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Catching Up With the Indiana Poison Center

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Blog written by: Dr. Kris Nanagas, Chief, Division of Medical Toxicology

If you haven’t visited the Indiana Poison Center in a while, you might not even recognize it. We’ve had a busy year and have much to celebrate. Jim Mowry is enjoying a well-deserved semi-retirement. He is staying on as Emeritus Professor and working on so many critical projects-writing up the account of brodifacoum contaminated synthetic cannabinoids with representatives from 10 other states, compiling the National Poison Data System annual report and serves on the EXtracorporeal TReatments In Poisoning (EXTRIP) working group as well as the board of trustees of the American Academy of Clinical Toxicologists. Jim also continues to churn out publications illustrating many of our interdisciplinary projects between pharmacists and physicians.

The new reigning managing director of the poison center is Adam Overberg. He is our first graduate of the pharmacy toxicology fellow program-not to be confused with the medical toxicology fellowship. We have one current pharmacy fellow-Marshall Haynick started in September and will be graduating in September of 2020. Thom Maciulewicz started in July and will be with us for two years as well. Adam has also more than doubled the number of pharmacy rotators per year. We are hoping that with four total fellows, in addition to the regular complement of resident, student, and pharmacy rotators, that we will be the biggest rounding team at the AHC!

Adam is also working on a collaborative research project with Drs. Kris Nanagas, Bob Avera, Shannon Morton, and Sarah Huber analyzing the use of physostigmine in pediatric patients. In his spare time, Adam is making sure our antidote stocking is up to snuff and transitioning the poison center to new software to keep track of all our patients throughout the state. Sarah is a medical student in the IMPRS program and works both in the poison center and the ED on research.

Marshall Haynick joined us from Florida and is our second pharmacy fellow in the program. He has been helping us update our guidelines in the poison center, as well as teaching on the med tox rotation and at Indiana University. His research focus is on adolescent suicides, specifically, comparing prescription versus over the counter medications. If you were not aware, teenage suicide numbers have been increasing at alarming rates and more often are involving use of medications.

Shannon Morton, our epidemiologist, was on the team that worked on our most recent project dealing with teenage suicide, “Temporal and geospatial trends of adolescent intentional overdoses with suspected suicidal intent reported to a state poison control center,” which you can check out in the January issue of Clinical Toxicology. She is involved in almost every effort in the poison center-her literature searching skills, citation management and gift with databases and large data-sets make life so enjoyable for the rest of us. Almost every guideline, paper, abstract, media interview and project has benefited greatly from her involvement.

Keep reading below to check out a list of current publications and get to know Indiana Poison Center staff!

Meet the Indiana Poison Center Staff:

Publications:

  1. Kopec KT, Kim T, Mowry J, Aks S, Kao L. Role of dantrolene in dinitrophenol (DNP) overdose: A continuing question? Am J Emerg Med. 2019 Mar 23. pii:S0735-6757(19)30185-8. doi: 10.1016/j.ajem.2019.03.035. [Epub ahead of print] PubMed PMID: 30948257.
  2. Froberg BA, Morton SJ, Mowry JB, Rusyniak DE. Temporal and geospatial trends of adolescent intentional overdoses with suspected suicidal intent reported to a state poison control center. Clin Toxicol (Phila). 2019 Jan 30:1-8. doi:10.1080/15563650.2018.1554186. [Epub ahead of print] PubMed PMID: 30696297.
  3. Gummin DD, Mowry JB, Spyker DA, Brooks DE, Osterthaler KM, Banner W. 2017 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 35th Annual Report. Clin Toxicol (Phila). 2018Dec;56(12):1213-1415. doi: 10.1080/15563650.2018.1533727. Epub 2018 Dec 21. PubMed PMID: 30576252.
  4. Campion GH, Wang JJ, Hoffman RS, Cormier M, Lavergne V, Mowry JB, Roberts DM, Ghannoum M, Su MK, Gosselin S. Extracorporeal treatments in poisonings from four non-traditionally dialysed toxins (acetaminophen, digoxin, opioids and tricyclic antidepressants): A combined single-centre and national study. Basic Clin Pharmacol Toxicol. 2019 Mar;124(3):341-347. doi: 10.1111/bcpt.13135. Epub 2018Oct 31. PubMed PMID: 30248244.
  5. Overberg A, Azelton K. Symptomatic Singe-Tablet Propafenone Ingestionin a 17-Month-Old [abstract]. In: 50th Annual North American Congress of Clinical Toxicology; 2018 Oct25-29; Chicago, IL. Abstract #272.
  6. Overberg A, Purpura A, Nanagas K. “Ghost tablet” husks excreted in feces inlarge bupropion XL overdose. Clin Toxicol(Phila). 2018 Aug 17:1-2.
  7. Froberg, B. A., Morton, S. J., Mowry, J. B., & Rusyniak, D. E. (2019). Temporal and geospatial trends of adolescent intentional overdoses with suspected suicidal intent reported to a state poison control center.Clinical toxicology, 1-8.
The views expressed in this content represent the perspective and opinions of the author and may or may not represent the position of Indiana University School of Medicine.
Author

Emmy Schram

Emmy Schram is the Communications Coordinator for the Department of Emergency Medicine. She earned her MA in English from Ball State where she taught English Composition while working as a freelance graphic/web designer. She brings with her varied professional experiences which she uses to support departmental communications efforts while finding new ways to combine her passions for marketing and education.