🔔 New in InSight+ An Australian MD, and a mycologist, have been the first to publish a study on Wood-lover’s Paralysis, a rare toxidrome associated with ingesting species of ‘magic mushrooms.’ Read more: buff.ly/gU5OJ0Y

Harvard Dean was paid $150,000 as expert witness in Tylenol lawsuits

journals.lww.com/em-news/full... AI might not replace doctors, but physicians who are expert at prompt engineering may certainly replace those who are not.

super important point 👇 sometimes creatinine falls due to dilution from large-volume fluid resuscitation. if the urine output is zero then the GFR must be zero (regardless of how much the creatinine has decreased).

Another step-by-step approach: how to use critical care ultrasound to guide decisions on fluid administration in critically ill patients

🚨Medetomidine withdrawal - serious new toxidrome (fresh IBCC chapter)🚨 💣 Illicit fentanyl is increasingly adulterated with high-dose (dex)medetomidine 💣 Combined withdrawal from fentanyl & medetomidine is disastrous 💣 Requires specific tx strategy IBCC chapter: emcrit.org/ibcc/oa2a/ #EMIMCC

Researchers have filmed thousands of climbing catfish scaling waterfalls, providing a rare insight into the daring migration of an enigmatic fish. Learn more: https://scim.ag/4lDlFux

The US #FDA recently moved to regulate 7-OH a Schedule I drug. Here’s what you need to know about the #opioid-like substance being sold at #vape shops and gas stations. #MedSky

If you’re >>40 years old, you’re probably alive because of modern medicine & public health. It’s incredible to see elderly people whinging about how aweful medicine is & how we should pull back things like vaccination & pasteurization. In a pre-modern, all-natural era the lifespan was ~ 30 yrs.

assessing the severity of methemoglobinemia: people get too hung up on % methemoglobin *functional hemoglobin level* is more important 30% MeHb is OK if total hemoglobin is 15 mg/dL, but a big problem if total hemoglobin is 7 mg/dL same idea as O2 saturation vs. O2 carrying capacity 👇 #EMIMCC

Cannabis Poisonings Are Rising, Mostly Among Kids www.nytimes.com/2025/08/10/h...

A study concludes: more colorectal cancer diagnoses in adults 45-49 is a result of…screening age being lowered to 45 in 2021. 😐 ⬅️ my surprised face. I wrote about this exact thing when media outlets were fear-mongering about “skyrocketing cancer rates” among adults <50. 1/

Fraudulent Scientific Papers Are Rapidly Increasing, Study Finds www.nytimes.com/2025/08/04/s...

🏆 We’re thrilled to celebrate Dr. Leon Gussow (Toxicology Rounds), Dr. Blake Briggs (Clinical Controversies), and Dr. Thomas Cook (After the Match) for winning an APEX 2025 Award in Writing / Type of Media! @rickpescatore.bsky.social @poisonreview.bsky.social @jenniferaregala.bsky.social #APEX2025

You've heard about nitazenes months ago if you read the "Toxicology Rounds" column in Emergency Medicine News. www.wsj.com/health/healt...

University of Minnesota president is no stranger to triage. That has helped lately — The President of UMinn is an emergency doc www.statnews.com/2025/07/21/u... via @statnews.com

Club Drugs Strain Health System on Ibiza, Spain’s Party Island www.nytimes.com/2025/07/16/w...

When a patient presents with cryptic liver disease, Tylenol is certainly on the differential. But what about tumeric? nypost.com/2025/07/11/h...

How AI Helped Me Understand a Very Complicated Medical Toxicology Article journals.lww.com/em-news/full...

"Pink cocaine" is pink. But it's not cocaine. archive.is/Roe1U

Don't be surprised if your regional poison center recommends an antibiotic for treating severe valproic acid poisoning. journals.lww.com/em-news/full...