American College of Emergency PhysiciansAbout our Simulation Case Library
Editor
Shawn M. Varney, MD, FACEP, FAACT, FACMT
Authored and reviewed cases primarily. Also reviewed all cases.
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
Associate Editor
Michael Cassara, DO, MSEd, FACEP, CHSE
Reviewed all cases and standardized presentation format
Associate Professor of Emergency Medicine and Nursing
Hofstra Northwell Health School of Medicine and School of Graduate Nursing and Physician Assistant Studies
Adjunct Associate Professor
Department of Specialized Programs in Education
Hofstra University School of Education
Medical Director
Northwell Health Patient Safety Institute / Emergency Medical Institute
Lake Success, NY
Authors & Reviewers
Repeated Supratherapeutic Acetaminophen Toxicity
Authors
Jeffrey Holmes, MD - Email
Director of Simulation Education
Department of Emergency Medicine
Maine Medical Center
Assistant Professor, Tufts University School of Medicine
Boston, MA
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine Boston MA
Reviewer
Stephen Alerhand, MD - Email
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
How to cite this reference:
Holmes J, Schaeffer TH. Acetaminophen (Repeated Supratherapeutic Ingestion). American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Acute Aspirin Overdose
Author
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
Reviewer
Joseph Yanta, MD - Email
Clinical Assistant Professor
Division of Medical Toxicology, Department of Emergency Medicine
University of Pittsburgh School of Medicine
How to cite this reference:
Varney SM. Acute Aspirin Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Chronic Aspirin Overdose
Author
L. Keith French, MD - Email
Oregon Poison Center
Portland, OR
Reviewer
Melissa Halliday Gittinger, DO - Email
Medical Toxicologist
Georgia Poison Center
Assistant Professor of Emergency Medicine
Emory University School of Medicine
Department of Emergency Medicine
How to cite this reference:
French LK. Chronic Aspirin Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Calcium Channel Blocker Overdose
Author
L. Keith French, MD - Email
Oregon Poison Center
Portland, OR
Reviewer
Melissa Halliday Gittinger, DO - Email
Medical Toxicologist
Georgia Poison Center
Assistant Professor of Emergency Medicine
Emory University School of Medicine
Department of Emergency Medicine
Atlanta, GA
How to cite this reference:
French LK. Calcium Channel Blocker Overdose 1. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Acute Calcium Channel Blocker Overdose
Author
Peter Akpunonu, MD - Email
Department of Emergency Medicine
Oregon Health and Science University
Oregon Poison Center
Portland, OR
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Akpunonu P. Calcium Channel Blocker Overdose 2. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Carbon Monoxide Poisoning
Authors
Jeffrey Holmes, MD - Email
Director of Simulation Education
Department of Emergency Medicine
Maine Medical Center
Assistant Professor, Tufts University School of Medicine
Boston, MA
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
Reviewer
Stephen Alerhand, MD - Email
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
How to cite this reference:
Holmes J, Schaeffer TH. Carbon Monoxide Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Carbon Monoxide-Cyanide Toxicity (House Fire)
Authors
Suzanne Bentley MD, MPH, FACEP - Email
Attending Physician, Departments of Emergency Medicine and Medical Education
Medical Director, Simulation Center at Elmhurst
Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center
Alex F. Manini, MD, MS, FAACT, FACMT - Email
The Icahn School of Medicine at Mount Sinai
Elmhurst Hospital Center
New York, NY
Reviewer
Miriam T. Davis, MD - Email
Department of Emergency Medicine
UC Davis Medical Center
Sacramento, CA
How to cite this reference:
Bentley S, Manini A. Carbon Monoxide and Cyanide Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available at here.
Caustic Ingestion
Authors
Bailey Roche, MD - Email
Department of Emergency Medicine
University of California Davis
Sacramento, CA
Jonathan B. Ford, MD - Email
Department of Emergency Medicine
UC Davis Medical Center
Sacramento, CA
Reviewers
Miriam T. Davis, MD - Email
Department of Emergency Medicine
UC Davis Medical Center
Sacramento, CA
Jennifer L. Hannum, MD - Email
Assistant Professor, Department of Emergency Medicine
Wake Forest Baptist Health
Winston-Salem, NC
How to cite this reference:
Roche B, Ford JB. Caustic Ingestion. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Clonidine Overdose
Author
L. Keith French, MD - Email
Oregon Poison Center
Portland, Or
Reviewer
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
How to cite this reference:
French LK. Clonidine Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Cocaine Toxicity
Author
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
Reviewer
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
How to cite this reference:
Stolbach A. Cocaine Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Cyanide Toxicity (House fire)
Authors
Jeffrey Holmes, MD - Email
Director of Simulation Education
Department of Emergency Medicine
Maine Medical Center
Assistant Professor, Tufts University School of Medicine
Boston, MA
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
Reviewer
Brian J Wolk MD, FACEP - Email
Department of Emergency Medicine
Loma Linda University School of Medicine
Loma Linda, CA
How to cite this reference:
Holmes J, Schaeffer TH. Cyanide Toxicity (House Fire). American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Chronic Digoxin Toxicity
Authors
Matthew Riddle, MD - Email
Department of Emergency Medicine
University of Cincinnati
Cincinnati, OH
Edward (Mel) J. Otten, MD, FACMT, FAWM - Email
Professor, Department of Emergency Medicine & Pediatrics
Division Director of Toxicology
University of Cincinnati
Children's Hospital Medical Center
Cincinnati, OH
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Riddle M, Otten M. Chronic Digoxin Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Digoxin Toxicity
Authors
Laura K. Morrison, MD - Email
Division of Emergency Medicine, McMaster University
Ontario, Canada
Ryan Chuang, MD - Email
University of Calgary, Poison & Drug Information Service,
Alberta Health Services
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Morrison LK, Chuang R. Digoxin Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Diphenhydramine Overdose
Author
L. Keith French, MD - Email
Oregon Poison Center
Portland, Or
Reviewer
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
How to cite this reference:
French LK. Diphenhydramine Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Diphenhydramine & Acetaminophen Overdose
Author
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
Reviewer
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
How to cite this reference:
Stolbach A. Diphenhydramine and Acetaminophen Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Acute Ethanol Withdrawal
Author
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
Reviewer
Suzanne Bentley MD, MPH, FACEP - Email
Attending Physician, Departments of Emergency Medicine and Medical Education
Medical Director, Simulation Center at Elmhurst
Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center
How to cite this reference:
Stolbach A. Acute Ethanol Withdrawal. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Ethylene Glycol Ingestion
Authors
Jeffrey Holmes, MD - Email
Director of Simulation Education
Department of Emergency Medicine
Maine Medical Center
Assistant Professor, Tufts University School of Medicine
Boston, MA
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
Reviewer
Stephen Alerhand, MD - Email
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
How to cite this reference:
Holmes J, Schaeffer TH. Ethylene Glycol Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Pediatric Ethylene Glycol Ingestion
Author
Joseph Yanta, MD - Email
Clinical Assistant Professor
Division of Medical Toxicology, Department of Emergency Medicine
University of Pittsburgh School of Medicine
Reviewer
Daniel E. Rusyniak, MD - Email
Division Chief, Medical Toxicology
Medical Director, Indiana Poison Center
Professor of Emergency Medicine
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, IN
How to cite this reference:
Yanta J. Ethylene Glycol Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Hydrocarbon Toxicity
Authors
Daniel Colby, MD - Email
Department of Emergency Medicine
UC Davis Medical Center
Sacramento, CA
Jonathan B. Ford, MD - Email
Department of Emergency Medicine
UC Davis Medical Center
Sacramento, CA
Reviewer
Alaina R. Steck, MD - Email
Department of Emergency Medicine
Emory University
Atlanta, GA
How to cite this reference:
Colby D, Ford JB. Hydrocarbon Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Hydrofluoric Acid Toxicity
Authors
Ziad Kazzi, MD – Email
Department of Emergency Medicine
Emory University
Atlanta, GA
Sam Kini, MD, FACS - Email
Professor (Retired)
Medical College of Georgia, Augusta University
Augusta, GA
Ezaldeen Ahmad Numur, MD - Email
Georgia Poison Center
Department of Emergency Medicine
Emory University
Atlanta, GA
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Kazzi Z, Kini S, Numur EA. Hydrofluoric Acid Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
INH Overdose
Authors
Adam Pomerleau, MD - Email
Department of Emergency Medicine
Emory University
Atlanta, GA
Stephen Alerhand, MD - Email
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
Cynthia D. Santos, MD (Emory) - Email
Department of Emergency Medicine
Emory University
Atlanta, GA
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Pomerleau A, Alerhand S, Santos CD. INH Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Iron Overdose
Authors
Jennifer L. Hannum, MD - Email
Assistant Professor, Department of Emergency Medicine
Wake Forest Baptist Health
Winston-Salem, NC
Mary A. Wittler - Email
Assistant Professor, Department of Emergency Medicine
Wake Forest Medical Center
Winston-Salem, NC
Reviewer
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
How to cite this reference:
Hannum JL, Wittler MA. Iron Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Opioid Overdose
Author
Andrew Stolbach, MD, FAACT, FACMT, FACEP - Email
Medical Toxicologist / Emergency Physician
Assistant Professor
Department of Emergency Medicine
Johns Hopkins Medicine
Baltimore, MD
Reviewer
Joseph Yanta, MD - Email
Clinical Assistant Professor
Division of Medical Toxicology, Department of Emergency Medicine
University of Pittsburgh School of Medicine
How to cite this reference:
Stolbach A. Opioid Overdose. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Organophosphate Toxicity
Author
L. Keith French, MD - Email
Oregon Poison Center
Portland, Or
Reviewer
Jessica Weiland, MD - Email
Medical Toxicologist
Department of Emergency Medicine
Wellstar Health System
Marietta, GA.
How to cite this reference:
French LK. Organophosphate Toxicity. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Rattlesnake Bite
Authors
Laura K. Morrison, MD - Email
Division of Emergency Medicine, McMaster University
Ontario, Canada
Ryan Chuang, MD - Email
University of Calgary, Poison & Drug Information Service,
Alberta Health Services
Reviewer
Shawn M. Varney, MD, FACEP, FAACT, FACMT – Email
Associate Professor, Department of Emergency Medicine
Medical Director, South Texas Poison Center
University of Texas Health Science Center
San Antonio, TX
How to cite this reference:
Morrison LK, Chuang R. Rattlesnake Bite. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Rattlesnake Envenomation
Authors
Nicholas B. Hurst, MD, MS - Email
Arizona Poison & Drug Information Center
College of Pharmacy
University of Arizona
Tucson, AZ
Steven Dudley, PharmD - Email
Clinical Toxicology Fellow
Arizona Poison and Drug Information Center
University of Arizona College of Pharmacy
Tucson, AZ
Reviewers
Peter B. Chase, MD, FACEP, FACMT - Email
University of Arizona
Arizona Drug and Information Center
Tucson Arizona
Mazda Shirazi, MD, PhD, FACEP, FACMT - Email
Associate Professor
Medical Director, Arizona Poison & Drug Information Center
Medical Toxicology Fellowship Director
University of Arizona
Tucson, AZ
How to cite this reference:
Hurst NB, Dudley S. Rattlesnake Envenomation. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Scorpion Sting
Authors
Michael R Ori, MD - Email
Department of Emergency Medicine
University of Arizona
Tucson, AZ
Mobarak Alharthi, MD - Email
Arizona Poison and Drug Information Center
Tucson, AZ
Reviewers
Keith Boesen, PharmD, CSPI - Email
Director
Arizona Poison and Drug Information Center
Tucson, AZ
Peter B. Chase, MD, FACEP, FACMT - Email
University of Arizona
Arizona Drug and Information Center
Tucson Arizona
How to cite this reference:
Ori MR, Alharthi M. Scorpion Sting. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Serotonin Syndrome
Author
Brian J Wolk MD, FACEP - Email
Department of Emergency Medicine
Loma Linda University School of Medicine
Loma Linda, CA
Reviewer
Bailey Roche, MD (12/31/15) - Email
Department of Emergency Medicine
University of California Davis
Sacramento, CA
How to cite this reference:
Wolk BJ. Serotonin Syndrome. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Acute Amitriptyline Overdose
Authors
Joseph Yanta, MD - Email
Clinical Assistant Professor
Division of Medical Toxicology, Department of Emergency Medicine
University of Pittsburgh School of Medicine
Reviewer
Jessica Weiland, MD - Email
Medical Toxicologist
Department of Emergency Medicine
Wellstar Health System
Marietta, GA.
How to cite this reference:
Yanta J. Tricyclic Antidepressant Overdose 1. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Tricyclic Antidepressant Overdose
Authors
Jeffrey Holmes, MD - Email
Director of Simulation Education
Department of Emergency Medicine
Maine Medical Center
Assistant Professor, Tufts University School of Medicine
Boston, MA
Tammi Schaeffer, DO, FACEP, FACMT - Email
Director, Division of Medical Toxicology
Department of Emergency Medicine
Maine Medical Center
Portland, ME
Associate Professor, Department of Emergency Medicine
Tufts University School of Medicine
Boston MA
Reviewer
Jennifer L. Hannum, MD - Email
Assistant Professor, Department of Emergency Medicine
Wake Forest Baptist Health
Winston-Salem, NC
How to cite this reference:
Holmes J, Schaeffer TH. Tricyclic Antidepressant Overdose 2. American College of Emergency Physicians Toxicology Section - Toxicology Simulation Case Library, 2017. Available here.
Publisher's Notice
The American College of Emergency Physicians (ACEP) makes every effort to ensure that contributors to its publications, as defined by the United States Copyright Office, which includes, but is not limited to, distribution in printed materials, on the Internet, or in any other medium, are knowledgeable subject matter experts. Readers are nevertheless advised that the statements and opinions expressed in this publication are provided as the contributors' recommendations at the time of publication and should not be construed as official College policy. ACEP recognizes the complexity of emergency medicine and makes no representation that this publication serves as an authoritative resource for the prevention, diagnosis, treatment, or intervention for any medical condition, nor should it be the basis for the definition of or standard of care that should be practiced by all health care providers at any particular time or place. If drugs are mentioned, they generally are referred to by generic names; brand names might be added for easier recognition. Device manufacturer information, if provided, is listed according to style conventions of the American Medical Association. To the fullest extent permitted by law, and without limitation, ACEP expressly disclaims all liability for errors or omissions contained within this publication, and for damages of any kind or nature, arising out of use, reference to, reliance on, or performance of such information.