Geoff Isbister
@geoff_isbister
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Clinical toxicologist and researcher ... love my wife, running and craft beer...but 8s enough
Newcastle, New South Wales
Joined December 2016
A long time to do and thanks to @nhmrc @Clin_Tox a placebo RCT of antivenom in snakebite; early antivenom versus reactions to antivenom https://t.co/0kCIfCfwoF
pubmed.ncbi.nlm.nih.gov
Administration of antivenom in red-bellied black snake envenomation within 6 hours post-bite appeared to decrease the proportion of patients with myotoxicity, but a third of patients had adverse...
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Among patients who received Indian polyvalent antivenom, acute reactions were common, including anaphylaxis (19%) and serum sickness (4%) https://t.co/Irni7HYM6I
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#ToxABC Thanks to the suggestion of @geoff_isbister, this week’s ToxABC will be on…joules (as in electricity)! Not really a chemical, but joules may serve as “medicine” as well, for instance to resuscitate patients with toxic arrhythmias.
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Snake envenomation is a WHO designated Neglected Tropical Disease. @RmaahMemon @Harvard_Tox @Dr_GoldiTox describe the situation snakebite in rural Pakistan and illustrate that the challenges extend well outside the tropics. https://t.co/LpCcYLZt3O
@ASFsnakebites
tandfonline.com
Snake envenomation remains a neglected tropical disease in Pakistan per the World Health Organization, with approximately 40,000 bites and 8,200 fatalities annually. To understand the factors leadi...
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A solid 4h morning with MPhil and PhD students in Anuradhapura with Anjana …from in vitro neurotoxicity in krait envenoming to community measures to prevent snakebite @nkanjanasilva
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What happens when a patient prescribed weekly oral methotrexate mistakenly takes it daily? Colleagues at Calvary Mater Newcastle, NSW illustrate the outcome. @geoff_isbister
https://t.co/uxYZwUmTUI
@tapna_inc @AACTinfo @acmtmedtox @eapcct
tandfonline.com
Methotrexate toxicity following intravenous (IV) methotrexate is well reported, but there is less information on accidental daily dosing of a prescribed weekly dose of oral methotrexate. A 70 year ...
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In adults who ingested acids, computed tomography (CT) performed well for diagnosing transmural gastrointestinal necrosis. The CT scans in this study were interpreted by a panel of subspecialty radiologists. https://t.co/oqVI93NTsD
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Airway management of patients presenting with drug overdose #Opinion
https://t.co/NWzqnaYwcI
@KIsoardi @GKeijzers_EM
@WileyHealth @acemonline
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Aussie colleagues show drop in codeine since scheduled, rises in oxycodone and methadone exposures. Fentanyl only 1%- from US, the fentanyl capital of the world (?) I hope for them it doesn’t take off, but suspect it will. #EAPCCT2023
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Opioid Deprescribing Guideline launched! The why, when, (when not) & how to #deprescribe opioid analgesics based on the best evidence Here: https://t.co/gqGpDxGBqd
@nhmrc @ACSQHC @DeprescribeAU @ASCEPTanz @syd_health
#Proud @AiliLangford @DanijelaGnjidic @DrCarlSchneider & team
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AI in toxicology… TOXNET or SkyNET … better at diagnosis. But isn’t Clin Tox a risk assessment speciality? @eapcct #eapcct2023
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From heroin to prescription opioids: opioid poisoning in Australia over the last three decades by Katherine Isoardi now #EAPCCT2023 @eapcct #FOAMTox #FOAMed
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Rivastigmine for anticholinergic delirium … yes or no @angelachiewa presents data from 2 tox units @KIsoardi #tapna
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Deaths involving amlodipine are on the rise in Illinois, where it is now the commonest calcium channel blocker implicated in fatal overdoses. https://t.co/zmMBGgBZVM
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