Arizona
Chapter 13, "Neurotransmitter Principles"

Oladapo A. Odujebe, MD, MT-ACSP
Assistant Professor of Emergency Medicine
Emory University
Medical Toxicologist
Georgia Poison Control Center
Atlanta, Georgia
Chapter 124, "Simple Asphyxiants and Pulmonary Irritants"

Ruben E. Olmedo, MD
Clinical Assistant Professor of Emergency Medicine
Mount Sinai Hospital
Director, Division of Toxicology
Mount Sinai School of Medicine
New York, New York
Chapter 85 "Phencyclidine and Ketamine"

Dean G. Olsen, DO
Attending Staff
New York City Poison Center
Assistant Professor
New York College of Osteopathic Medicine
Old Westbury, New York
Director of Research
Attending Physician
Emergency Medicine, Toxicology
St. Barnabas Hospital
Bronx, New York
Chapter 38, "Opioids"
Work Book: Cases and Questions

Kevin C. Osterhoudt, MD, MS
Associate Professor of Pediatrics and Emergency Medicine
The University of Pennsylvania School of Medicine
Medical Director, The Poison Control Center at The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania
Chapter 137, "Principles of Epidemiology and Research Design"

Mary Emery Palmer, MD
Director, ToxEM LLC
Clinical Assistant Professor of Emergency Medicine
The George Washington University
Washington, District of Columbia
Chapter 118, "Plants"

Jeanmarie Perrone, MD, FACMT
Associate Professor of Emergency Medicine
University of Pennsylvania School of Medicine
Director, Division of Medical Toxicology
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
Chapter 40, "Iron"

Anthony F. Pizon, MD
Assistant Professor
University of Pittsburgh School of Medicine
Medical Director, West Virginia Poison Center
UPMC Presbyterian
Pittsburgh, Pennsylvania
Chapter 121, "Snakes and Other Reptiles"
Antidotes in Depth A36, "Antivenom (Crotaline)"

Dennis P. Price, MD
Assistant Professor of Emergency Medicine
New York University School of Medicine
New York, New York
Attending Physician
Bellevue Hospital Center and New York University Langone Medical Center
Chapter 127, "Methemoglobin Inducers"

Jane M. Prosser, MD
Assistant Professor
New York Presbyterian Hospital
Weill Cornell Medical College
New York, New York
Chapter 76, "Cocaine"
Special Considerations SC-4, "Internal Concealment of Xenobiotics"

Petrie M. Rainey, MD, PhD
Professor of Laboratory Medicine
University of Washington School of Medicine
Director of Clinical Chemistry
University of Washington Medical Center
Seattle, Washington
Chapter 6, "Laboratory Principles"

Rama B. Rao, MD, FACMT
Assistant Professor
Weill-Cornell Medical College
Emergency Physician and Medical Toxicologist
New York Presbyterian Hospital at the Weill Cornell Medical Center
New York, New York
Chapter 18, "Neurologic Principles"
Chapter 33, "Postmortem Toxicology"
Chapter 89, "Bismuth"
Special Considerations SC-1, "Organ Procurement from Poisoned Patients"
Special Considerations SC-2, "Intrathecal Administration of Xenobiotics"

Joseph G. Rella, MD
Assistant Professor of Emergency Medicine
School of Medicine and Dentistry of New Jersey
Attending Physician
University Hospital
Newark, New Jersey
Chapter 133, "Radiation"
Antidotes in Depth A42, "Potassium Iodide"
Antidotes in Depth A43, "DTPA [Pentetic Acid or Pentetate (Zinc or Calcium) Trisodium]"

Bradley D. Riley, MD
Assistant Medical Director
Helen DeVos Children's Hospital Regional Poison Center
Attending Physician
Spectrum Health Department of Emergency Medicine
Grand Rapids, Michigan
Chapter 121, "Snakes and Other Reptiles"
Antidotes in Depth A36, "Antivenom (Crotaline)"

Darren M. Roberts, BPharm, MBBS, PhD
Adjunct Associate Professor
University of Canberra
Medical Officer
The Canberra Hospital
Garran, ACT, Australia
Chapter 115, "Herbicides"

Anne-Michelle Ruha, MD
Director, Medical Toxicology Fellowship Program
Banner Good Samaritan Medical Center
Clinical Assistant Professor of Emergency Medicine
University of Arizona College of Medicine
Phoenix, Arizona
Chapter 13, "Neurotransmitters and Neuromodulators"
Chapter 121, "Snakes and Other Reptiles"
Antidotes in Depth A36, "Antivenom (Crotaline)"

Joshua G. Schier, MD, FACMT
Assistant Professor of Emergency Medicine
Section of Toxicology
Emory University School of Medicine
Medical Toxicologist
Centers for Disease Control and Prevention
Chamblee, Georgia
Chapter 37, "Colchicine, Podophyllin, and Vinca Alkaloids"
Special Considerations SC-5, "Diethylene Glycol"

David R. Schwartz, MD
Assistant Professor of Medicine
New York University School of Medicine
Section Chief, Critical Care Medicine
New York University Langone Medical Center
New York, New York
Chapter 66, "Local Anesthetics"

David T. Schwartz, MD
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
Bellevue Hospital Center and New York University Langone Medical Center
New York, New York
Chapter 5, "Diagnostic Imaging"

Lauren Schwartz, MPH
Public Education Coordinator
New York City Poison Center
New York, New York
Chapter 134, "Poison Prevention and Education"

Mark R. Serper, PhD
Associate Professor of Psychology
Hofstra University
Research Associate Professor of Psychiatry
New York University School of Medicine
New York, New York
Chapter 17, "Psychiatric Principles"

Adhi Sharma, MD
Assistant Professor of Emergency Medicine
Mount Sinai School of Medicine
Chairman, Emergency Medicine
Good Samaritan Hospital Medical Center
West Islip, New York
Chapter 19, "Ophthalmic Principles"

Marco L. A. Sivilotti, MD, MSc
Associate Professor of Emergency Medicine, Pharmacology and Toxicology
Queen's University
Kingston, Ontario Canada
Consultant, Ontario Poison Centre
Hospital for Sick Children
Toronto, Ontario, Canada
Chapter 24, "Hematologic Principles"

Silas W. Smith, MD
Assistant Professor of Emergency Medicine
Assistant Director of Medical Toxicology Fellowship Program
New York University School of Medicine
Attending Physician
Bellevue Hospital Center and New York University Langone Medical Center
New York, New York
Chapter 123, "Nanotoxicology"
Antidote in Depth 14, "Glucarpidase (Carboxypeptidase G2)"

Sari Soghoian, MD
Assistant Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
Bellevue Hospital Center and New York University Langone Medical Center
New York, New York
Chapter 84, "Nicotine"
Chapter 95, "Manganese"

Andrew Stolbach, MD
Assistant Professor of Emergency Medicine
Johns Hopkins University School of Medicine
Attending Physician
Johns Hopkins Hospital
Baltimore, Maryland
Chapter 21, Respiratory Principles

Christine M. Stork, PharmD, DABAT
Clinical Associate Professor of Emergency Medicine, Medicine and Pharmacology
Upstate Medical University
Clinical Director
Upstate New York Poison Center
Syracuse, New York
Chapter 56, " Antibacterials, Antifungals, and Antivirals"
Chapter 72, "Serotonin Reuptake Inhibitors and Atypical Antidepressants"

Mark Su, MD
Assistant Professor of Emergency Medicine
SUNY Downstate Medical Center
Attending Physician
North Shore University Hospital
Manhasset, New York
Chapter 59, "Anticoagulants"
Chapter 105, "Hydrofluoric Acid and Fluorides"

Jeffrey R. Suchard, MD, FACEP, FACMT
Professor of Clinical Emergency Medicine
Director of Medical Toxicology
University of California, Irvine Medical Center
Orange, California
Chapter 131, "Chemical Weapons"
Chapter 132, "Biological Weapons"

Young-Jin Sue, MD
Clinical Associate Professor of Pediatrics
Division of Pediatric Emergency Medicine
Albert Einstein College of Medicine
Attending Physician
Pediatric Emergency Services
Children's Hospital at Montefiore
Bronx, New York
Chapter 96, "Mercury"

Kenneth M. Sutin, MD
Associate Professor of Anesthesiology and Surgery
New York University School of Medicine
Director of Critical Care and PACU
Department of Anesthesiology
Bellevue Hospital Center
New York, New York
Chapter 68, "Neuromuscular Blockers"
Antidotes in Depth A22, "Dantrolene Sodium"

Asim F. Tarabar, MD, MS
Assistant Professor of Surgery
Section of Emergency Medicine
Department of Surgery
Yale University School of Medicine
Yale New Haven Hospital
New Haven, Connecticut
Chapter 87, "Antimony"

Stephen R. Thom, MD, PhD
Professor of Emergency Medicine
Chief, Hyperbaric Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
Antidotes in Depth A37, "Hyperbaric Oxygen"

Anthony J. Tomassoni, MD, MS
Assistant Professor of Emergency Medicine
Division of Emergency Medical Services
Yale University School of Medicine
Medical Director, Yale New Haven Center for Healthcare Solutions
Yale New Haven Health System
New Haven, Connecticut
Chapter 50,"Antihistamines and Decongestants"

Christian Tomaszewski, MD
Clinical Associate Professor of Emergency Medicine
Department of Emergency Medicine
University of California San Diego
Division of Medical Toxicology
University of California San Diego Medical Center
San Diego, California
Chapter 125, "Carbon Monoxide"

Stephen J. Traub, MD
Assistant Professor of Medicine
Harvard Medical School
Division of Toxicology and Department of Emergency Medicine
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Chapter 11, "Chemical Principles"
Chapter 90, "Cadmium"

Michael G. Tunik, MD
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
Bellevue Hospital Center
New York, New York
Chapter 45, "Food Poisoning"

Susi U. Vassallo, MD
Associate Professor of Emergency Medicine
New York University School of Medicine
Attending Physician
Bellevue Hospital Center and New York University Langone Medical Center
New York, New York
Chapter 15, "Thermoregulatory Principles"
Chapter 44, "Athletic Performance Enhancers"

Larissa I. Velez, MD
Associate Professor, Associate Program Director
University of Texas Southwestern Medical Center
Staff Toxicologist, North Texas Poison Center
Parkland Health and Hospital System
Dallas, Texas
Antidotes in Depth A10, "Dextrose"

Lisa E. Vivero, PharmD
Manager Drug Information
MedImpact
San Diego, California
Chapter 55, "Pharmaceutical Additives"

Peter H. Wald, MD, MPH
Vice President, Enterprise Medical Director
USAA
San Antonio, Texas
Chapter 122, "Industrial Poisoning: Information and Control"

Richard Y. Wang, DO
Medical Officer
National Center for Environmental Health
Centers for Disease Control and Prevention
Chamblee, Georgia
Chapter 52, "Antineoplastics Overview"
Chapter 53, "Antineoplastics: Methotrexate"
Chapter 54, "Miscellaneous Antineoplastics"
Special Considerations SC-3, "Extravasation of Xenobiotics"

Paul M. Wax, MD, FACMT
Professor, Division of Emergency Medicine
University of Texas Southwestern Medical School
Medical Director, Toxicology Clinic
Dallas, Texas
Executive Director
American College of Medical Toxicology
Phoenix, Arizona
Chapter 1, "Historical Principles and Perspectives"
Chapter 2, "Toxicologic Plagues and Disasters in History"
Chapter 102, "Antiseptics, Disinfectants and Sterilants"
Antidotes in Depth A5, "Sodium Bicarbonate"

Richard S. Weisman, PharmD, DABAT
Associate Dean
University of Miami Miller School of Medicine
Director, Florida Poison Center–Miami
Miami, Florida
Chapter 50,"Antihistamines and Decongestants"

Sage W. Wiener, MD
Assistant Professor of Emergency Medicine
SUNY Downstate Medical Center
Director of Medical Toxicology
SUNY Downstate Medical Center/Kings County Hospital
Brooklyn, New York
Chapter 107, "Toxic Alcohols"

Luke Yip, MD
Assistant Professor
School of Pharmacy, University of Colorado Health Sciences Center
Attending, Rocky Mountain Poison and Drug Center
Attending, Department of Medicine
Denver Health Medical Center
Denver, Colorado
Chapter 77, "Ethanol"

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