Rob Cannon DO

Clinical Associate Professor, Temple University Lewis Katz School of Medicine. Medical Toxicology and Addiction Medicine @mystlukes.

[Rob Cannon DO @Toxdoc120]

@nut_history Bruce Sutter

[Rob Cannon DO @Toxdoc120]

@OGdukeneurosurg Cherry red skin isn’t quite pathognomonic for CO toxicity. It can be seen with anything that results in high venous O2. Electron transport inhibitors like cyanide, hydrogen sulfide, azide for example could also cause it.

[Rob Cannon DO @Toxdoc120]

@DaveMcCormickPA Leas than 1% of fentanyl coming into the US is coming in the way you describe. More than 99% comes in through legal ports of entry smuggled by US citizens. You either don’t know this or you are lying. Not sure which is worse

[Dave McCormick @DaveMcCormickPA]

The fentanyl murdering Pennsylvanians is flooding across our wide-open southern border.

Bob Casey and Joe Biden are responsible for this catastrophe.

[Rob Cannon DO @Toxdoc120]

@mendietaalex1 This could be arsenic or organophosphate poisoning.

[Rob Cannon DO @Toxdoc120]

@KeithNHumphreys Although multiple doses are often given, I question how often it’s actually necessary. Often times a second dose is given pretty quickly before the onset of action of the initial dose.

[Westby Fisher, MD @doctorwes]

Could 2024 Decide the Fate of Maintenance of Certification? https://t.co/OQqXnXHfVc

[Rob Cannon DO @Toxdoc120]

@hspungenmd @SteveCurryMD The bicarb can be inferred by looking at the pH and the PCO2. Is the PH as high as you think it should be based on how low that PCO2 is?

[Rob Cannon DO @Toxdoc120]

@db0255 @armyemdoc @joshmcgoo The body does have an endogenous opioid system. However, if one is naive to exogenous opioids (and therefore not physically dependent), a dose of naloxone will not result in any untoward effects.

[Rob Cannon DO @Toxdoc120]

@armyemdoc @DocOnSkis @gruntdoc DocOnSkis is not a bot. I can promise you that. And DocOnSkis is right. Just because it’s done frequently pre-hospital in Texas doesn’t mean it’s proper. It just means they’re giving too much naloxone pre-hospital in Texas.

[Rob Cannon DO @Toxdoc120]

@armyemdoc @joshmcgoo That’s the point. You can’t tell the difference. So, it is wise to start with a low dose and go from there. Why blast them with 4mg and potentially cause severe florid precipitated withdrawal, which isn’t without harmful potential complications?

[Rob Cannon DO @Toxdoc120]

Annual camping trip in the books. Always a good reminder of the stuff that really matters.

[Rob Cannon DO @Toxdoc120]

@Country_fiedMD @OregonERDoc Enabling what exactly?

[Rob Cannon DO @Toxdoc120]

My cardiac glycosides are looking ok.

[Rob Cannon DO @Toxdoc120]

@toxicologist12 Yep. Don’t see a reason to use this other than maybe peds exposure to long acting opioid like methadone.

[Rob Cannon DO @Toxdoc120]

@BrooksWalsh @RyanMarino @clairezagorski @fakeQrampage Often misinterpreted due to incomplete understanding of the test re: FP, FN, myriad substances often used don’t show up on RUDS. Leads to inappropriately assigning causality and inappropriately r/o causality. Also potential for stigmatizing the pt.

[Rob Cannon DO @Toxdoc120]

@VoteLaughlin @RyanMarino What got us here is failed policies stemming from the continued war on drugs, which have resulted from specifically NOT listening to the experts for the past several decades.

[Rob Cannon DO @Toxdoc120]

@epawawx Not a Giants or Cowboys fan here. Chiefs outplayed them the entire second half. Scored on every drive, controlled the clock. Eagles also gave up a 65 yard punt return. Was all of that the refs fault?

[Rob Cannon DO @Toxdoc120]

@Brink_Thinker Interlaken, Switzerland

[Rob Cannon DO @Toxdoc120]

When you’re a toxicologist and your daughter makes you a birthday card. ❤️

[Rob Cannon DO @Toxdoc120]

@SteveCurryMD @toxicologist12 Indeed. Also quite effective for refractory agitation from cathinones unsurprisingly. I’ve used it quite effectively in “bath salt” toxicity.