Tox Doctor O

Glad to be part of this world-leading phenomenon!

Curious about all those “delta 8 sold here” and “hemp derived cannabis” signs? Here’s a little information about child injury. injury.research.chop.edu/blog/posts/m...

Tox and Hound - The Physostigma A very special welcome to our newest hound, Dr. Jon Cole! You can learn more about him here . . . by Jon Cole It’s a busy day in the ED. ICU

Nice overview and direction Josh. This is my favorite tutorial on the use of physostigmine toxandhound.com/toxhound/phy..., and what do you think of Sam Wang’s use of an infusion? pubmed.ncbi.nlm.nih.gov/33295809/

Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health

Several people I respect in this author list. www.nytimes.com/2025/09/01/o...

Also - “adult” formulations of naloxone can be given to children, who are too often unwitting victims of opioid poisoning.

Do I laugh or do I cry?

The Chronicles of Lead Toxicity A History Cast in Fire, Frozen in Ice

A provocative read on lead and heavy metal pollution. I enjoyed it. blanphear.substack.com/p/times-toxi...

Expanding Water Toys: A Growing Spectrum of Child Injury Discover how expanding water toys like water beads pose serious risks to young children—and what families and policymakers can do to prevent injuries.

Dropping some injury prevention pertaining to expanding water toys. injury.research.chop.edu/blog/posts/e...

The number of emails in my inbox is the same as the year I was born. Happy Monday!

These publishers try to con me every week and undermine science.

Scientific fraud has become an ‘industry,’ alarming analysis finds Sophisticated global networks are infiltrating journals to publish fake papers

A new study, based on an analysis of thousands of publications and their authors and editors, shows paper mills are just part of a complex, interconnected system that includes publishers, journals, and brokers. scim.ag/3H9kwwQ

Poison Centers inform public health. What do you know about kratom and its synthetic derivatives? www.pa.gov/content/dam/...

Pennsylvania’s unregulated weed stores are booming — but tests show products are rife with toxic and illicit chemicals Almost every sample The Inquirer had tested was over the legal potency or contained mold or pesticides.

The sale of cannabinoids in PA is a wild frontier. If you’re buying them: a) caveat emptor, b) please protect your kids. www.inquirer.com/news/a/penns...

We need less total “research” and more good research. bmjopen.bmj.com/content/15/6...

Unfortunately, EVALI is not gone. injury.research.chop.edu/blog/posts/l...

A social media tile showing a medical vial. Text reads: “The HPV vaccine is safe, effective, and protects against cervical cancer.” At the bottom: “Get informed. Get screened. Get vaccinated.”

The #HPV vaccine is highly effective.

It can prevent 9 in 10 cases of the most high-risk strains of human papillomavirus (HPV) – the #1 cause of #CervicalCancer. 🔗 bit.ly/41MNKY7

Profound hypoglycemia? And the alpha-2s in the fentanyl supply (beyond clonidine).

Wow 😳

Compression-only CPR is good for VT/VF arrest, b/c the lungs & blood have some O2 in them.

In opioid-induced cardiac arrest, lung/blood O2 is *gone* by the time arrest occurs. So probably need assisted ventilation along w/ compressions. Pushing around deoxygenated blood doesn't work. #EMIMCC

Hey @acmtmedtox.bsky.social, am I self-absorbed enough to apply for this? (Probably and I hate myself for it.)

World's Best Specialized Hospitals 2025 - Pediatrics

#3??? I’ll have to try harder. rankings.newsweek.com/worlds-best-...

'Make America Healthy Again' report cites nonexistent studies: authors At least four of the studies cited in a flagship White House report on children's health do not exist, authors listed in the document told AFP Thursday, casting doubt on the paper outlining US Health ...

www.yahoo.com/news/america...

I used to consider our governmental scientific agencies to be held to the highest standard. Now it’s just this…https://www.yahoo.com/news/america-healthy-again-report-cites-161434758.html

Today I learned that PA has a 1971 Environmental Rights Amendment www.legis.state.pa.us/WU01/LI/LI/C...

FDA issues warning against tianeptine use, also called 'gas station heroin' The FDA is warning the public about a drug rising in popularity commonly referred to as as "gas station heroin."

The FDA is now suggesting people don’t buy their drugs at the gas station? www.yahoo.com/news/fda-iss... We have that message 15 months ago. 6abc.com/amp/post/wha...

Notes from the Field: Suspected Medetomidine Withdrawal... This report describes 165 patients hospitalized for suspected medetomidine withdrawal syndrome in Philadelphia.

In 2007 we alerted to the finding of xylazine in heroin. It would come to really complicate nonmedical fentanyl use. My colleagues now report challenges in the evolution to illicit medetomidine. www.cdc.gov/mmwr/volumes...

Good moment from the recent PA ACEP meeting! Dr. Monica Thacker won “First Place - Spivey Best of the Best Presentation Award” for her work with our Poison Center on pediatric diphenhydramine poisoning.

Now, I think it’s interesting to note the name of the paint company whose products were used on Philadelphia homes before 1978. Their commercials were iconic in my youth.

“The Girl in the Blue Dress” is by Dutch painter Verspronck and hangs in Amsterdam’s Rijksmuseum. Note the girl’s white facial makeup which was likely lead carbonate or ‘white lead.’ Historians believe many aristocratic children died of lead poisoning in the 1600s.

Toxic Toys and the Death of Oversight A Compelling Case for Stronger Public Health

In the U.S. we have come to expect that we won’t be poisoned by consumer goods. Seems reasonable. Have you ever stopped to think about who protects us? blanphear.substack.com/p/a-case-for...

I Should Have Seen This Coming When I joined the conservative movement in the 1980s, there were two types of people: those who cared earnestly about ideas, and those who wanted only to shock the left. The reactionary fringe has won...

I did. www.theatlantic.com/magazine/arc...