samuel rutherfoord rose, ii

S. Rutherfoord Rose, PharmD
CURRICULUM VITAE

CURRENT POSITION

Professor and Chair Section of Clinical Toxicology Department of Emergency Medicine School of Medicine Director, Virginia Poison Center VCU Medical Center Virginia Commonwealth University Richmond, Virginia
PERSONAL INFORMATION
P.O. Box 980522 Richmond, VA 23298-0522 (804) 828-4780 Fax: (804) 828-5291
Delivery address:
Born: Richmond, VA Married with children LICENSURE and CERTIFICATION
1983 Pharmacy license, Commonwealth of Virginia (# 0202006913) 1990 Diplomate, American Board of Applied Toxicology 2004 Advanced Haz-Mat Life Support, American Academy of Clinical Toxicology 2004 Disaster Life Support, American Medical Association EDUCATION
1986 Doctor of Pharmacy, Philadelphia College of Pharmacy & Science 1983 Bachelor of Science in Pharmacy (Cum Laude) 1978 Bachelor of Arts, University of Virginia POSTDOCTORAL TRAINING
1986 – 1988 Fellowship in Clinical Toxicology, Maryland Poison Center
ACADEMIC APPOINTMENTS
School of Medicine Virginia Commonwealth University School of Pharmacy Virginia Commonwealth University University of North Carolina at Chapel Hill University of North Carolina at Chapel Hill University of North Carolina at Chapel Hill University of Florida College of Medicine
HOSPITAL APPOINTMENTS

PREVIOUS POSITIONS
Director, Carolinas Poison Center Carolinas Medical Center, Charlotte, NC University of Florida Health Science Center Jacksonville, Florida Clinical Pharmacist (part-time) The Memorial Hospital Easton, Maryland Staff Pharmacist (during PharmD program) Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Pharmacist/Manager Revco Drug Store Richmond, Virginia
PROFESSIONAL ACTIVITIES

Expert Panelist: Specialist in Poison Information Roundtable, North American Congress of Clinical Toxicology, Toronto, Canada, September 2008. Program Coordinator: Diagnosis & Treatment of Acute & Occult Chemical Exposures. Continuing education conferences developed and administered by the Virginia Poison Center in April, May and June 2008. U.S. Health Resources and Services Administration reviewer for HRSA grant applications for Poison Center certification and stabilization Preceptor for HRSA-funded clerkships designed to prepare non-physician Virginia-1 Disaster Medical Assistance Team (DMAT) Charter Member, Chief Pharmacist, Toxicologist Group Leader, Allied Health Professionals Deployed for 15 days in September 2005 in support of FEMA field operations following Hurricanes Katrina and Rita. Clinical operations carried out in Picayune, MS and Marathon Key, FL. Resolved? North American Congress of Clinical Toxicology, Seattle, WA Richmond Metropolitan Medical Response System Chair, Pharmacy Committee, 2005 – date George Washington University Medical Center MEMBERSHIP – SCIENTIFIC, HONORARY AND PROFESSIONAL SOCIETIES
American Academy of Clinical Toxicology Fellow - 1996 American Association of Poison Control Centers Board of Directors & Treasurer, 1994 -2004 1997 – 2002 Society for Academic Emergency Medicine MEMBERSHIP – COMMUNITY ORGANIZATIONS
Member, Richmond Chapter, Kiwanis International Director and Treasurer (2004-7), Avalon Recreation Association 1974 – 1980 West End Volunteer Rescue Squad, Life Membership (1980)
COMMITTEES
National

U.S. Health Resources and Services Administration (HRSA) Poison Center Financial Stability Working Group American Association of Poison Control Centers 1994 – 2004 Board of Directors & Treasurer 2002 – 2003 Chair, AAPCC Ad-hoc Search Committee 1992 – 1994 Scientific Review Committee Virginia Department of Environmental Quality Regional


Departmental Committes


2005 - date
Medical Directors / Leadership Committee Hospital Committes
Emergency Department Patient Care Committee Promotion Committee: Mary Ann Peberdy, MD Associate Professor to Professor Department of Internal Medicine Promotion Committee: Harinda Dhindsa, MD, MPH, MBA Assistant to Associate Professor Department of Emergency Medicine Internal Review Committee Fellowship Program in Endocrinology Department of Internal Medicine ADVISORY BOARDS

CroFab (Crotalidae Polyvalent Immune Fab), Fougera Pharmaceuticals JOURNAL / BOOK REVIEWER
Annals of Emergency Medicine, 1998 - date DICP, The Annals of Pharmacotherapy, 1987 – 1992 Drug Information, American Society of Hospital Pharmacists, 1986 Journal of Clinical Laboratory Analysis, 2005 Journal of Toxicology - Clinical Toxicology, 2000 - date Mosby’s Paramedic Textbook, 2nd edition, 2000 Prehospital Drug Therapy. Mosby-Year Book, Inc., 1993, 1998-9. SPECIAL AWARDS, FELLOWSHIPS, HONORS
Bronze Commendation for hurricane relief deployment, 2005
Virginia-1 Disaster Medical Assistance Team Regional Award for Outstanding Contribution to EMS, 2005 Distinguished Faculty Teaching Award, 2003-4 Virginia Commonwealth University Medical Center Fellow, American Academy of Clinical Toxicology (1996) University of Florida Health Science Center, Jacksonville Rho Chi Pharmacy Honor Society Alpha Sigma Chi Leadership Society Life Member, West End Volunteer Rescue Squad, Richmond, Va. Jaycee's Outstanding Rescue Squadsman of the Year; Richmond, Va., 1980
EXTERNAL GRANTS

Program support for the Virginia Poison Center U.S. Department of Health & Human Services Health Resources and Services Administration Stabilization grants for the Virginia Poison Center Funding provided through the Rocky Mountain Review of VCUHS ER records for reportable cases of substance abuse. Program sponsored by National Institute on Drug Abuse (NIDA). July 2000 – March 2004 American Association of Poison Control Centers (1994) Research award funded by the Upjohn Company for analysis and publication of exposures to the drug Retrospective Evaluation of Local and Coagulopathy Recurrences Associated with Antivenom Therapy for Crotaline Snakebite
RESEARCH ACTIVITIES

Simulated Acetaminophen Overdose: Pharmacokinetics and Effectiveness of Activated Charcoal Principle Investigator. Comparative, crossover study in 10 volunteers conducted during toxicology fellowship. Examined pharmacokinetics of five gram APAP dose (elixir), and ability of activated charcoal to reduce urinary recovery of APAP when administered at varying time intervals after the APAP. Presented in parts at two national meetings. Funded by University of Maryland. Manuscript published. Prospective Evaluation of Acute Pseudoephedrine Ingestion Principle Investigator. Evaluation of 200 consecutive cases of acute pseudoephedrine ingestion reported to a regional poison center. Conducted during fellowship at Maryland Poison Center. Presented at national meeting. Emergency Department Evaluation of Flumazenil in Patients with Suspected Benzodiazepine Overdose Participating Investigator. Multicenter, sponsored (Roche Pharmaceuticals) research protocol in emergency department at University Medical Center, Jacksonville. 1990 – 1991 Multicenter, Prospective Evaluation of Antidepressant Overdoses Study Coordinator. Prospective analysis of cyclic antidepressant overdoses presenting to 10 busy emergency departments over a one year period. Coordinated by Rocky Mountain Poison Center. Evaluation of Oral and Topical Minoxidil Exposures Reported to U.S. Poison Centers from 1985-1991 Principle Investigator. $12,000 grant from American Association of Poison Control Centers to review the epidemiology and clinical toxicity of all minoxidil expsosures reported to the AAPCC from 1985 through 1991. Funded by The Upjohn Co. Etomidate as a Canine Anesthetic in Cardiovascular Research Participating Investigator. Laboratory study of etomidate infusion in dogs instrumented during thoracotomy. Etomidate infusion (40 mcg/kg/min) produced adequate analgesia while preserving normal myocardial performance and cardiovascular reflexes. Co-Investigator. Multi-center study evaluating the use and adverse effects of Childrens Tylenol and Childrens Advil in the outpatient setting. This study will supply data to the FDA for determination if Childrens Advil can be safely sold without a prescription. Funded by Whitehall Laboratories. Emergency Health Care Provider Knowledge of Lidocaine Dosing and its Potential Toxicity Participating Investigator. Multi-center survey of faculty and housestaff physicians regarding their knowledge of lidocaine dosing and toxicity. Surveillance of the RADARS 7 by Poison Control Centers: A Pilot Study Participating Investigator. Study site coordinator for multi-poison center study coordinated by Rocky Mountain Poison Center, and funded by Purdue Pharma. Data is abstracted from poison case records, reviewed, blinded, encrypted and sent to RMPC. November 2002 - December 2008. Level of funding = $125,786 through march 2006. Ongoing project. Associated with Antivenom Therapy for Crotaline Snakebite Participating Investigator. Study site coordinator for review of snakebite patients treated with antivenin who were treated at VCU Medical Center and/or consulted on through the Poison Center. Data collection occurring in 2005 on patients treated in 2004. Evaluation of Repaglinide and Nateglinide Overdose as Reported to Poison Centers Participating Investigator. Study site coordinator for review of patients with overdose of study drugs and in whom the Poison Center was consulted. Efficacy of Crotaline Fab Antivenom for Copperhead Envenomations Participating Investigator. Prospective, multi-center controlled study evaluating the efficacy of a new Fab antivenom for treatment of copperhead envenomations. Poison Center Surveillance of Agricultural Poisonings Participating investigator and site coordinator. This multi-center study will provide pre-formatted questions to poison centers to use in cases of human exposures to pesticides. The goal of the study is to better understand the circumstances of pesticide exposures related to production agriculture.
INVITED LECTURES

1. "Management of the Poisoned Patient". Hampton General Hospital Medical Staff, 2. "Acute Phencyclidine Intoxication". Department of Pediatrics, University of 3. Moderator: "Tox Trivial Pursuit". Department of Emergency Medicine, The Johns 4. “Toxicology of Cardiac Drugs". Update: Poisoning Emergencies. Seminar sponsored by Maryland Institute for Emergency Medical Services Systems and Maryland Poison Center. Baltimore, MD., March 1988. 5. "Enhancing Elimination of Drugs and Toxins". Grand Rounds, Division of Emergency Medicine, University Medical Center, Jacksonville, February 1989. 6. "Poisoning Statistics and Poison Prevention Techniques". Grand Rounds, Division of Emergency Medicine, University Medical Center, Jacksonville, March 1989. 7. "Toxic Effects & Management of Hydrocarbon Ingestions". 1989 Florida Conference on Poison Control. Tampa, FL., May 1989. 8. "Diagnosis and Treatment of the Toxicity of the Newer Antidysrhythmic Agents". Southwest Florida Society of Hospital Pharmacists Annual Meeting, St. Petersburg, Fl., August 1989. 9. "Diagnosis and Treatment of Theophylline Toxicity". Southwest Florida Society of Hospital Pharmacists Annual Meeting, St. Petersburg, Fl., August 1989. 10. "Hydrocarbon Exposures". Grand Rounds, Division of Emergency Medicine, University Medical Center, Jacksonville, September 1989. 11. "Hydrocarbon Ingestions in the Pediatric Patient". Grand Rounds, Department of Pediatrics, University Medical Center, Jacksonville, October 1989. 12. Testified at a public hearing on potential adverse health effects of toxic emissions from a proposed coal-fired power plant to be built in Jacksonville, Florida, February 1990. 13. "Complications of Drug Therapy". Grand Rounds, Division of Community Health & Family Medicine, University Medical Center, Jacksonville, August 1990. 14. "Digitalis Toxicity & Use of Digoxin Immune Fab". Grand Rounds, Division of Community Health & Family Medicine, University Medical Center, Jacksonville, August 1990. 15. "The Concept of Regional Poison Centers". Presented at Florida State EMS Advisory Council Annual Meeting, Marco Island, Florida, October 1990. 16. "Petroleum Distillate Ingestion & Aspiration". Grand Rounds, Division of Community Health & Family Medicine, University Medical Center, Jacksonville, November 1990. 17. "Pediatric Iron Overdose". Grand Rounds, Department of Pediatrics, Baptist Medical Center, Jacksonville, January 1991. 18. "Pharmacokinetics for Emergency Physicians". Grand Rounds, Department of Emergency Medicine, Carolinas Medical Center, October 1991. 19. "Clinical Use of Flumazenil". Grand Rounds, Department of Emergency Medicine, 20. "Utilizing the Poison Center". Grand Rounds, Department of Family Practice, 21. "Flumazenil: Clinical Pearls". North Carolina Society of Hospital Pharmacists 22. "Clinical Utility of Flumazenil - Case Examples". Symposium prior to the American Society of Hospital Pharmacists Midyear Clinical Meeting, December, 1992. 23. "The Poison Center and OTC Drug Toxicity". Cleveland County Pharmaceutical 24. "Calcium Channel Blocker Toxicity". American College of Clinical Pharmacy Winter Clinical Symposium, February 1993. 25. "New Drugs 1992". Grand Rounds, Department of Emergency Medicine, Carolinas 26. "The Poison Center and OTC Drug Toxicity". Lincoln County Pharmaceutical 27. "Theophylline Toxicity". Grand Rounds, Department of Emergency Medicine, 28. "Pediatric Analgesia and Sedation in the Emergency Medicine". One of three panelists in case discussions. Spring Symposium, Carolinas Medical Center, May 1993. 29. "Pediatric Petroleum Distillate Ingestion". Grand Rounds, Departments of Emergency Medicine and Pediatrics, Carolinas Medical Center, October 1993. 30. "Clinical Issues in Caring for the Poisoned Patient". Explorations in Cardiovascular Nursing Conference, Charlotte, NC, November 1993. 31. "Update on Romazicon". Dept. of Emergency Medicine, Carolinas Medical Center, 32. "Toxic Syndromes". Department of Family Medicine, Carolinas Medical Center, 33. "Acute Iron Overdose". Emergency Medicine Grand Rounds, University of North Carolina Hospitals, Chapel Hill, NC, November 1994. 34. "Autonomic Pharmacology". Department of Emergency Medicine, Carolinas 35. "Update in Toxicology". Cleveland County Health Department, Shelby, NC, April 36. "Antidysrhythmic Drug Toxicity". Department of Emergency Medicine, Carolinas 37. "Acetaminophen and Salicylate Toxicity". Anson County Hospital Medical Staff, 38. “Clinical Toxicology - Practice and Principles”. Syrian Poison Information Center, 39. “Clinical Toxidromes”. Dept. of Emergency Medicine, Carolinas Medical Center, 40. “Case Studies in Pediatric Poisoning”. Emergency Medicine Today Conference, 41. "Pharmacokinetics for Emergency Physicians". Grand Rounds, Department of Emergency Medicine, Carolinas Medical Center, February 1997. 42. “Case Studies in Toxicology”. Clinical Forum, American College of Emergency 43. “Toxic Syndrome Cases”. Department of Emergency Medicine, Portsmouth Naval 44. “Clinical Response to Urban Terrorism - Chemical Weapons”. NC Chapter of American College of Emergency Physicians summer meeting, Atlantic Beach, NC, June 1998. 45. “Case Studies in Toxicology”. Virginia Chapter of American College of Emergency Physicians 2000 Scientific Assembly, Hot Springs, VA, February 2000. 46. “New Drugs in Emergency Medicine”. Virginia Chapter of American College of Emergency Physicians 2000 Scientific Assembly, Hot Springs, VA, February 2000. 47. “Current Trends in Overdose Management”. Medical staff CME program, Mary Washington Hospital, Fredericksburg, VA, July 2000. 48. “Initial Considerations in the Management of Intoxication”. 4th Annual Toxicology Teaching Day, Central New York Poison Center and SUNY Upstate Medical University, Syracuse, NY, November 2000. 49. “Current Trends in Overdose Management”. Medical staff CME program, John Randolph Medical Center, Hopewell, VA, January 2001. 50. “Current Trends in Overdose Management”. Medical staff CME program, Southside Community Hospital, Farmville, VA, January 2001. 51. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 52. “Clinical Toxicology Update”. Virginia Society of Health-Systems Pharmacists, 53. “Cops and Docs Program”. Specialist in Poison Information Symposium, North American Congress of Clinical Toxicology, Montreal, Canada, October 2001. 54. “Case Studies in Toxicology - Toxic Syndromes”. Grand Rounds, Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, October 2001. 55. “Overdose in Pregnancy”. Grand Rounds, Department of Obstetrics and Gynecology, Virginia Commonwealth University Health System, Richmond, VA, February 2002. 56. “Clinical Toxicology of Glyphosate”. Roundtable Discussion, Monsanto 57. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 58. “Toxicity of Alcohols and Glycols”. Department of Internal Medicine, VCU Health 59. “Toxicology for Pre-Hospital Providers”. Richmond Ambulance Authority, 60. “Toxic Syndromes”. Department of Internal Medicine, VCU Health System, 61. “Club Drug Toxicity”. Virginia Chapter of American College of Emergency Physicians 2003 Scientific Assembly, Hot Springs, VA, March 2003. 62. “Case Studies in Clinical Toxicology”. School of Pharmacy, VCU Health System, 63. “Forensic Toxicology”. School of Nursing, VCU Health System, Richmond, VA, 64. “Pediatric Toxicology: Small Doses = Big Problems”. Department of Pediatrics, VCU Health System, Richmond, VA, April 2003. 65. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 66. “Forensic Toxicology”. School of Nursing, VCU Health System, Richmond, VA, 67. “Chemicals Used as Weapons”. Continuing Medical Education, CJW Medical 68. “Use of the Poison Center in Hazardous Material Incidents”. Metropolitan Richmond Haz-Mat Working Group, Chesterfield County, VA, March 2004. 69. “The Controversy over Syrup of Ipecac”. Department of Pediatrics, VCU Medical 70. “Immune Fab Fragments Used as Antidotes”. Virginia Society of HealthSystem 71. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 72. “Pediatric Toxicology: New Kids on the Block”. 26th Annual Peds at the Beach Conference, Department of Pediatrics, Virginia Commonwealth University, Virginia Beach, VA, July 2004. 73. “Update on Acetaminophen Poisoning and Treatment”. Department of Emergency Medicine, VCU Health System, Richmond, VA, January 2005. 74. “Update on Acetaminophen Poisoning and Treatment”. Department of Pediatrics, VCU Health System, Richmond, VA, February 2005. 75. “Diagnosis and Treatment of Snakebite in Central Virginia”. Department of Pediatrics, VCU Health System, Richmond, VA, May 2005. 76. “Board Review in Pediatric Toxicology”. Department of Pediatrics, VCU Health 77. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 78. “Cutaneous Manifestations of Toxic Exposures”. Grand Rounds, Department of Dermatology, VCU Health System, Richmond, VA, December 2005. 79. “Forensic Toxicology for Forensic Nurse Examiners”. School of Nursing, VCU 80. “Introduction to Clinical Toxicology in the ED”. Department of Emergency 81. “Immune Fab Fragments Used as Antidotes”. Virginia Society of HealthSystem Pharmacists, Tysons Corner, VA, September 2006. 82. “Arachnophobia! – Does Scary Looking Mean Harmful?”. 27th Annual Virginia EMS Symposium, Norfolk, VA, November 2006. 83. “Biting the hand that Feeds You – Snakebites in Virginia”. 27th Annual Virginia EMS Symposium, Norfolk, VA, November 2006. 84. “Cutaneous Toxicology”. Grand Rounds, Department of Dermatology, VCU Health 85. “Toxic Alcohols”. Department of Emergency Medicine, VCU Health System, 86. “Forensic Toxicology for Forensic Nurse Examiners”. School of Nursing, VCU 87. “Fire Toxicology”. Departments of Emergency Medicine and Pediatrics, VCU 88. “Pharmacology for Disaster Medical Teams”. VA-1 Disaster Medical Assistance 89. “Spider Bites in Virginia”. Pegasus Critical Response ’07 Course, University of Virginia, Charlottesville, VA, April 2007. 90. “Toxic Syndromes”. Department of Pediatrics, VCU Health System, May 2007. 91. “Toxicology Review”. Department of Pediatrics, VCU Health System, June 2007. 92. “Clinical Toxicology Update”. Commonwealth Emergency Physicians, Leesburg, 93. “Critical Look at Critical Care Meds”. 28th Annual Virginia EMS Symposium, 94. “Cardiovascular Drug Toxicity”. Department of Emergency Medicine, VCU Health 95. “Nerve Agents and Vesicants”. Diagnosis & Treatment of Acute & Occult Chemical Exposures. Virginia Poison Center Clinical Conference, Henrico, VA, April 2008. 96. “Management of Snakebites in Virginia”. Continuing Concepts in Pre-Hospital Emergency Medicine, Suffolk, VA, April 2008. 97. “Street Drug Toxicology”. LifeEvac Vital Concepts Conference, Richmond, VA, 98. “Bites and Stings”. Department of Pediatrics, VCU Health System, May 2008. 99. “Nerve Agents and Vesicants”. Diagnosis & Treatment of Acute & Occult Chemical Exposures. Virginia Poison Center Clinical Conference, Gloucester, VA, May 2008. 100. “Drug-Facilitated Sexual Assault”. SANE Conference, VCU Health System, May 101. “Nerve Agents and Vesicants”. Diagnosis & Treatment of Acute & Occult Chemical Exposures. Virginia Poison Center Clinical Conference, Norfolk, VA, June 2008. 102. “Toxicology Review”. Department of Pediatrics, VCU Health System, June 2008. 103. “Facilitating Poison Center Public Education”. North American Congress of Clinical Toxicology, Toronto, Canada, September 2008.
PUBLICATIONS - REFEREED

1. Rose SR, Gorman RL and McDaniel J. Fatal digoxin poisoning: an unsuccessful resuscitation with use of digoxin immune Fab. Am J Emerg Med 1987; 5:509-511. 2. Rose SR, Klein-Schwartz W, Oderda GM, Gorman RL and Young WHH. Lithium intoxication with acute renal failure and death. Drug Int Clin Pharm 1988;22:691-4. 3. Rose SR and Gorman RL. Influence of volume of fluid on effectiveness of ipecac [letter]. J Pediatrics 1988; 112:159-160. 4. Favin FD, Oderda GM, Klein-Schwartz W and Rose SR. In vitro study of lithium carbonate adsorption by activated charcoal. Clin Toxicol 1988; 26:443-450. 5. Gorman RL, Chamberlain JM, Rose SR and Oderda GM. A massive levothyroxine overdose: high anxiety-low toxicity. Pediatrics 1988; 82:666-9. 6. Grufferman S and Rose SR. Naloxone: a safe and effective drug [letter]. Ann Emerg 7. Klein-Schwartz W, Oderda GM, Gorman RL, Favin F and Rose SR. Assessment of treatment guidelines in acute iron ingestions. Clin Pediatrics 1990; 29(6):316-321. 8. Rose SR. General principles of toxicology: acute poisoning management. Military Pharmacy Alliance - an educational initiative for military pharmacists. Vol 2, Num.IV, 1991. 9. Newton TA and Rose SR. Poisoning with equine phenylbutazone in a racetrack 10. Rose SR, Gorman RL, Oderda GM, Klein-Schwartz W and Watson WA. Simulated acetaminophen overdose: pharmacokinetics and effectiveness of activated charcoal. Ann Emerg Med 1991; 20:1064-1068. 11. Poff SW and Rose SR. Minoxidil overdose with ECG changes: case report and 12. Smith M, Wolfram W and Rose R. Toxicity-seizures in an infant caused by (or related to) oral viscous lidocaine use. J Emerg Med 1992; 10:587-590. 13. Rose SR and Tomaszewski C. Evaluation of oral and topical minoxidil exposures reported to US Poison Centers from 1985-1991. Drug Investigation 1994; 8(2):81-94. 14. Rose SR. Subleties of managing acetaminophen poisoning. [invited commentary] 15. Spiller HA, Villalobos D, Krenzelok EP, Anderson BD, Gorman SE, Rose SR et al. Prospective multicenter study of sulfonylurea ingestion in children. J Pediatr 1997; 131:141-6. 16. Moreau C, Kerns WP, Tomaszewski C, McMartin K, Rose R, Ford M, Brent J and the META Study Group. Glycolate kinetics and hemodialysis clearance in ethylene glycol poisoning. Clin Toxicol 1998; 36(7):659-66. 17. Moll J, Kerns W, Tomaszewski C and Rose R. Incidence of aspiration pneumonia in intubated patients receiving activated charcoal. J Emerg Med 1999; 17(2):279-83. 18. Giorgi-Guarnieri D, Rose SR and Ward KR. Face-to-face with psychosis in emergency medicine. J Crit Illness 2002; 17(10):397-400. 19. Rose SR, Ward KR and Giorgi-Guarnieri D. Pharmacotherapeutic options for chemical restraint. J Crit Illness 2002; 17(11):446-450. 20. Ward KR, Rose SR and Giorgi-Guarnieri D. Is chemical restraint appropriate for a trauma patient? J Crit Illness 2002; 17(12):495-6. 21. Giorgi-Guarnieri D, Rose SR and Ward KR. Is a dangerous criminal a dangerous patient? J Crit Illness 2003; 18(3):130-2. 22. Watson WA, Litovitz TL, Rodgers GC, Klein-Schwartz W, Youniss J, Rose SR, Borys D, May ME. 2002 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2003; 21:353-421. 23. Muñiz AE, Rose SR, Liner SR, Foster RL. Unsuspected acetaminophen toxicity in a 58 day-old infant. Pediatric Emergency Care 2004; 20:824-8. 24. Kostic MA, Rose SR, and Bebarta VS. Understanding poison control, and protecting its future. Pediatric Annals 2005; 34:983-988. 25. Whitlow KS, Carmichael JC and Rose SR. Acute poisoning: keys to zeroing in on the cause. Consultant for Pediatricians 2006: 5:217-22. 26. Rose SR, Poulson BS, Waring E and Whitlow KS. Unusual presentation of elapid envenomation in the U.S. Submitted for publication, 2006. 27. Whitlow KS, Carmichael JC and Rose SR. Acute poisoning: keys to zeroing in on 28. Murphy CM, Akbarnia H and Rose SR. Fatal pulmonary edema after acute occupational exposure to nitric acid. J Emerg Med (accepted for publication).
PUBLICATIONS - NONREFEREED

Rose SR. Calcium channel blocker toxicity. Toxalert (Maryland Poison Center Newsletter), Fall 1987; 6(2). Rose SR. Acute myocardial infarction in a middle-aged man. Case Studies in Emergency Medicine 1989; 5(4):1-6. Rose, SR. Basic poisoning management. Florida J Hosp Pharm 1990; 10:31-41. Rose SR. Poison control in North Carolina. NC Med J 1997; 58:272-6.
PRESENTATIONS - PROFESSIONAL MEETINGS

1. Rose SR, Klein-Schwartz W, Oderda GM, Gorman RL and Young WWH. Lithium Intoxication with Acute Renal Failure. 1987 American Association of Poison Control Centers (AAPCC) Annual Meeting, Vancouver, B.C., Canada. 2. Gorman RL, Chamberlain JM, Rose SR and Oderda GM. High Anxiety-Low Toxicity: A Massive T4 Ingestion. 1987 AAPCC Annual Meeting, Vancouver, B.C., Canada. 3. Oderda GM, Gorman RL, Rose SR and Klein-Schwartz W. When is Referral to the Hospital Necessary in Acute Iron Ingestion. 1987 AAPCC Annual Meeting, Vancouver, B.C., Canada. 4. Oderda GM, Gorman RL, Klein-Schwartz W, Rose SR and Stevenson L. Periodic Protocol Evaluation: A Case Study - Iron. 1987 AAPCC Annual Meeting, Vancouver, B.C., Canada. 5. Rose SR, Gorman RL, Oderda GM, Klein-Schwartz W and Watson WA. Pharmacokinetics of Simulated Acetaminophen Overdose in Volunteers. 1988 AAPCC Annual Meeting, Baltimore, MD. 6. Rose SR, Gorman RL, Oderda GM and Klein-Schwartz W. Prospective Evaluation of Acute Pseudoephedrine Ingestion. 1988 AAPCC Annual Meeting, Baltimore, MD. 7. Favin FD, Oderda GM, Klein-Schwartz W and Rose SR. In Vitro Study of Lithium Carbonate Adsorption by Activated Charcoal. 1988 American Association of Poison Control Centers Annual Meeting, Baltimore, MD. 8. Rose SR, Gorman RL, Oderda GM, Klein-Schwartz W and Watson WA. Treatment of Liquid Drug Overdoses with Activated Charcoal. 1989 American Association of Poison Control Centers Annual Meeting, Atlanta, GA. 9. Spillane JP, Schauben JL, Li S, Normann SA, Wears R, Rose SR and Augenstein WL. A Retrospective Evaluation of Poisoning Exposures in Infants 0-12 Months of Age. 1989 American Association of Poison Control Centers Ann. Mtg, Atlanta, GA. 10. Rose SR and Schauben JL. Analysis of Medication Non-Compliance in Emergency Department Patients with Chronic Medical Disorders. 1989 American Society of Hospital Pharmacists Midyear Clinical Meeting, Atlanta, GA. 11. Rose SR and Tomaszewski C. Evaluation of Minoxidil Exposures Reported to U.S. Poison Centers. 1993 International Congress of Toxicology, New York, NY. 12. Rose SR. Recognition of Nonphysician Toxicologists Through Board Certification. XVI International Congress of the European Association of Poison Centres and Clinical Toxicologists, Vienna, Austria, April 1994. 13. Ford M, Tomaszewski C, Kerns W, Rose R, Kirk M, Eichhorst A. Bedside ferric chloride urine test to rule out salicylate intoxication. 1994 North American Congress of Clinical Toxicology, Salt Lake City, UT. 14. Spiller H, Villalobos D, Krenzelok E, Fenn J, Gorman S, Anderson B, Frenia M, Rose R, Anderson D, Muir S, Rogers G. Prospective multicenter study of sulfonylurea ingestions in children. 1995 North American Congress of Clinical Toxicology, Rochester, NY. 15. Lopez G, Geller RJ, Fisher J, Rose R, Normann S. Mutual aid among regional poison centers during foreseeable and unforeseeable service interruptions. 1996 North American Congress of Clinical Toxicology, Portland, Oregon. 16. Moreau C, Kerns W, Tomaszewski C, Rose R, et al. Glycolate kinetics and hemodialysis clearance in ethylene glycol poisoning. 1997 North American Congress of Clinical Toxicology, St. Louis, Missouri. 17. Rose R , Cisek J and Mickell J. Fosphenytoin-induced bradyasystole arrest in an infant treated with charcoal hemofiltration. 1998 North American Congress of Clinical Toxicology, Orlando, Florida. 18. Rose R, Carper B, Waring E, Holstege C, Cisek J. Utilization of caller ID technology among certified poison centers. 1999 North American Congress of Clinical Toxicology, La Jolla, California. 19. Waring E, Holstege C, Rose R, Cisek J. Transient miosis and contact dermatitis from bombina bombina exposure. 1999 North American Congress of Clinical Toxicology, La Jolla, California. 20. Holstege C, Snyder L, Cisek J, Rose R. Profound methemoglobinemia induced by dermal and inhalation exposure to aniline dye. 1999 North American Congress of Clinical Toxicology, La Jolla, California. 21. Cisek J, Holstege C, Rose R. Seizure associated with butanediol ingestion. 1999 North American Congress of Clinical Toxicology, La Jolla, California. 22. Rose R, McCue C, Ivatury R and McKeith J. Cops working with docs to combat trauma associated with substance abuse. XX International Congress, European Association of Poison Centres and Clinical Toxicologists, Amsterdam, The Netherlands, May 2000. 23. Rose R and Waring E. Consumer access to activated charcoal products. 2000 North American Congress of Clinical Toxicology, Tucson, Arizona. 24. Hummel RS, Barry DP, Gould J and Rose SR. A preliminary report on environmental storage condition compliance of “out-of-hospital” pharmaceuticals in central Virginia. 2002 National Association of EMS Physicians, Tucson, Arizona. 25. McKee DB and Rose SR. Safety of montelukast in accidental ingestions by children. 2002 North American Congress of Clinical Toxicology, Palm Springs, California. 26. O’Malley G, Ashe A and Rose SR. Colchicine overdose treated with hemodialysis. 2002 North American Congress of Clinical Toxicology, Palm Springs, California. 27. Hughes AA, Bogdan GM, Dart RC, Holstege C. Campbell P, Alsop J, Heard S, Bond GR, Pierce B, Bernstein J, Weisman R, Spiller HA, Simone K, Clement C, Rose SR. Comparative rates of oxycontin abuse: anecdotal highs. 2003 North American Congress of Clinical Toxicology, Chicago, Illinois. 28. Dart RC, Bond, GR, Pierce B, Alsop J, Ly BT, Holstege C, Campbell P, Spiller HA, Simone K, Clement C, Bernstein J, Weisman R, Rose R and Waring E. Seasons of abuse? Temporal trends of prescription opioids. 2004 North American Congress of Clinical Toxicology, Seattle, Washington. 29. Rose SR, Poulson B, Waring E, Whitlow KS. Unusual presentation of elapid envenomation in the U.S. Snakebites In The New Millenium: A State-Of-The-Art Symposium, Omaha, NE, October 2005. 30. Whitlow KS, Jenski C, Kostic M, Rose SR. Strychnine toxicity secondary to abuse of adulterated illicit drugs. 11th International Congress on Emergency Medicine, Halifax, Nova Scotia, June 2006. 31. Whitlow KS, DiMaio AA, Rose SR. Systemic effects after copperhead envenomation. Venom Week, Tucson, AZ, September 2007. 32. Whitlow KS, Ascue JT, Patel RN, Rose SR. Arizona black rattlesnake envenomation. Venom Week, Tucson, AZ, September 2007. 33. Murphy CM, Akbarnia H, Whitlow KS, Cumpston KL, Rose SR. Fatal Acute Occupational Exposure to Nitric Acid. 2007 North American Congress of Clinical Toxicology, New Orleans, LA, October 2007. 34. Wolf CE, Rose SR and Poklis A. Case report: the use of the herbicide diquat and its possible involvement in a poisoning. 2007 Society of Forensic Toxicology, Raleigh, NC, October 2007. 35. Mullen S, Breden EL, Rose SR. Evaluation of Intramuscular Ziprasidone Usage by Emergency Medical Services. 42nd Annual ASHP Midyear Clinical Meeting, Las Vegas, NV, December 2007. 36. Mullen S, Breden EL, Rose SR. Evaluation of Intramuscular Ziprasidone Usage by Emergency Medical Services. College of Psychiatric and Neurologic Pharmacists Annual Meeting, Scottsdale, AZ, April 2008. 37. Mullen S, Breden EL, Rose SR. Evaluation of Intramuscular Ziprasidone Usage by Emergency Medical Services. 27th Annual Eastern States Conference for Pharmacy Residents and Preceptors, Hershey, PA, May 2008. 38. Murphy CM, Rickard JW, Rose SR, Cumpston KL, Whitlow KS. Guanfacine poisoning and Munchausen’s by proxy. European Association of Poison Centres and Clinical Toxicologists XXVIII International Congress, Seville, Spain, May 2008. PUBLICATIONS - BOOK CHAPTERS
1. Rose SR and Oderda GM. Rodenticides and herbicides. In: Noji EK and Kelen GD, eds. Manual of Toxicologic Emergencies. Chicago: Year Book Medical Publishers, 2. Rose SR. Disopyramide, Quinidine, and Procainamide Poisoning. In: Harwood- Nuss AL, ed. The Clinical Practice of Emergency Medicine. Philadelphia: JB Lippincott Co., 1991: 496-499. 3. Schauben JL and Rose SR. Opiate Overdose. In: Aaron CK and Linden CH, eds. Intensive Care Medicine. 2nd Ed. Boston: Little, Brown and Co., 1991: 1232-1241. 4. Frenia ML, Schatz JM, Schauben JL and Rose SR. Guidelines for the dosing of pediatric patients. In: Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine. 2nd ed. Philadelphia: JB Lippincott Co., 1994. 5. Rose SR. Antidysrhythmic Drug Poisoning. In: Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine. 2nd ed. Philadelphia: JB Lippincott Co., 1994. 6. Kirk MA, Cisek J and Rose SR. Emergency Department Response to Hazardous Materials Incidents. In: Ford MD and Olshaker JS, eds. Emergency Medicine 7. Rose SR. Ethchlorvynol. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 8. Rose SR. Methyprylon. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 9. Rose SR. Phenytoin. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 10. Rose SR. Primidone. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 11. Rose SR. Thalidomide. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 12. Rose SR. Valproic Acid. In: Wexler P, ed. Encyclopedia of Toxicology. Academic 13. Rose SR. Acetaminophen. In: Howell JM et al, eds. Emergency Medicine. W.B. Saunders Company, Philadelphia, PA., 1998. 14. Rose SR and Cisek J. Antidysrhythmic Drug Poisoning. In: Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2001. 15. Watson WA and Rose SR. Pharmacokinetics and Toxicokinetics. In: Ford MF et al, eds. Clinical Toxicology. Philadelphia: W.B. Saunders Company, 2001. 16. Rose SR. Acute Nontoxic Exposures. In: Ford MF et al, eds. Clinical Toxicology. Philadelphia: W.B. Saunders Company, 2001. 17. Rose SR and Holstege C. Folic and Folinic Acid. In: Brent J et al, eds. Critical Care Toxicology: Diagnosis and Management of the Critically Poisoned Patient. Philadelphia: Elsevier Mosby, 2005. 18. Rose SR. Miscellaneous Household Products. In: Dart RC, ed. Medical Toxicology, 3rd edition. Baltimore: Lippincott Williams & Wilkins, 2004. 19. Rose SR. Ethchlorvynol. In: Wexler P, ed. Encyclopedia of Toxicology, 2nd 20. Rose SR. Methyprylon. In: Wexler P, ed. Encyclopedia of Toxicology, 2nd 21. Rose SR. Phenytoin. In: Wexler P, ed. Encyclopedia of Toxicology, 2nd Edition. 22. Rose SR. Primidone. In: Wexler P, ed. Encyclopedia of Toxicology, 2nd Edition. 23. Rose SR. Thalidomide. In: Wexler P, ed. Encyclopedia of Toxicology, 2nd Edition. 24. Rose SR and Cisek J. Antidysrhythmic Drug Poisoning. In: Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2005. 25. Rose SR and Cisek J. Antidysrhythmic Drug Poisoning. In: Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine. 5th ed. Philadelphia: Lippincott Williams & Wilkins, (in press).

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The australian physiotherapy association

Australian Society of Acupuncture Physiotherapists Inc GUIDELINES FOR SAFE ACUPUNCTURE AND DRY NEEDLING PRACTICE JULY 2007 CONTENTS Management of Needle Accidents & Adverse Reactions pg 12 Waste Disposal Advise for Needles or Bodily Fluids pg 17 ASAP Guidelines for Safe Acupuncture and Dry Needling Practice This document is designed to be used as a guide to

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Allisyn Hudson-Dunn 21012 Renova Terrace Ashburn, Va 20147 (540) 761-7012 Education • The Evergreen State College, Olympia, WA, Bachelor of Science emphasis in, Ecology and Conservation Biology. Sept.1998-Nov. 2000 • Virginia Polytechnic Institute and State University, Blacksburg, VA, Master of Science, Department of Geography. Aug. 2007- July 2009. • Virgini

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