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Case Conference: Cases in Region 8

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This webinar was originally presented on August 24, 2016. The speaker will begin by presenting clinical cases/case presentations. This will be followed by a discussion of the outcome of the case with consideration and implications for current and future clinical and public health practice. The presenter will conclude by discussing preventive steps that can be taken to decrease exposure to environmental hazards and improve patient care.

Cases Discussed:

  • A 17 year-old male was found wandering the streets around midnight with altered mental status. He reported that he was in the woods earlier that day and ate a large amount of berries that he foraged.
  • A 32 year-old man was making a hand-crafted ceremonial knife in his kitchen at 2am, from what he thought was silver, which he obtained from his late grandfather’s dentist office. The knife was to cut the umbilical cord of his newborn baby who was due the next week. His 26 year-old pregnant wife was in the next room sleeping.

Presented By:

Thomas M. Nappe, DO
Emergency Physician, Toxicology Fellow
Rocky Mountain Poison and Drug Control Center
Denver Health
Denver, CO
PEHSU - Region 8

Dr. Thomas Nappe is an emergency physician attending and senior toxicology fellow in Denver, Colorado. He was born and raised in New Jersey, where he attended Rutgers University and later taught special education for several years. He then completed medical school at the University of Medicine and Dentistry of New Jersey and an emergency medicine residency at Lehigh Valley Health Network in Allentown, Pennsylvania.  During residency, he served as chief resident of medical education and simulation, as well as assistant director of Lehigh Valley’s paramedic training program.

Approximate Completion Time

60 minutes

Continuing Education Information

This course qualifies as continuing education for physicians, nurses, certified health education specialists and other professionals provided by the Centers for Disease Control and its partners. 

Origination Date – 09/27/2016
Expiration Date – 09/27/2018

CE Available

1.0 CME (for physicians)

1.0 CME (attendance for non-physicians)

1.0 CNE (for nurses)

.10 CEU (for other professionals)

1.0 CHES (for certified health education specialists)

Accreditation Statements

This material was supported by the American College of Medical Toxicology (ACMT) and funded (in part) by the cooperative agreement FAIN: U61TS000238-02 from the Agency for Toxic Substances and Disease Registry (ATSDR).

Acknowledgement: The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funding to ATSDR under Inter-Agency Agreement number DW-75-95877701. Neither EPA nor ATSDR endorse the purchase of any commercial products or services mentioned in PEHSU publications.


Training Material

  • Presentation
  • Post-Test
  • Presentation PDF
  • How To Obtain Continuing Education Credit