Rotation
Residents will have a unique opportunity to participate in a Medical Toxicology Consult Service. The rotation spans one 4 week block during the PGY-2 year. We see consults spanning the inpatient medical and critical care teams, in addition to the emergency department at Kennestone Hospital. The board-certified Medical Toxicologists staff approximately 200-300 consultations per year, in addition to rounding on patients in the hospital. Common exposures include cardiovascular toxins, acetaminophen, toxic alcohols, sedatives and crotalid snakebite envenomations. The resident, working closely with the attending, provides critical, timely input with bedside consultation while taking call from home. Other components of the rotation include:
- Joint conferences with the Georgia Poison Control Center in a weekly case conference to discuss Poison Center cases from across the state.
- Participation in the American College of Medical Toxicology (ACMT) National Case Conference and Journal Club.
- Working through a set of toxicology cases 1 on 1 with the attending. These cases span the breadth of the standard knowledge set for the emergency physician.
- Formulating an educational case report for a monthly Tox Newsletter for the EM group
Faculty
Richard Kleiman, MD
Medical Toxicology Co-Director
Hometown: Durham, NC
Undergraduate:Davidson College
Residency: Wake Forest University
Fellowship: Medical Toxicology (Emory University/CDC/Georgia Poison Control)
Mohan Punja, MD, FACEP, FACMT
Medical Toxicology Co-Director
Hometown: Gainesville, FL
Undergraduate: University of Florida
Residency: Mt. Sinai Beth Israel
Fellowship: Medical Toxicology (Emory University/CDC/Georgia Poison Control)
Andrew Yetka, PharmD, DABAT
Clinical Pharmacist
Undergrad: St. Norbert College
Pharmacy School: The Medical College of Wisconsin School of Pharmacy
PGY-1 Residency: Grady Memorial Hospital
PGY-2 Residency: The Georgia Poison Center
Tox Newsletter
Publications
Li, Tom;?Punja M; Kleiman, RJ. Retrospective Chart Review Of Patients With Alcohol Use Disorder And Suspected Alcoholic Ketoacidosis. Accepted for presentation at American College of Medical Toxicology, Washington DC, Spring 2024.
Snider JA; Punja M. Torsades de Pointes following Kratom Ingestion. Presented at Wellstar Kennestone Regional Medical Center Annual Research Day, June 2024.
Infanzon, JW; Punja, M; Kleiman, RJ. The Adjunctive Use of Plasmapheresis After Severe Amlodipine OverdosePresented at North American College of Clinical Toxicology Annual Scientific Symposium, San Francisco, September 2022
Horton D and Punja M. Rummy Rum Rums-Ethanol Intoxication: What do I do Now? 1st Edition, edited by Joseph Carpenter and Brian Murray. Oxford Press. In publication.
Benatar, S. E., Punja, M., & Kleiman, R. J. ?Ingestion of a Small Quantity of ?Food Grade? Hydrogen Peroxide Purchased Onlin?. Presented at American College of Medical Toxicology Annual Scientific Meeting, March 2020
Inhalational Abuse of Keyboard Cleaner Presenting as Anteroseptal ST-Elevation Myocardial Infarction Mimic and Leading to Fatal Dysrhythmias. Nguyen N; Kleiman RJ; Punja M, and Demestihas M. Presented at American College of Medical Toxicology Annual Scientific Meeting, March 2020
Patel, MD; Punja, M; Kleiman, RJ; Demestihas, M. Pneumomediastinum, Acute Kidney Injury, Rhabdomyolysis, and Cryogenic Dermal Injuries Secondary to Inhalation Abuse of Keyboard Cleaner. Presented at ACMT Spring Symposium, San Francisco 2019.
Punja M, Hoffman RJ: Envenomation, Marine: Fleisher and Ludwig?s 5 Minute Pediatric Emergency Medicine Consult, 2nd edition, edited by Hoffman RJ, Wang VJ, Scarfon R. Philadelphia, Lippincott Williams & Wilkins. 2019.
Punja M, Hoffman RJ: Evenomation, Insect Bites and Stings. Fleisher and Ludwig?s 5 Minute Pediatric Emergency Medicine Consult, 2nd edition, edited by Hoffman RJ, Wang VJ, Scarfon R. Philadelphia, Lippincott Williams & Wilkins. 2019.
Carpenter JE, Murray BP, Saghafi R, Thomas B, Lee S, Kleiman R, Punja M, Silver E, Busse LW. J Emerg Med. Successful Treatment of Antihypertensive Overdose Using Intravenous Angiotensin II. 2019: pS0736-4679(19)30422-6.