- Poisoning and overdose treatments
- Opioid Use Disorder Treatment
- Restraint-Related Deaths
- Forensic Toxicology and Drug Analysis
- Cardiac Arrest and Resuscitation
- Central Venous Catheters and Hemodialysis
- Cardiac Imaging and Diagnostics
- Anesthesia and Sedative Agents
- Traumatic Brain Injury and Neurovascular Disturbances
- Pharmaceutical studies and practices
- Drug-Induced Hepatotoxicity and Protection
- Spinal Fractures and Fixation Techniques
- Pleural and Pulmonary Diseases
- Immunotoxicology and immune responses
- Trauma Management and Diagnosis
- Hemodynamic Monitoring and Therapy
- Healthcare Decision-Making and Restraints
- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Foreign Body Medical Cases
- Methemoglobinemia and Tumor Lysis Syndrome
- Dialysis and Renal Disease Management
- Infective Endocarditis Diagnosis and Management
- Spine and Intervertebral Disc Pathology
- Pharmacological Effects and Toxicity Studies
Rutgers New Jersey Medical School
2015-2025
Rutgers, The State University of New Jersey
2016-2025
New Jersey Department of Education
2010-2025
Rutgers Health
2016-2024
University of Maryland, Baltimore
2022
Good Samaritan Regional Medical Center
2019
Good Samaritan Hospital
2019
Good Samaritan Medical Center
2019
Legacy Good Samaritan Medical Center
2019
Good Samaritan Hospital Medical Center
2019
the state of Washington reported first U.S. laboratory-confirmed case coronavirus disease 2019 (COVID-19) caused by infection with SARS-CoV-2 (1).As April 19, a total 720,630 COVID-19 cases and 37,202 associated deaths* had been to CDC from all 50 states, District Columbia, four territories (2).CDC recommends, precautions, proper cleaning disinfection high-touch surfaces help mitigate transmission (3).To assess whether there might be possible association between recommendations public health...
Illicit opioids, consisting largely of fentanyl, novel synthetic and adulterants, are the primary cause drug overdose fatality in United States. Xylazine, an alpha-2 adrenergic agonist veterinary tranquilizer, is being increasingly detected among decedents following illicit opioid overdose. Clinical outcomes non-fatal involving xylazine unexplored. Therefore, emergency department patients with overdose, we evaluated clinical outcome differences for without exposures.
Extracorporeal treatments (ECTRs), such as hemodialysis and hemoperfusion, are used in poisoning despite a lack of controlled human trials demonstrating efficacy. To provide uniform recommendations, the EXTRIP group was formed an international collaboration among recognized experts from nephrology, clinical toxicology, critical care, or pharmacology supported by over 30 professional societies. For every poison, benefit ECTR is weighed against associated complications, alternative therapies,...
Importance Synthetic opioids, such as the fentanyl analogue and nitazene drug class, are among fastest growing types of opioids being detected in patients emergency department (ED) with illicit opioid overdose (OD). However, clinical outcomes from OD novel potent (NPOs), specifically nitazenes, unknown aside small case series. Objective To determine naloxone administration sequelae who were ED NPO compared OD. Design, Setting, Participants This is a cohort study subgroup analysis adults...
Tianeptine is an atypical tricyclic antidepressant with pharmacologic effects that include enhancement of serotonin reuptake and mu-opioid receptor agonism.The Food Drug Administration has not approved tianeptine for use in the United States; however, it readily purchased elixir formulations online or at gas stations informally referred to as "gas station heroin" (1-3).This report describes uncharacteristic spike ingestions New Jersey during June-November 2023, severe associated clinical...
United States drug overdose deaths are being driven by the increasing prevalence of fentanyl, but whether patients knowingly using fentanyl is unclear. We examined analytical confirmation in emergency department (ED) with documented heroin overdose.
Abstract Background Tianeptine, an atypical antidepressant not approved in the United States, is readily purchased from unregulated markets such as internet and gas stations. We became aware of a cluster 34 patients New Jersey who ill following ingestion tianeptine containing-product Neptune’s Fix, rate which (4.6 cases per month) far exceeded background for this substance 0.5 year. Methods retrospectively identified exposures reported to Poison Information Education System (NJPIES) prior...
Background: Recently, there has been an increase in prescription drug abuse and related fatalities. Although opioid analgesics are commonly implicated, have significant increases the prevalence of benzodiazepine exposures overdoses.Objective: To describe national trends pediatric from 2000 to 2015.Methods: A retrospective database analysis was conducted. Data regarding children ages 0 <18 years reported participating United States poison centers January through December 2015 were obtained...
Novel opioids in the illicit drug supply, such as "nitazene" group of synthetic opioids, present an ongoing public health problem due to high potency and respiratory depressant effects. We describe three patients whom N-piperidinyl etonitazene, a compound not previously reported human exposure, was detected after suspected opioid overdose. Other substances that these tested for included fentanyl, cocaine, levamisole, phenacetin, benzoylecgonine, para-fluorofentanyl, presumptive heroin...