Toxicologist vs The internet (#12) with Dr. Joe Kennedy MD

In this episode of The Poison Lab, host Ryan Feldman is joined by Dr. Joe Kennedy, medical toxicologist at the University of Vermont and consultant for the Northern New England Poison Center. Together they work through real poisoning cases to sharpen toxic differentials, sum up practical resuscitation priorities, and connect first-principles pharmacology to bedside decisions. They also answer listener questions on THAM vs bicarbonate, when to dialyze even with “normal” kidneys, and why rattlesnake antivenom costs so much—plus the real-world logistics of sourcing exotic antivenoms in the U.S.Dr. Kennedy and Ryan discuss the topics below. Looking for timestamps? Join the subscribed feed!Case set #1: Shock with hyperglycemia, big pupils, and probably NOT what you think it is. Case set #2: Massive bleeding after gas-station “herbal” productsCase set #3: Refractory wide-complex rhythms in a teen overdoseCase set #4: Sudden collapse at a hog farm- (SPOLIER) Recent outbreak of deaths as related to case 4Want the cases summarized and sent to you so you can come up with your differential before the show? SIGN UP FOR THE NEWS LETTER! Listener Q&ATHAM vs bicarbonate (closed vs open buffering; “breathe for bicarb, tinkle for THAM”)Why dialyze if the kidneys work? (EXTRIP-style thinking, gradients, and properties)Snake antivenom pricing & how zoos help hospitals obtain non-U.S. antivenomsCall outs from the showNACCT Abstracts!Clover coagulopathy!THAM VS BICARB ElectrolytesPotato quality video of dialysis from RyanArticle on snake antivenom costing >200,000 for one patientArticle on exotic antivenom procurementCase report Ryan published on treating blue Indonesian pit viperA Morel DilemmaSupport the showReview the show where ever your listeningGet Messages from Toxo (Join the Newsletter!)Join as a supporting memberAd free episodesBonus content and early accessDiscounts and give aways on GOTA PICCEM Mushroom card gameThe GOTTA PICCEM Poisonous Mushroom Game!The Poisonus Fungus Amongus Children's Book!Full book reading (6 minutes!)Tox trinkets (Rep the show at home!)Reach the showEmail: [email protected] Show ResourcesRyan's Medical Games and ResourcesShow Website