Michael S. Toce @therealMikeToce
Pediatric Emergency Medicine physician and Medical Toxicologist. I love my wife, my kids, and punk rock. Midwestern by birth, Boston by choice. @Bostonchildrens connects.catalyst.harvard.edu/Profiles/profi… Boston, MA Joined April 2016-
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Michael S. Toce retweeted
Adverse health encounters related to recreational nitrous oxide misuse increased sharply in MI 2019–2023. Awareness of the severe and potentially permanent health effects from chronic nitrous oxide use by people who use drugs is important. More: bit.ly/3G1wp6Z
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Michael S. Toce retweeted
Between 2020 and 2023, buprenorphine dispensing increased among adolescents but decreased among young adults, despite ongoing high rates of opioid use disorder. ja.ma/4gE8sjg
Article can be accessed for free here: authors.elsevier.com/a/1kExI55CsCBuE @ftbourgeois @SocPedResearch @Harvard_Tox
The COI has emerged as a valuable research tool in evaluating environmental risk factors for a number of childhood conditions, and these findings support its use also in furthering our understanding of pediatric poisonings and the development of poison prevention strategies. 2/
The child opportunity index (COI) is a measure of social determinants of health. Using the PHIS database, we found that more advantaged patients (higher COI) have a higher risk of Rx and OTC med poisonings, and a lower risk of illicit substance poisonings. 1/
Michael S. Toce retweeted
Mitigation 2: Parents & caregivers can ensure regular conversations w/ their kids about the risks of today's drug landscape, their mental health, how to seek and get help and protect themselves and their friends. Free resources from @SongforCharlie at thenewdrugtalk.org
Michael S. Toce retweeted
Mitigation 3: Have Naloxone! But mere availability is no silver bullet. Research from @therealMikeToce @DrScottHadland @ ja.ma/4eGIxa8 shows there is work to do. Kids need to explicitly understand the risks and know how to respond if needed. See mitigation 1 &2.
Our latest work in @JAMAPediatrics Youth with fatal drug overdose are more likely to have never had a prior non-fatal overdose, use alone, and have no prior history of opioid misuse. Naloxone IS part of the solution...but other steps are needed. @ftbourgeois @DrScottHadland
In this retrospective analysis of opioid-related overdose deaths among youths, naloxone access law implementation was not associated with decrease in mortality. ja.ma/4eGIxa8
Additionally, I would advocate for high-quality PEDIATRIC-based studies examining the effectiveness of opioids versus non-opioids in the treatment acute pain in the ED/inpatient/outpatient setting and the development of CPGs to reduce potential bias in prescribing.
🚨 @AmerAcadPeds just released our new guidelines for opioid prescribing in children at #AAP2024 🚨 Take-homes: 1️⃣ **Opioids are still necessary** While non-opioid treatments are central to treating most acute pain, opioids can be essential for managing severe pain. The goal?
Michael S. Toce retweeted
📊 #DYK: About 17% of people 12 years old and older had a substance use disorder in 2023. #NSDUH #RecoveryMonth Check out more important data in the 🆕 2023 National Survey on Drug Use and Health (NSDUH) report ➡️ samhsa.gov/data/release/2…
Pre-hospital databases (like @NEMSISTAC) can provide valuable information on the state of the overdose crisis and capture patients that might be missed with traditional ED surveillance systems.
Prehospital encounters for youth opioid overdoses were increasing prior to the pandemic, increased with the onset, and then stabilized, remaining higher than prepandemic levels. ja.ma/4epWJni
I am 100% behind expanding access and removing barriers to naloxone for adolescents. But additional steps are needed like expanding access to mental health services and medications to treat OUD.
It is encouraging to see naloxone dispensing increasing. However, the majority of youths who die of an overdose had no known prior history of opioid use, had not previously experienced a known overdose, and use drugs by themselves, rendering the presence of naloxone ineffective.
Prehospital encounters for youth opioid overdoses were increasing prior to the pandemic, increased with the onset, and then stabilized, remaining higher than prepandemic levels. ja.ma/4epWJni
Cost remains a significant barrier to naloxone access. Benefits to OTC status will be muted unless price comes down. Association Between Cost Sharing and Naloxone Prescription Dispensing jamanetwork.com/journals/jama/…
Michael S. Toce retweeted
TY @WCVB for providing space to talk about the importance fathers have on emotional health @BostonChildrens, highlight @HealthyBoston father-centric programs, and letting me s/o my kiddos 💙🩷 Please enjoy Father's Day wknd 🙏🏽 Watch segment here: youtu.be/7XqItjS8aNo?si…
I have had many wonderful airport beers. I have yet to have mediocre (let alone good) airport chicken wings.
Excited to be headed to #ACMT2024 in D.C. where I’ll be presenting on the public health impact of OTC naloxone. Talk is Friday at 1:40pm in the Addiction Medicine track. Stop by and offer a comment thinly veiled as a question. @acmtmedtox
Joe Kennedy @JoeKennedyEM
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Andrew Stolbach, MD, ... @toxicologist12
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Peter Chai @PeterRchai
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Matt Sztajnkrycer @NoobieMatt
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Harvard Toxicology @Harvard_Tox
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Anisha Kshetrapal, MD... @AnishaKMD
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The Poison Lab @LabPoison
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SPR @SocPedResearch
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Ed Ternan @Ed_Ternan
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Slisooski @SlisooskiYOOuq
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David Gootenberg, MD,... @gootenbergmdphd
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Journal of Child & Ad... @JofCASU
168 Followers 687 Following The journal is a peer-reviewed, hybrid open-access, interdisciplinary forum on the assessment, prevention, and treatment of child and adolescent substance use
Kirsten Hawkins (she/... @kbhawkins1
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YonkerLab @LaelYonker
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Myra @Lapised328049
86 Followers 4K Following See the world on the road, and get to know yourself on the way!
Jay @jasmin_hamzic
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Nyshi @Nyshi292364
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Global Meet on Toxico... @toxicology_2024
15 Followers 374 Following 2nd Global Meet on Toxicology (GMTOXI2024) will be held in DUBAI, UAE during September 02-04, 2024.
Taylor Lynn @taylorsrna
0 Followers 16 Following
Joseph D'Orazio @JDOrazioMD
149 Followers 285 Following Addiction Medicine, Medical Toxicology, Emergency Medicine | Cooper Center for Healing | Angelman Syndrome father and advocate https://t.co/iPWaPWBgCC
Catherine Coughlin, M... @catcough_md
224 Followers 384 Following PEM fellow at @BostonChildrens. student of @HarvardChanSPH. health services researcher, child health advocate, coffee enthusiast. all views my own, she/her.
Amanda Doodlesack @ADoodlesack
62 Followers 188 Following MedEd fellow @BIDMCEM | @UMassMedical ‘19 | @BrownUniversity ‘14
Stephen Sandelich @SandelichMD
23 Followers 176 Following Pediatric EM physician, ED-based SUD & mental health researcher, Focused on substance use & intervention science, Translating data → practice. Views my own
D Friedman @NTexan1471
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Alex Sidlak @AmSidlak
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Josh Trebach, MD @jtrebach
112K Followers 741 Following ER doc. Toxicologist. I like poisons. Show me ur cat. Posts/opinions/DMs = my own (not employer’s) & not medical advice. Contact: [email protected]☠️🏳️🌈
Joe Kennedy @JoeKennedyEM
1K Followers 913 Following Vermont’s neighborhood friendly poison doctor / Resuscitologist / APD for @UVMEmergencyMed by way of @toxikonchicago, @EMRES_MGHBWH and @MayoClinicSOM
Andrew Stolbach, MD, ... @toxicologist12
10K Followers 1K Following Toxicologist. Emergency doctor. Teaching and learning about poisoning and overdose. Living in Baltimore City. @acmtmedtox Board of Directors @HopkinsMedicine
American College of M... @acmtmedtox
5K Followers 649 Following Advancing the toxicologic care of patients and populations.
Ryan Feldman (empoiso... @EMPoisonPharmD
5K Followers 484 Following Host @LabPoison. EM PharmD, PGY2 faculty, Prof📚 @ https://t.co/xOXivTxtPA, Toxicologist(DABAT) @Center_poison,🔬https://t.co/Ul3qaTKbfG views=mine
Peter Chai @PeterRchai
4K Followers 294 Following EM doc, toxicologist @harvard_tox @brighamwomens @mit @fenwayhealth @danafarber. Research in ingestible electronics. @chai_lab. Tweets not medical advice.
Ziad Kazzi, MD, FACMT... @ZiadKazzi
2K Followers 2K Following Emergency Medicine and Medical Toxicologist at Emory U, AUB and Georgia Poison Center- Past-President MENATOX and Vice-President ACMT and Board Member of MTF
CHOP Pediatric Emerge... @PEMatCHOP
2K Followers 1K Following Official twitter account of the #PedsED @ChildrensPhila. Caring for and #advocating for children. Advancing #Research, #MedEd, #QI, and #ClinicalCare.
Dallas Tox @DallasTXTox
241 Followers 140 Following Official Twitter of the Dallas Medical Toxicology Fellowship. Tweets do not reflect Parkland or UT Southwestern and are not intended for medical advice.
EAPCCT @eapcct
2K Followers 386 Following European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) founded in 1964. https://t.co/lKKsBc4wkz
David Juurlink @DavidJuurlink
67K Followers 787 Following Internal Medicine, Clinical Pharmacology/Toxicology and drug safety research @Sunnybrook and @UofTMedicine. Inexplicably fortunate husband.
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Matt Sztajnkrycer @NoobieMatt
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508 Followers 802 Following Pediatric ED doctor @brownpem @brown_emergency. I love children, science, theatre, my hometown NYC and now RI. My twitter views are my own.
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Toxicology Investigat... @ToxICACMT
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Michael E Mullins @MikeMullinsMD
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Harvard Toxicology @Harvard_Tox
4K Followers 82 Following The bezoar of toxicologists from @Brighamwomens, @MassGeneralEM, @challiance @bostonchildrens & @Harvardmed. (not medical advice). #hmstox
AMA @AmerMedicalAssn
695K Followers 7K Following American Medical Association - Physicians' powerful ally in patient care. RT does not equal endorsement. #FightingForDocs | AMA president: @PresAmerMed
Lorraine Kelley-Quon,... @LKelley_Quon
1K Followers 321 Following Pediatric Surgeon @ChildrensLA | Associate Professor (Clinical Scholar)@KECKSchool_USC @uscpphs | Health Services Researcher @HOPE_Sci_Lab | Closet #bibliophile
DASH Center @umichdash
534 Followers 793 Following Center for the Study of Drugs, Alcohol, Smoking & Health @UMichNursing @UMich We research #substanceuse & #addiction to enhance practice, prevention, & policy.
Partnership to End Ad... @ToEndAddiction
22K Followers 2K Following We provide families, professionals, and communities with everything they need to know to help prevent and address substance use among young people.
NCHS @NCHStats
7K Followers 926 Following This account is no longer active. Follow https://t.co/dyUtPLXOeZ for public health updates.
JAMA @JAMA_current
493K Followers 748 Following JAMA is an international peer-reviewed general medical journal published weekly online and in print, and a member of the @JAMANetwork family of journals.
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161 Followers 114 Following Assoc. Professor of Mathematics, Morehouse College (for identification only; I speak for myself on Twitter, not for my college)
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SPR @SocPedResearch
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181 Followers 427 Following Inova Toxicology Emergency Things, Dogs, Changing Lanes
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Pediatric Academic So... @PASMeeting
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Health Affairs @Health_Affairs
163K Followers 4K Following Health Affairs Publishing delivers rigorous, nonpartisan research and analysis to improve health and health care. Follows/Tweets/RTs ≠ endorsements.
Joseph Friedman, MD, ... @JosephRFriedman
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International Journal... @ijdrugpolicy
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Michael Chary MD, PhD @macacharya
181 Followers 54 Following Emergency Medicine and Medical Toxicology Physician-Scientist at @WeillCornell @ED_WCMC @WCMEmergency There is simply too much to think about
Samara Jinks-Chang MD... @DrJinksChang
1K Followers 829 Following Adolescent Addiction Doc at CHOP 👩🏽⚕️。Asst. Professor at UPenn. ATL Native 🍑Tweets mine. she/her.
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224 Followers 384 Following PEM fellow at @BostonChildrens. student of @HarvardChanSPH. health services researcher, child health advocate, coffee enthusiast. all views my own, she/her.
Chelsea L. Shover, Ph... @ChelseaLShover
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Vanessa Uyen @uyenvymd
458 Followers 505 Following MD, general internal medicine, Medical toxicology
Illinois Poison Cente... @ILPoisonCenter
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Jennifer Trainor @JenTrainorMD
502 Followers 301 Following PEM, medical education, & simulation enthusiast, Associate Chair for Education, Pediatrics, McGaw/Feinberg/Northwestern/Lurie Children’s, Tweets=my own, she/her
Rachel Levene Kubie @leveneMD
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Prescription Drug Abu... @PDAPSbyCPHLR
408 Followers 605 Following We use policy surveillance to provide detailed information about laws aimed at promoting safe use of controlled medicines and easing the toll of drug overdose.
Remedy Alliance/For t... @RemedyAlliance
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Drug Policy Alliance @DrugPolicyOrg
96K Followers 2K Following The nation’s leading org promoting drug policies grounded in evidence, health, equity, & human rights. #NoMoreDrugWar 501c4: @drugpolicyact
NIDAnews @NIDAnews
53K Followers 268 Following Official @NIH National Institute on Drug Abuse account Privacy: https://t.co/qb9Ynd92CU Commenting: https://t.co/Y5Syo20UN8 Engagement≠Endorsement
SAMHSA @samhsagov
165K Followers 539 Following Official account Substance Abuse & Mental Health Services Administration. In crisis? Call/text 988 or chat https://t.co/ElGKYJfS2c. https://t.co/uaUN4oKBGe
Joshua D Lee MD MSc @DrJoshuaDLee
723 Followers 253 Following Professor, NYUGrossmanSOM Departments of Population Health and Medicine/DGIM. Addiction Medicine Researcher and Clinician. Science Advisor at OarHealth.
Harvard Catalyst @HarvardCatalyst
7K Followers 1K Following We support early-career investigators & scientists with training/courses, resources, training, consultations, & open-source data tools - at Harvard & beyond.
Dr. Nabarun Dasgupta @nabarund
3K Followers 1K Following Street drug scientist + activist💥 @UNCpublichealth @RemedyAlliance Abandoning Twitter for https://t.co/fiYkO2LEiX newsletter
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