Black Widow Spider Exposures: A Retrospective Review of the National Poison Data System 2012-2022.

Introduction: The black widow spider, , stands out as one of the most medically significant arachnids due to its extensive geographic distribution in the United States and its ability to produce a potent neurotoxin, α-latrotoxin. This study aimed to describe the epidemiology of black widow spider exposures by month of exposure, geographic distribution, demographics, symptoms, treatment, and health system resource utilization between 2012 and 2022.

Methods: This was a retrospective observational study using the US National Poison Data System, the data warehouse of the 55 US poison centers.

Psilocybin Exposures Reported to U.S. Poison Centers: National Trends Over a Decade.

Purpose: We describe trends in psilocybin exposures among adolescents and young adults as reported to US poison centers over the past decade.

Methods: We queried the National Poison Data System for cases involving psilocybin during January 1, 2013-December 31, 2022. Persons aged 13-25 years were included.

Administration of andexanet alfa for traumatic intracranial hemorrhage in the setting of massive apixaban overdose: A case report.

Purpose: Apixaban is a direct-acting oral anticoagulant that selectively inhibits factor Xa. Reversal strategies utilized to treat factor Xa inhibitor-associated bleeding include andexanet alfa, prothrombin complex -concentrate (PCC), and activated PCC (aPCC). The optimal treatment of traumatic intracranial hemorrhage in the setting of an apixaban overdose is unknown.

Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice?

Hypothesis/background: Iatrogenic pneumothorax is a rare but serious complication of open reduction and internal fixation (ORIF) of clavicular fractures. Many institutions use postoperative chest radiographs to evaluate for this complication despite a lack of data to support this routine practice. Due to concerns of radiation exposure and health care costs, this practice may not be necessary.