Should we schedule and more tightly regulate gabapentin? Hollett et al. from AMA give a well-reasoned answer. The Misplaced Push to Restrict Access to Gabapentin | Annals of Internal Medicine doi.org/10.7326/ANNALS… Karen Dionesotes, MD, MPH Joshua Cohen, MD/MPH

Be sure to check out "Acetaminophen Toxicity: Experimental and Clinical Advances" (ISBN: 978-0-443-15877-3), Rumack BH, Jaeschke H, McGill MR (eds.) coming soon from Elsevier . It was a privilege to contribute a chapter & to work with such a distinguished group.

#droperidol for the win! sciencedirect.com/science/articl…

Does a distinct xylazine withdrawal exist (aside from hypertension)? If you are empirically giving hydromorphone or oxycodone, are you even treating xylazine w/d? See our letter in Am J Emerg Med: nam10.safelinks.protection.outlook.com/?url=https%3A%…

Pt with opioid OD is A&O x4 after naloxone. You recommend a period of ED observation. Pt understands & declines. Can you accept refusal? "Respecting autonomy and capacity in patients with opioid use disorder" in JEM. authors.elsevier.com/a/1kS9t2dT1C-w… Free for 50 days. WashU EM Residency NAEMSP

What is ivabradine? What are the effects in overdose? doi.org/10.1080/247343… TAPNA Inc. Geoff Isbister Katherine Isoardi Angela Chiew

Does rivastigmine work for antimuscarinic delirium? See the latest from Utah Poison Control University of Utah College of Pharmacy doi.org/10.1080/247343… Rivastigmine (FDA approved for dementia) is a close analog of physostigmine. T&F Medicine & Healthcare

What is the state of clinical toxicology & poison information in Nepal? Find out more & learn more about Nepal from colleagues from Poison Center Collaborative PCC - Nepal doi.org/10.1080/247343… Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP T&F Medicine & Healthcare

I depart tomorrow for MENATOX 2025 in Muscat, Oman. Tox Comm will soon publish the record # of abstracts. This meeting gets better each year. I look forward to seeing old friends & meeting new ones. T&F Medicine & Healthcare Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP Dr. Badria Alhatali Saleh Al Jathnan,MD Peter Akpunonu

My good friend and colleague shares his thoughts in his review of a recently published book by Dr. Marty Makary doi.org/10.1080/247343… T&F Medicine & Healthcare

Newly published in Clinical Toxicology : Out-of-hospital guidelines for acetaminophen (paracetamol). tandfonline.com/eprint/3MQ4BYX… AACT America's Poison Centers Canadian Association of Poison Control Centers T&F Medicine & Healthcare EAPCCT

Snakebite research often uses the Snakebite Severity Score (SSS). Some elements are vital sign ranges for adults, but some studies include children & adolescents. How do we adapt the SSS for pediatric patients? doi.org/10.1080/247343… T&F Medicine & Healthcare The Snakebite Foundation

See the record number of abstracts from @menatox 2025! This meeting gets bigger and better each year. I look forward to the manuscripts arising from this meeting. doi.org/10.1080/247343… T&F Medicine & Healthcare Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP Waleed

Trends in fomepizole administration for acetaminophen poisoning reported to United States poison centers, 2016–2024 Free access until August 31, 2025 from Am J Emerg Med. authors.elsevier.com/a/1lQC-_GkZ91f… Ari Filip James Leonard Howell Foster America's Poison Centers

Is your ED seeing more #fentanyl overdoses with sedation & bradycardia for hours after #naloxone? The cause is likely #xylazine or #medetomidine. Is it time for specific antidote? authors.elsevier.com/a/1lVA72dHVQGa… Tennessee Poison Center WashU EM Residency America's Poison Centers AACT American College of Medical Toxicology NIDAnews

Colleagues at Central OH Poison Center & Nationwide Children's Hospital use data from America's Poison Centers explore overdose effects of DXM-BUP combination to DXM alone. DXM-BUP had nearly 9 times the risk of seizure. Tachycardia was common. doi.org/10.1080/247343… T&F Medicine & Healthcare