Richard Hamilton MD @toxboardprep
Emergency Medicine & Medical Toxicologist #FOAMed #FOAMTox enthusiast tweeting board prep tips with the philosophy Ad Orbem per Venenum emtoxcast.com Philadelphia, PA Joined September 2015-
Tweets461
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Followers578
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Following11
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Likes154
Welcome to my new blog theToXfiles.com - an exploration of the toxic dangers past and present that surround us on this planet. The first installment - Lake Nyos, Cameroon, 1986 #FOAMTox @toxboardprep
bloomberg.com/news/articles/… Were they ignored or too sporadic to connect the dots?
The return of carbogen! FDA OKs ClearMate Device for Carbon Monoxide Poisoning medscape.com/viewarticle/91… via @Medscape
It’s workshop day at the @ToxNyu tox conference. Antidote pearl: glucarpidase is an enzymatic antidote that chops up methotrexate, but it chops up leucovorin, too. Separate administration of these antidotes by at least 2 hrs.
Manganese toxicity can manifest as clinical features of Parkinson’s disease. In addition, Mn toxicity can also display a form of spinocerebellar ataxia called “cock-walk” gait. youtu.be/6pRh039ejLE
A middle aged male presents with hypotension, GI distress, and bloody emesis after consuming an ayurvedic cleansing juice. Lots of culprits possible - but here’s one that you should consider! #foamtox
While evaluating a patient with sudden blindness after IVDU, you recommend cardiac echo. What is your specific concern?
On toxicology rounds, there are certain educated guesses that are usually at least half correct - like “Na channel effects”. There are more than a few Na Channel Blockers - can you name the Na Channel OPENERS? #FOAMTox
A husband and wife who operate a cleaning service arrive with sudden onset fever, cough, and rash. What’s the likely culprit? #FOAMTox #Toxboardreview
You are asked to provide treatment options for a large overdose of dabigatran. Besides activated charcoal and 4 factor PCC - what else could you suggest? #FOAMTox #ToxBoardReview
getting back to #ToxBoardReview for the next month up to recert/qualifying exam #FOAMTox What are the FDA REMS and what distinguishes them from other efforts to promote drug safety?
Interesting research explains why this guy might do well after a button battery ingestion #FOAMtox pH‐neutralizing esophageal irrigations as a novel mitigation strategy for button battery injury - Anfang - - The Laryngoscope - Wiley Online Library onlinelibrary.wiley.com/doi/full/10.10…
The risk benefit of intralipid emulsion therapy for a sick poisoned patient needs to consider the potential adverse effects of the therapy - what are they? #FOAMTox
You are consulting on a diltiazem ER overdose - vitals are BP 105/65, HR 49, BS 165. Which of those portends a bad outcome?

Andrew Stolbach, MD, ... @toxicologist12
10K Followers 1K Following Toxicologist. Emergency doctor. Teaching and learning about poisoning and overdose. Living in Baltimore City. @acmtmedtox Board of Directors @HopkinsMedicine
Ziad Kazzi, MD, FACMT... @ZiadKazzi
2K Followers 2K Following Emergency Medicine and Medical Toxicologist at Emory U, AUB and Georgia Poison Center- Past-President MENATOX and Vice-President ACMT and Board Member of MTF
Joe Kennedy @JoeKennedyEM
1K Followers 927 Following Vermont’s neighborhood friendly poison doctor / Resuscitologist / APD for @UVMEmergencyMed by way of @toxikonchicago, @EMRES_MGHBWH and @MayoClinicSOM
American College of M... @acmtmedtox
5K Followers 653 Following Advancing the toxicologic care of patients and populations.
Matt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | 💔Avenger Brass 5/27/24 ❤️🩹7/1/24
The Poison Lab @LabPoison
1K Followers 396 Following A show about the science, history, and medical management of poisons from people who manage poisonings. Hosted by Ryan (@empoisonpharmd) and Toxo (@labpoison)
Dallas Tox @DallasTXTox
248 Followers 142 Following Official Twitter of the Dallas Medical Toxicology Fellowship. Tweets do not reflect Parkland or UT Southwestern and are not intended for medical advice.
PhxMedToxFellowship @MedToxFellowshp
1K Followers 261 Following We are a Medical Toxicology training program providing exceptional experience in the bedside care of poisoned and envenomed patients.
Michael E Mullins @MikeMullinsMD
981 Followers 341 Following EM physician, toxicologist, editor. Opinions are not medical advice.
Ruben Santiago, Pharm... @ThePeoplesRuben
2K Followers 1K Following EM Pharmacist. Lover of the 3️⃣Ts: Tox, Trauma, and all Things EM. On IG 👉🏼 https://t.co/1QyGoLupM2 Views my own.
NPICIreland - Nationa... @IrelandNpic
1K Followers 2K Following Poisons information & poison prevention advice. This a/c is not monitored 24/7 & not suitable for enquiries on poisoning. Call 01 809 2566 for advice.
Michelle Ruha @MichelleRuha
1K Followers 512 Following Medical Toxicology and Addiction Medicine. (Tweets are not medical advice and opinions are my own)
The Pharm So Hard Pod... @pharmsohardnet
5K Followers 3K Following Welcome to the official Twitter of Pharm So Hard Network! 🎙️ Your go-to source for everything in emergency medicine, hospital & ambulatory care pharmacy.
Sara J. Hyland @SaraJPharmD
2K Followers 5K Following Periop and Emergency Medicine PharmD | Homesteader, cook, yogi, mama | Peaceful free-thinker trying to do some good✌ #FOAMed #MedTwitter #TwitteRx
Liza Lockwood @DrLizaMD
10K Followers 5K Following ER MD, Medical multitasker, mythbuster and storyteller, former @StLouisBlues MD, One Health @Bayer4Crops, Medical Tox, Boy Mom. Tweets are my own.
Jimmy L. Pruitt III, ... @PharmD_intheED
6K Followers 3K Following EM PharmD. PGY1 AdventHealth Orlando➡️PGY2 EM Grady. Views are my own. Founder @pharmso_hard + @pharmacyacute + @emprx25
Peter Akpunonu @PeterAkpunonu
325 Followers 461 Following Medical Toxicologist, Emergency Physician, Director of Hyperbarics, Medical Director Kentucky Poison Control Center
Kevin Mercer, PharmD,... @ohsnapimginger
3K Followers 5K Following 🚑🚨 Emergency Medicine Pharmacist #TwitteRx 😼🎓 UKY PharmD & MPH @UK_COP & @UKCPH 🐦📃 re/tweets ≠ professional recommendations 👁🔬views are my own
Bruce D. Anderson @bdaabat
678 Followers 703 Following Omnivore of information and food. Think for yourself. Question beliefs. Ask, "is this true?".
Deephug @Deephug11046
45 Followers 4K Following
shikamandru @shikamandru
161 Followers 275 Following
Sridar @Sridar460642
22 Followers 1K Following
DocAssistant @DocAssistant_ai
102 Followers 4K Following 💡AI medical scribe that provides evidence based clinical recommendations 🩺 Built by clinicians, for clinicians
Iron Direct Primary C... @ironDPC
901 Followers 224 Following Muscle Centric Medicine. Ancestral Diet, Anti-Aging, fitness and human performance. Iron Direct Primary Care. MPAS, PA-C, B.S. Exercise Science
Jen Siang @siang_jen
92 Followers 3K Following
Adeleke Ayansola @adeleke93794
5 Followers 126 Following
The Poison® @poison_journal
143 Followers 2K Following Scientific journal aimed at the dissemination of Clinical Toxicology | Published by Panamerican Toxicology Press
srk @sachinRkaran
84 Followers 482 Following http://Toxicologist/Regulatory affairs/Study Personnel at GLP Laboratory.
Journal of Biomedical... @jbiomedallires
678 Followers 2K Following Assistant Managing Editor #biomedical #openaccess #submission
Katrina Gilbert @GilbertKat68761
1 Followers 20 Following
Robbiemed @robbie_med
47 Followers 556 Following Following is not endorsement. Nothing posted is medical advice.
Hilary Davenport Stro... @EMDocHDS
156 Followers 193 Following 📍C-🚌, OH | tOSU EM lady doc |POCUS trained | 🐈 & 🦮 mom| 〽️ go blue| wife 💍 to @JarrytheGeri614 | Buckeye Paws Handler | views are my own
Brian Lewis, MD @AntiLewisite
43 Followers 118 Following EM Physician | Toxicologist (Tweets are not medical advice)
Nancy Anastasi Duffy @NancyDEditor
54 Followers 493 Following Book editor/content strategist for #OBGyn, #Hematology, #Oncology, #Gastroenterology, #Nephrology. Dog lover, late in life runner. All opinions are mine.
Journal of Clinical a... @JournalofClin10
97 Followers 509 Following The journal aims to cater to the diversified needs of veterinary professionals, neurologists, physicians, dietician, nutritionists, agricultural scientists.
Everyone Gets Atrophy... @EMPAthy_atrophy
2K Followers 886 Following Emergency Medicine PA-C. If you wouldn't be proud to say it to your parents, don't tweet it.
InSphero @InSphero
891 Followers 393 Following Reliable, reproducible, and scalable 3D in vitro platforms for drug safety & efficacy testing | The Model of Excellence™
Macromolecular Games @MacromolGames
416 Followers 2K Following Bringing fun to Macromolecular chemistry
Talia Dahms, L.Ac., M... @TaliaDahms
133 Followers 986 Following orthopedic acupuncturist, MSc graduate researcher CSUSM #insectphysiology, mama to 3 humans & a leopard gecko, true crime enthusiast
Noah B. MD @Making_Noah
87 Followers 216 Following Toxicology Fellow Rutgers NJMS NJPIES raised in Brooklyn and trained in EM at Kings County hospital - SUNY downstate
Liz Eneida @lizeneida
43 Followers 457 Following Medical Toxicology Fellow at Emory University/CDC Program | Emergency Medicine
Sadiye @sadiyeayhan
335 Followers 844 Following Emergency Medicine, Toxicology Phd(c), Ege Üniversitesi, Ege Acil, KAHEV💕 İzmir 💙
Darien Stratton, MD @ToxyDoc
2K Followers 2K Following Medical Toxicologist and ER doc by way of @UPMC & @UArizonaEM 🌵 #Toxicology🐍| #Addiction💉| #FirstGenDocs She/her 🏳️🌈 Views my own
CU Center for COMBAT ... @CUCombatCenter
553 Followers 934 Following Save and improve lives on the battlefield and at home.
TheRealRyan @ryanaliff
23 Followers 199 Following
Anthony OMS-4 @anth18
104 Followers 540 Following Husband, Dad, Triathlete, Medical Student- not always in that order. Lover of science, health, medicine, family, and great BBQ. Tweets are my own
Garrett @Garrett93798094
0 Followers 40 Following
王的男人 @LiMrli02421575
53 Followers 802 Following
Zapperlot @Haubzachxond
202 Followers 5K Following ERT. up&down, seas&summits, lungs&legs. Lactate intolerant. Like, RT ≠ endorsement. Kalbsbratwurst subject matter expert. Born 331 ppm.
amirwhat @amirwhat1
15 Followers 1K Following
Marley Blood @MLSelfridge
601 Followers 1K Following Unapologetically enthusiastic Paramedic. Grad Student. Goalie. Dog mom. Work in progress. Perpetual student. all opinions are my own.
Ethan Barningham @BarninghamEthan
369 Followers 5K Following Procurement transplant coordinator, critical care paramedic
Nefropediatraangelic @nefropedangelic
212 Followers 476 Following Nefrologia pediatrica con compromiso social, cuidando la salud renal de niños y sus familias, enfoque integral tocando tu vida para sanar, consulta tel 6290900
David Carroll @Davekcarroll
141 Followers 817 Following MedTox fellow, ER doc, POCUS enthusiast, BJJ (10p) blue belt, subeditor @radiopaedia
Anthony Jaworski 👨... @jawspharmd
111 Followers 234 Following Philly pharmacist and toxicologist trying to protect you from poisoning. My opinions are my own.
Éric Mwanga MUSINGIL... @EMusingilwa
319 Followers 326 Following Medical Doctor ( MB chB) at @ucbukavu in @DRCongo DRCongo citizen ever
Henry Pitzele, MD, FA... @hzoltan
402 Followers 1K Following ACEP Board of Directors, Long haul VA EM.
Patrick Cheah MD @cheahwc
409 Followers 3K Following Emergency, Critical Care and Retrieval Medicine Specialist. Asia Medevac Services Medical Director. Consultant EM and Internal Med Regency Specialist Hospital
Andrew Stolbach, MD, ... @toxicologist12
10K Followers 1K Following Toxicologist. Emergency doctor. Teaching and learning about poisoning and overdose. Living in Baltimore City. @acmtmedtox Board of Directors @HopkinsMedicine
American College of M... @acmtmedtox
5K Followers 653 Following Advancing the toxicologic care of patients and populations.
Journal of Medical To... @JMT_tweets
4K Followers 37 Following The Journal of Medical Toxicology is the official journal of ACMT dedicated to advancing the science and practice of medical toxicology.
Ryan LaFollette @Lafoller
578 Followers 401 Following Associate Prof/Assistant Program Director @TamingtheSRU and purveyor / consumer #MedEd #FOAMed. #SAEM23 Program Committee Chair
Mark Neavyn @MJNeavyn
111 Followers 87 Following
Victoria Stephen @EMcardiac
8K Followers 623 Following Passionate Emergency Physician and Intensivist- EDIC and SA. @Bad__EM #FOAMed #FOAMus #FOAMtox #NoSilos RTs are not endorsements
EXTRIP @ExtripWorkgroup
2K Followers 133 Following The EXTRIP mission is to provide evidence-based recommendations on the use of extracorporeal treatments for toxin removal in poisoning.
Bob Hoffman MD @bobhoffmd
2K Followers 98 Following Spending a life time trying to figure out the best way to care for poisoned patients. Opinions presented are reflective of my personal view only
AACT @AACTinfo
3K Followers 184 Following American Academy of Clinical Toxicology. Retweets/follows = not endorsements.
Clinical Toxicology @Clin_Tox
6K Followers 321 Following Official journal of @AACTInfo, @PoisonCenters and @EAPCCT