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Medical Toxicology Research Project or Scholarly Activity

Fellows in the Medical Toxicology Fellowship program will understand the strengths and weaknesses of published research by participating in either a research project or scholarly activity with faculty mentorship. 

  • Research Project: Basic science projects or animal, clinical and poison center research
  • Scholarly Activity: Publication of a case report, case series or review article in toxicology. 

During the second year of the fellowship, necessary "protected" time will be provided for research and scholarly activities. 

Presentations and Symposia

  • Fellows submit posters/platforms to national toxicology meetings - either the North American Congress of Clinical Toxicology in the fall of the American College of Medical Toxicology Annual Scientific Meeting in the spring. 
  • Fellows have the opportunity to present to the national audiences via the ACMT National Journal Club and National Case Conference. 
  • Fellows have the opportunity to present at local venues such as the Indiana Poison Center toxicology symposium, Emergency Medicine Research Day, the Department of Emergency Medicine Grand Rounds and the Department of Emergency Medicine Student Clerkship. 
  • A world-class simulation center is frequently utilized for education.
louise kao presenting a poster at a national meeting
toxicology group at the state museum poison exhibit
  • Publications

    Blackburn J, Weaver L, Cohen L, Menachemi N, Rusyniak DE, Unroe KT. Community Coronavirus Disease 2019 Activity Level and Nursing Home Staff Testing for Active Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Indiana. J Am Med Dir Assoc. 2021 Jan;22(1):204-208.e1. doi: 10.1016/j.jamda.2020.10.038. Epub 2020 Oct 28. PMID: 33248030; PMCID: PMC7598376.

    O'Reilly LM, Froberg BA, Gian CT, D'Onofrio BM, Simon KI. The Affordable Care Act Young Adult Mandate and Suicidal Behavior. Med Care Res Rev. 2020 Nov 19:1077558720974144. doi: 10.1177/1077558720974144. Epub ahead of print. PMID: 33213274.

    Spyres MB, Farrugia LA, Kang AM, Calello DP, Campleman SL, Pizon A, Wiegand T, Kao L, Riley BD, Li S, Wax PM, Brent J; Toxicology Investigators Consortium (ToxIC) Study Group. The Toxicology Investigators Consortium Case Registry-the 2018 Annual Report. J Med Toxicol. 2019 Oct;15(4):228-254. doi: 10.1007/s13181-019-00736-9. Epub 2019 Oct 22. PMID: 31642014; PMCID: PMC6825068.

    Overberg A, Morton S, Wagner E, Froberg B. Toxicity of Bupropion Overdose Compared With Selective Serotonin Reuptake Inhibitors. Pediatrics. 2019 Aug;144(2):e20183295. doi: 10.1542/peds.2018-3295. Epub 2019 Jul 5. PMID: 31278211.

    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 Sep;57(9):798-805. doi: 10.1080/15563650.2018.1554186. Epub 2019 Jan 30. PMID: 30696297.

    Blackburn J, Norwood C, Rusyniak D, Gilbert AL, Sullivan J, Menachemi N. Indiana's Section 1115 Medicaid Waiver And Interagency Coordination Improve Enrollment For Justice-Involved Adults. Health Aff (Millwood). 2020 Nov;39(11):1891-1899. doi: 10.1377/hlthaff.2019.01823. PMID: 33136497.

    Unroe KT, Evans R, Weaver L, Rusyniak D, Blackburn J. Willingness of Long-Term Care Staff to Receive a COVID-19 Vaccine: A Single State Survey. J Am Geriatr Soc. 2021 Mar;69(3):593-599. doi: 10.1111/jgs.17022. Epub 2021 Jan 13. PMID: 33370448.

    Liyanage T , Masterson AN , Hati S , Ren G , Manicke NE , Rusyniak DE , Sardar R . Optimization of electromagnetic hot spots in surface-enhanced Raman scattering substrates for an ultrasensitive drug assay of emergency department patients' plasma. Analyst. 2020 Nov 23;145(23):7662-7672. doi: 10.1039/d0an01372b. PMID: 32969415.

    Zaretsky DV, Kline H, Zaretskaia MV, Brown MB, Durant PJ, Alves NJ, Rusyniak DE. Disinhibiting neurons in the dorsomedial hypothalamus delays the onset of exertional fatigue and exhaustion in rats exercising in a warm environment. Brain Res. 2018 Jun 15;1689:12-20. doi: 10.1016/j.brainres.2018.03.026. Epub 2018 Mar 22. PMID: 29577887; PMCID: PMC5918235.

    Phillips HN, Tormoehlen L. Toxin-Induced Seizures. Neurol Clin. 2020 Nov;38(4):867-879. doi: 10.1016/j.ncl.2020.07.004. Epub 2020 Sep 12. PMID: 33040866.

    Wang A, Nanagas K. Neonate with red diaper. Emerg Med J. 2019 Oct;36(10):594-634. doi: 10.1136/emermed-2019-208625. PMID: 31551301.

    Overberg A, Purpura A, Nanagas K. "Ghost tablet" husks excreted in feces in large bupropion XL overdose. Clin Toxicol (Phila). 2019 Feb;57(2):141-142. doi: 10.1080/15563650.2018.1494276. Epub 2018 Aug 17. PMID: 30117332.

    Taylor GM, Avera RS, Strachan CC, Briggs CM, Medler JP, Pafford CM, Gant TB. Severe methemoglobinemia secondary to isobutyl nitrite toxicity: the case of the 'Gold Rush'. Oxf Med Case Reports. 2021 Feb 15;2021(2):omaa136. doi: 10.1093/omcr/omaa136. PMID: 33614047; PMCID: PMC7885148.

    Ross B, Nanagas K. ALIEM ACMT Visual Pearls “In Spore taste” Ross B, Nanagas, K, published Aprili 7 2021, available at https://www.aliem.com/acmt-toxicology-visual-pearls-in-spore-taste/

    Tormoehlen LM. Serotonin Syndrome Versus NMS. Expert Q&A. The Carlat Report: Hospital Psychiatry1(1&2): 1-4, 2021

    Blais, M, Hays, W, Billups, K, Czosnowski, Q, Nañagas KA. Pysostigmine Infusion for the Treatment of Antimuscarinic Toxicity in Overdose. Critical Care Medicine, 47(1). 2019: 449 doi: 10.1097/01.ccm.0000551690.07546.4b

    Avera R & Furbee B. Newer Antionvulsants. In: Wolfson AB ed: Harwood Nuss’s Clinical Practice of Emergency Medicine 7th Edition 2021; Wolters Kluwer, Philadelphia PA.

    Nanagas K & Tormoehlen L. Hydrocarbons. In: Wolfson AB ed: Harwood Nuss’s Clinical Practice of Emergency Medicine 7th Edition 2021; Wolters Kluwer, Philadelphia PA.

    Overberg B, Shepherd G, Mowry J. Isoniazid Toxicity. In: Irwin R, Lilly C, Mayo P, Rippe E Eds: Irwin & Rippe’s Intensive Care Medicine, 9th Edition, Wolters Kluwer, Philadelphia PA. In Press

    Tormoehlen LM. Emergencies in Neurotoxicology. Emergency Neurology, 2nd Edition, 2021. Roos KL, editor.

    Nanagas K, Kao L. Carbon Monoxide Poisoning. Emergency Medicine Clinics of North America, 2021, in press

    Haut L, Radhakrishnan R, Lutfi R, Kao L, Ackerman L. Acute Cytotoxic Cerebellar Edema Subsequent to Fentanyl Patch Intoxication in an Infant. Case Reports in Critical Care 2021. Article ID 9449565, https://doi.org/10.1155/2021/9449565

    (S) Kao L, Tormoehlen L, Froberg B. Chronic Poisoning: Trace Metals and others. In: Goldman L & Schaefer AI (eds): Cecil-Goldman Medicine, 27th Ed. 2021; Philadelphia PA: Elsevier Inc, In Press.

    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;57(9):798-805. doi:10.1080/15563650.2018.1554186

    Grogan J, Gerona R, Snow JW, Kao L. Ibogaine Consumption With Seizure-Like Episodes, QTc-Prolongation, and Captured Cardiac Dysrhythmias. J Emerg Med. 2019;57(4):e99-e104. doi:10.1016/j.jemermed.2019.06.052

    Wang A, Nanagas K. Neonate with red diaper. Emerg Med J. 2019;36(10):594-634. doi:10.1136/emermed-2019-208625

    Overberg A, Morton S, Wagner E, Froberg B. Toxicity of Bupropion Overdose Compared With Selective Serotonin Reuptake Inhibitors. Pediatrics. 2019;144(2):e20183295. doi:10.1542/peds.2018-3295

    Overberg A, Purpura A, Nanagas K. "Ghost tablet" husks excreted in feces in large bupropion XL overdose. Clin Toxicol (Phila). 2019;57(2):141-142. doi:10.1080/15563650.2018.1494276

    Spyres MB, Farrugia LA, Kang AM, Calello DP, Capleman SL, Pizon A, Wiegand T, Kao L ,Riley BD, Li S, Wax PM, Brent J. The Toxicology Investigators Consortium Case Registry-the 2018 Annual Report. J Med Toxicol. 2019;15(4):228-254. doi:10.1007/s13181-019-00736-9

    Titelbaum N, Avera R. ACMT Toxicology Visual pearls: Caterpillar Envenomation. Published online at: Academic Life in Emergency Medicine (ALiEM) on July 13, 2020. Available at: https://www.aliem.com/acmt-caterpillar-envenomation/

    Tormoehlen LM and Miller JC. Abnormal Brain Imaging. ACMT Toxicology Clinical Pearls. ALiEM (Academic Life in Emergency Medicine), January 21, 2019. https://www.aliem.com/2019/01/acmt-toxicology-visual-pearls-abnormal-brain-imaging/

  • Abstracts and Posters

    Tormoehlen LM, Schmalz N, Torbeck L. Consulting Physician Satisfaction: A Collaborative Survey Between Hospital-based Neurologists and Internists to Inform Quality of Care. Virtual Poster at 2nd Annual Indiana University School of Medicine Education Day, 2021

    Ross B, Kao L, Froberg B. Inhalational injury and diffuse airway edema after inhalation of zinc oxide. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Ross B, Froberg B. Retrospective review of fomepizole administration in pediatric patients through NPDS. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Brenner M, Penfound S, Kao L. Medical Outcomes of Combined Methamphetamine and Opioid Exposures Compared to Single Substance Methamphetamine or Opioid Exposures Reported to a Single Poison Center. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Brenner M, Penfound J, Froberg B. Intentional Adolescent Exposures Reported to a Single Poison Center in Pre-COVID and Psost-COVID Eras. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Ponce A, Ross B, Brenner M, Nanagas K, Kao L, Overberg A. A Tale of Two Botulism Cases. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Ponce A, Ross B, Overberg A, Acciani J. Methanol added to ethanol as an abuse deterrent. Accepted for Poster Presentation at: North American Congress of Clinical Toxicology, Atlanta GA, October 2021

    Ross B, Froberg B, Beam D. Intentional Bromethalin Ingestion Resulting in Lactic Acidosis and Severe Delayed CNS Depression. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Brenner M & Wermuth M. Pediatric Patient Treated with Outpatient Uridine Triacetate after Capecitabine Exposure. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Brenner M & Wermuth M. Drug Induced Psychosis due to Combination of Additive Corticosteroid Use and Selinexor. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Brenner M, Avera R, Acciani J. A Rare Case of Massive APAP Poisoning Resulting in Methemoglobinemia. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Kao L. Residency Background of Medical Toxicology Fellows Within the Past 5 years. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Goldfine C, Lung D, Beauchamp G, Oconnor A, Stolbach A, Kao L, Judge B, Wax P, Patwari R, Kazzi Z. Consensus Development of a Core Content for a Standardized Medical Toxicology Curriculum for Medical Students. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Ross B, Irwin H, Kao L, Froberg B. False positive opiate urine drug screen in the setting of high urine dextromethorphan levels. Presented at: North American Congress of Clinical Toxicology, September 13, 2020, Virtual Conference

    Purpura A, Kao L, House R. Incidence and Risk Factors for Carbon Monoxide Poisoning in the Emergency Department in Patan, Nepal. Presented at: North American Congress of Clinical Toxicology, September 13, 2020, Virtual conference

    Irwin H, Wagner E, Wermuth M, Kao L. Predatory Insulin Administration in Drug Facilitated Sexual Assault. Presented at: North American Congress of Clinical Toxicology, September 13, 2020, Virtual Conference

    Nanagas K, Huber S, Avera R, Penfound S, Overberg A. . Physostigmine Use to Treat Anticholinergic Toxidrome in Pediatric Patients as Reported to the National Poison Data System. Presented at: North American Congress of Clinical Toxicology, September 14, 2020, Virtual Conference

    Ross B, Haynick M. Nanagas K. Double Peak Serum Acetaminophen Levels following Large Ingestion of Tylenol Combination Products. Presented at: North American Congress of Clinical Toxicology, September 14, 2020, Virtual Conference

    Overberg A, Christiansen G. Don't Let Them Get Away: A Novel Method for Capturing Indirect Deaths. Presented at: North American Congress of Clinical Toxicology, September 14, 2020, Virtual Conference

  • Presentations

    Brenner M. Toxicology Updates. Presented at: IU Health Lifeline Symposium, March 12, 2021, Indianapolis IN.

    Kao L. Moderated Poster Presentation. Presented at: American College of Medical Toxicology Annual Scientific Meeting, Virtual, April 2021

    Kao L. Moderator: American College of Medical Toxicology COVID-19 Webinar Series: Blood Clots in the Era of Covid-19. Jeff Kline. Available at: ACMT - Blood Clots. September 2, 2020

    Furbee B. The Socrates Project; Poisonous Plants in Virginia. Virginia State University Grand Rounds, December 2020

    Furbee B. Organizer, American College of Medical Toxicology Seminar in Forensic Toxicology: A Look Forward at New Psychoactive Substances and a Look BAC at Ethanol. December 2021

    Nanagas K. Panelist, Dual Career Couples. Presented at: American Medical Women’s Association Annual Meeting, March 2021

    Nanagas, K. Discussant at a speed mentoring session ”Interprofessional Consults” –AAPCC Mid-Year Director’s Meeting, March 2021

    Tormoehlen, L. Drug induced Seizures. Presented at: American College of Medical Toxicology Annual Scientific Meeting, virtual meeting, March 13, 2020

    Furbee, B. Conference Organizer: American College of Medical Toxicology Seminar in Forensic Toxicology: Criminal Poisoning and Drug Facilitated Sexual Assault. Washington DC, December 8-10, 2019

    Furbee B. Lessons Learned from the Orville Lynn Majors Case. Presented at: American College of Medical Toxicology Seminar in Forensic Toxicology: Criminal Poisoning and Drug Facilitated Sexual Assault. Washington DC, December 9, 2019

    Kao L. Symposium Organizer: American College of Medical Toxicology Fellow in Training Lecture: The Utility of Advanced Degrees for your Toxicology Career. American College of Medical Toxicology Annual Spring Meeting, San Francisco, April 13, 2019

    Kao L. Panelist: Women in Toxicology: Enhancing your National Reputation and Involvement. American College of Medical Toxicology Annual Spring Meeting, San Francisco, April 12, 2019

    Nanagas, K. Scary Spice. American College of Emergency Medicine, Indiana Chapter, Indianapolis IN, March 2019