Emergency Toxicology Fellowship Director: Mark Su, MD

The North Shore University Hospital Department of Emergency Medicine has one of the largest groups of American Board of Medical Toxicology certified physicians in the country. These physicians are all fellowship trained in Medical Toxicology and are available to provide treatment as well as follow-up care for poisoned patients. The two-year ACGME accredited Toxicology Fellowship Program, requires their fellows to conduct scholarly activities during their fellowship. There is currently one toxicology fellow. The second year fellow is Amit K. Gupta, MD.

Rachel Weiselberg, MD 1st Year Fellow	Mae De La Calzada-Jeanlouie, DO 1st Year Fellow

The Emergency Toxicology faculty is composed of avid researchers, and their work is frequently published in peer-reviewed journals as well as medical textbooks. Here are some of their most recent publications:

1. Dean A, Lee DC: Bedside Laboratory and Microbiologic Procedures. In Roberts JR, Hedges JR (eds.), Clinical Procedures in Emergency Medicine, fifth edition, WB Saunders, Philadelphia, PA, 2010.
2. Lee DC: Hydrocarbons. In Rosen P, (ed.), Emergency Medicine, Concept and Clinical Practice, sixth edition, Mosby-Elsevier, Philadelphia, PA, 2010.
3. Lee DC, et al. "Bedside Laboratory and Microbiologic Procedures." In Roberts JR, Hedges JR (eds.), Clinical Procedures in Emergency Medicine. Fifth Edition. WB Saunders, Philadelphia, PA. 2010.
4. Majlesi N, Greller HA, McGuigan MA, Caraccio T, Su MK, Chan GM. Thyroid storm after pediatric levothyroxine ingestion. Pediatrics. 2010 Aug;126(2):e470-3. Epub 2010 Jul 19.
5. Su M, Chan G, et al. "Anticoagulants" and "Hydrofluoric Acid and Fluorides." Goldfrank's Toxicologic Emergencies. Ninth Edition. McGraw-Hill Professional. 2010 Jul 16.
6. Chan GM. Gastrointenstinal Emergencies. In: Intensive Review for the Emergency Medicine Qualifying Examination. Sassan Naderi and Richard Park (Editors). McGraw-Hill Medical, 2009.
7. Chan GM, Hoffman RS, Gold JA, Whiteman PJ, Goldfrank LR, Nelson LS. Racial variations in the incidence of severe alcohol withdrawal. J Med Toxicol. 2009 Mar;5(1):8-14.
8. Greller HA, Gupta AK. Benzodiazepine Poisoning. In: UpToDate, Rose BD (Ed.) UpToDate, Wellesley, MA 2009.
9. Gupta AK, Su M, Greller H, Majlesi N, Hoffman RS. Digoxin and calcium: the verdict is still out. J Emerg Med. 2010 Jul;39(1):102; author reply 102-3. Epub 2009 Oct 30.
10. Gupta AK, Chan GM, Greller HA, Su MK. NAC: still the way to go. Crit Care. 2009;13(3):411.
11. Gupta AK, Chan GM, Greller HA, Su MK. NAC: Still the Way to Go. Crit Care. 2009; 13(3): 411; author reply 411.
12. Gupta AK, Su MK, Greller HA, Lee DC, Chan GM. IV Versus Oral N-Acetylcysteine. Ann Emerg Med. 2009 Dec; 54(6): 857-8; author reply 858-9.
13. Prosser JM, Majlesi N, Chan GM, Olsen D, Hoffman RS, Nelson LS. Adverse effects associated with arginine alpha-ketoglutarate containing supplements. Hum Exp Toxicol. 2009 May;28(5):259-62.
14. Bania T, Chu J, Perez E, Medlej K, Roselli, M, Mouravev R, Yang J, Lee D. Hemodynamic effects of intravenous fat emulsion versus high dose insulin euglycemia in a model of severe verapamil toxiciy. Academic Emergency Medicine. 2008; 15(5):S(1)S213.
15. Lee DC, Patel JH. Does age impact admission rates and kidney stone location in emergency department patients who present with renal colic?  Annals of Emergency Medicine. 2008; 51(4):513.
16. Majlesi N, Chan GM, McGuigan M, Lee D, Su M, Greller HA. Use of technology to guide treatment of a patient with unknown botanical ingestion.  Clinical Toxicology. 2008; 46(5):411.
17. Lee DC, Johnson AB, Rudolph GS. Outcome of patients who present to the Emergency Department with and elevated international normalized ratio (INR). Journal of the American Geriatric Society. 2008; 56(4):758-60.
18. McCabe J, Stork C, Mailloux D, Su M. Penile angioedema associated with the use of angiotensin-converting-enzyme inhibitors and angiotensin II receptor blockers. Am J Health-Syst Pharm. 2008; 65:420-1.
19. Majlesi N, Greller HA, Su M. Cocaine and aneurysms. J Neurosurg. 2008; 109.
20. Majlesi N, Chan GM, Su M, Greller HA. Comment on “Acute ethanol coingestion confers a lower risk of hepatotoxicity after deliberate acetaminophen overdose”. Acad Emerg Med. 2008; 15:491-492.
21. Chan GC and Nelson LS. Sympathomimetics. In Adams JG (ed.), Emergency Medicine: Expert Consult, Saunders 2008.
22. Lee DC. Marijuana. In Biller J (ed.), The Interface of Neurology of Internal Medicine, Lippincott, Williams &Wilkins, Philadelphia, PA, 2008.
23. Lee DC, Korzun T Dermal Decontamination.  In Henretig F, King C (eds.), Textbook of Pediatric Emergency  Procedures, second edition,  Williams and Wilkins; Baltimore, Maryland, 2008.
24. Hypoglycemic Agents. Su M. In: Emergency Medicine. Philadelphia, PA. Elsevier, 2008.
25. Local Anesthetics. Zamanian RT, Su M, Kapitanyan R, Olsson JK. Toxicity, Local Anesthetics. eMedicine Journal from WebMD, 2008. Available at: http://www.emedicine.com/emerg/TOPIC761.HTM. 

Along with the Faculty’s numerous publications, they are also involved in education and are invited to present their work at prestigious toxicology conferences. The following abstracts were presented at the 2008 North American Congress of Clinical Toxicology, an annual scientific meeting held in Toronto, Ontario:

• Dextromethorphan Abuse Masquerading as Recurrent Seizure Disorder. Majlesi N, Su MK, Chan GM, Greller HA, Lee DC.
• Thyroid Storm after Pediatric Ingestion of Levothyroxine. Majlesi N, Su MK, McGuigan MA, Caraccio TR, Lee DC, Greller HA, Chan GM.
• A Case of Inhalational Exposure to Palytoxin.  Majlesi N, Su MK, Chan GM, Lee DC, Greller HA.
• Quetiapine-Associated Sedation Responding to Naloxone Therapy.  Majlesi N, Su MK, Greller HA, Caraccio TR, Lee DC, Chan GM.
• Sotalol-Induced Torsades de Pointes Treated wtih Hemodialysis. Zebuda C, Majlesi N, Greller HA, Lee DC, Su MK, Chan GM.
• Buprenorphine-Induced RespiratoryDepression Reversed by Naloxone in a 2-Year-Old. Truitt C, Majlesi N, Greller HA, Lee DC, Chan GM, Su MK.
• Prolonged Sedation Following a Pediatric Ingestion of Aripiprazole N Majlesi, G M Chan, C Stanton, T R Carracio and H A Greller.

If you are interested in the Emergency Toxicology Fellowship, please contact Mark Su, MD at Marksu@pol.net.