A5040158475- Poisoning and overdose treatments
- Disaster Response and Management
- Emergency and Acute Care Studies
- Pesticide Exposure and Toxicity
- Traumatic Ocular and Foreign Body Injuries
- COVID-19 and healthcare impacts
- Forensic Toxicology and Drug Analysis
- COVID-19 Clinical Research Studies
- Cannabis and Cannabinoid Research
- Ophthalmology and Eye Disorders
- Suicide and Self-Harm Studies
- Ophthalmology and Visual Health Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Alcohol Consumption and Health Effects
- Drug-Induced Hepatotoxicity and Protection
- Venomous Animal Envenomation and Studies
- Heavy Metal Exposure and Toxicity
- Healthcare Decision-Making and Restraints
- Opioid Use Disorder Treatment
- Marine Invertebrate Physiology and Ecology
- Rabies epidemiology and control
- Acute Kidney Injury Research
- Plant Toxicity and Pharmacological Properties
- Prenatal Substance Exposure Effects
- Botanical Research and Chemistry
American University of Beirut Medical Center
2014-2025
American University of Beirut
2014-2024
Weatherford College
2023
Emory University
2012-2022
Washington Poison Center
2018
Tianeptine (marketed as Coaxil or Stablon) is an atypical tricyclic drug used antidepressant in Europe, Asia, and Latin America. In the United States, tianeptine not approved by Food Drug Administration (FDA) for medical use unscheduled pharmaceutical agent* (1). Animal human studies show that opioid receptor agonist (2). Several case have reported severe adverse effects even death from recreational abuse of (3-5). To characterize exposures CDC analyzed all exposure calls related to poison...
Benzodiazepines are medications used for the treatment of multiple conditions including anxiety disorders, insomnia, agitation, and seizures. They most prescribed psychiatric third misused drugs among adults adolescents in US. This study aims to assess patient utilization patterns benzodiazepine use disorder Lebanese patients. A cross-sectional was performed on patients presenting Emergency Department American University Beirut Medical Center (AUBMC), between November 11th, 2019, May 30th,...
Background Contrast-associated acute kidney injury (CA-AKI) is a common problem in hospitals, particularly low-middle-income countries (LMIC), due to limited resources and high prevalence of comorbidities. Kidney function evaluation using serum creatinine levels before contrast administration leads increased length stay delayed patient care. This study aimed identify factors associated with CA-AKI emergency department (ED) patients an LMIC. Identifying these essential for enhancing care...
Background. Thrombolytic therapy (rt-PA) is approved for ischemic stroke presenting within 4.5 hours of symptoms onset. The rate utilization rt-PA not well described in developing countries. Objectives. Our study examined patient characteristics and outcomes addition to barriers a tertiary care center Beirut, Lebanon. Methods. A retrospective chart review all adult patients admitted the emergency department during one-year period (June 1st, 2009, June 2010) with final discharge diagnosis was...
Introduction: This study aims to describe the epidemiology of toxicological exposures reported a telephonic medical toxicology service at tertiary care center in Lebanon during 46-months period.Methods: is secondary analysis database for Lebanon. Clinical information from all pediatric and adult patients, presenting with intentional or unintentional exposure, was entered into by team.Results: Four hundred seventy-seven were recorded 1 March 2015 31 December 2018. Female patients involved...
The Global Terrorism Database (GTD) is an open-source database on terrorist incidents around the world since 1970, and it maintained by National Consortium for Study of Responses to (START; College Park, Maryland USA), a US Department Homeland Security Center Excellence. consortium reviews media reports determine if event meets eligibility be categorized as terrorism incident entry into database.The objective this study was characterize chemical reported GTD understand more about kinds...
Abstract Background Aluminum phosphide is a commonly used pesticide, particularly in developing countries where uncontrolled insecticides and pesticides are prevalent. Mortalities have been reported due to accidental suicidal exposures aluminum phosphide. To date, there has no mortality case of Lebanon. In addition, specific antidote for toxicity the treatment mainly supportive. This why awareness should be spread about this include it differential diagnoses enhance prompt management...
IntroductionDeanxit is a combination of melitracen and flupentixol, not approved as an antidepressant for sale use in several countries but still widely available commonly used among the Lebanese population. The study aimed to assess Deanxit disorder, source medication, consumers' awareness therapeutic side effects Deanxit, population.MethodsThis cross-sectional that included all patients taking visited Emergency Department between October 2019 2020. All who agreed participate research...
Background: Snakebites lead to at least 421,000 envenomations and result in more than 20,000 deaths per year worldwide. Few reports exist the Mediterranean region. This study describes demographic clinical characteristics, treatment modalities, outcomes of snakebites Lebanon. Materials Methods: was a retrospective chart review patients who presented with snakebite complaint emergency department between January 2000 September 2014. Results: A total 24 were included this study. The mean age...
Poisoning poses a worldwide public health challenge and recent data from Lebanon in 2020 revealed that over half patients presenting with acute toxicological exposure intentionally poisoned themselves, primarily suspected suicidal intent. This study aims to assess sex disparities intentional exposures among the Emergency Department, at tertiary care centre Lebanon. was secondary analysis of an existing database, including aged 6 years older admitted due overdose March 2015 August 2022. A...
The Indo-Pacific pufferfish Lagocephalus sceleratus is a tetrodotoxin-containing species believed to have entered the Mediterranean Sea through Suez Canal. Tetrodotoxin (TTX) primarily found in liver, intestine, and ovaries of L. sceleratus. We report case patient with TTX poisoning from consumption Lebanon. History ingestion, clinical presentation, exam findings were obtained during phone-based consultation intensive care physician. A 46-year-old male presented hospital Lebanon perioral...
Introduction: Toxicity from rodenticides such as metal phosphides is common worldwide, particularly in developing countries where consumers have access to unlabeled and uncontrolled insecticides pesticides.Case Report: We present the first documentation of a phosphide exposure Lebanon. A middle-aged woman presented emergency department following ingestion an unknown rodenticide. Spectroscopy analysis sample brought by patient was used helped identify zinc phosphide. The developed mild...
Boarding of critically ill patients in the emergency department (ED) has long been known to compromise patient care and affect outcomes. During COVID-19 pandemic, multiple hospitals worldwide experienced overcrowded rooms. Large influx outnumbered hospital beds required prolonged length stay (LOS) ED. Our aim was assess ED LOS effect on mortality morbidity, addition predictors in-hospital mortality, intubation, complications boarder patients.This a retrospective cohort study, investigating...
Context: Trazodone is an atypical antidepressant with no established safety in children. Previous case reports showed complications at doses 50–500 mg Our study objective to characterize the clinical effects, dose-related toxicity, and establish triage dose for acute trazodone ingestions children ≤6 years of age.Methods: Cases age between 2000 2015 were retrospectively reviewed. Data analyzed (mg/kg), management site, treatment, outcome. coingestions, unknown outcome, or excluded.Results: A...
Background Despite its preventable nature, poisoning remains one of the leading causes morbidity and mortality in pediatric population. In Lebanon, this population is poorly studied there no poison center to which healthcare providers public can refer case toxicological exposure, unnecessary Emergency Department (ED) visits. This study describes exposures seen at largest tertiary care Lebanon. It also evaluates appropriateness ED visits among confirmed or suspected children, order assess...
Introduction: Snake envenomation is a serious public health concern. In the Middle East little known about snakebite envenomation, which raises several challenges for emergency physicians caring these patients. Case report: We report case of five-year-old boy bitten by rare snake, Montivipera bornmuelleri, who presented to an department in Lebanon. also discuss proper management snake envenomation. Conclusion: This unique as snakebites Lebanon are poorly studied, and epidemiology clinical...
Across the world, tobacco is used in a variety of forms, including being smoked or added to "quid" that then chewed. We report case lead poisoning child from imported Thailand.