Toxicologists vs the Internet (#9) With Guest Dr Frank Paloucek PharmD DABAT FAACT

Dr. Frank Paloucek, PharmD, DABAT (@itsalltox) joins the show. He was one of the very first emergency medicine pharmacists and one of the original board-certified clinical toxicologists (DABAT). He is now a proudly retired professor emeritus at The Univeristy of Illinois at Chicago. In his tenure there he spent nearly 20 years as the program director for their clinical pharmacy residency, was an integral part of the Toxikon Consortium toxicology fellowship, and coauthored the text book "Poisoning and Toxicology Handbook (Poisoning and Toxicology Handbook (Leiken & Paloucek's)) 4th Edition. Frank and Ryan kick off the show hearing about Frank's fledgling years working in an emergency department without EM attendings. Then they bust some toxicology myths (do you REALLY need BAL before Calcium disodium edetate in severe lead poisoning? Frank thinks no...) before jumping into solving some toxic cases. Finally, the episode ends with Frank and Ryan solving a case of poisoned AI. They ask GPT to take on the role of a poisoned patient and work together to identify the culprit. Enjoy and don't forget to leave a review.

Introduction

• Chisolm lead 1
• Chisolm lead papers 2
• Cory-Slechta lead redistribution paper
• Tylenol murders suspect dies
• Franks book
• Toxikon fellowship

Stump the toxicologist

Case 1

• CDC article
• NEJM Article

Case 2

• A review paper written by the Frank Paloucek himself on toxin #2

Case 3

• Case report
• Case where toxin was found in stomach on autopsy published by colleagues Dr. Amy Zosel and Dr. Matt Stanton

Case 4

• A very SIMILAR case to case 4

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