Division of Toxicology

The Division of Toxicology within the Department of Pediatrics at Saint Louis University School of Medicine is part of SLUCare, SSM Health Cardinal Glennon Children's Hospital and the Missouri Poison Center (MPC). The division also serves SSM Health Saint Louis University Hospital.

Pediatric Toxicology Training

The Division of Toxicology maintains a strong commitment to education, including the education of medical students and house staff at the Saint Louis University School of Medicine. In addition to lectures in the first year curriculum, toxicology electives customized to medical student needs can be explored in the M3 and M4 years on an individualized basis. Students should contact the Office of Curricular Affairs to arrange for an elective in toxicology.

A full month toxicology elective for pediatric emergency medicine fellows from Saint Louis Children’s Hospital/Washington University and SSM Health Cardinal Glennon Children’s Hospital/Saint Louis University. Internal Medicine residents, EM residents and others have matriculated through the Toxicology Rotation at CGCH and SLUH.

The division has also provided Advanced Hazmat Life Support (AHLS) training for physicians, nurses and paramedics in the Kansas City area with a 16-hour outreach education course, served the community with poisoning prevention and education efforts, and provided seminars and invited lectures at conferences and symposia around the state of Missouri.

In addition, Division Director Anthony J. Scalzo, M.D., has provided more than 20 years of community service through his “Beat the Smoking Rap” smoking prevention education program.

Consult Services

The Division of Toxicology is composed of one clinical physician medical toxicologist: Anthony J. Scalzo, M.D., division director.

The division provides direct or telephone consultation to physicians caring for poisoned patients and educates health care students, professionals and the public about toxicology and related issues.

Consult services are available 24/7/365 to house staff, faculty, and referring physicians in Missouri. Dr. Scalzo is frequently consulted for bedside assistance in addition to encouraging medical teams to call the Missouri Poison Center (MPC). He has also consulted per phone with full written notes in Epic for patients at SSM Health DePaul Health Center.

Research

  • Dr. Scalzo and James Gerard, PEM, are Co-Investigators for a grant from the US Navy ONR to develop and test a newly created Virtual Pediatric Simulator (VPS). Dr. Gerard and Dr. Scalzo showcased the VPS at the International Meeting for Simulation in Healthcare (IMSH) in San Diego, in January 2016. The grant was for $541,807, and Dr. Gerard and Dr. Scalzo are awaiting notification of continuation of the grant from the ONR at this time.
  • Dr. Scalzo along with three senior residents, Kate Forrester (now a first-year PEM Fellow), Dr. Amelia Bray-Aschenbrenner and Dr. Andrew Carroll are conducting a multicenter, multinational study in Quality CPR (QCPR) involving house staff and other in-hospital providers (attendings, nursing) and also high school students in a variety of schools in St. Louis county and city.
  • Dr. Scalzo collaborated with Chris Long, Ph.D., Forensic Toxicology at Saint Louis University, Julie Weber, BS Pharm, RPh, CSPI, Chris Rosenbaum, M.D., Medical Toxicology, University of Massachusetts, and Amanda Jenkins, Ph.D., Forensic Toxicology, University of Massachusetts to study the clinical effects seen with recreational use of synthetic cannabinoids JWH018 and JWH073 and to detect these cannabinoids in urine utilizing a newly developed and validated technique in Gas Chromatography/Mass Spectrophotometry.
  • Dr. Scalzo used toxicology simulation cases in the Saint Louis University Simulation Laboratory to assist in training residents. Dr. Scalzo developed and updated clinical scenarios for use in the national scientific meetings in toxicology, NACCT held October 3, 4, and 5, 2012 in Las Vegas, Nevada and helped to coordinate simulation in 2013 and 2014 at NACCT in New Orleans by communicating with Richard Low, Education Specialist with CAE (formerly METI). Dr. Scalzo and colleagues from 5 other universities offered this three day course which received CME credits and was the fifth annual course held at NACCT. He recruited faculty to assist him in teaching this course from several universities including University of Pittsburgh Medical Center, Robert Wood Johnson School of Medicine, New York University, Yale University and Johns Hopkins School of Medicine.
  • Dr. Scalzo and trainees or colleagues presented several research platforms, posters and presentations in 2015 and 2016.

Publications

  • Kopec G, Wathen D, Scalzo A, King M: "Being Covered in Spots is a Pain in the Gut." Poster at the Pediatric Hospitalist Association Annual Scientific Meeting. Abstract published in Conference Proceedings, May 2015.
    Cheng A et al.: Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. Advances in Simulation 2016;1:1-13. Scalzo AJ Contributor.
  • Scalzo A, Braddock SR: "Normal offspring of 22 y.o. male and 17 y.o female recreationally abusing synthetic cannabinoid K2 & cathinone "bath salts." Abstract. Teratology Society Annual Scientific Meeting, San Antonio, TX, June 25-29, 2016.
  • Scalzo A, Payne B: "Leaderboard Gaming and Simulation to Teach Common Pediatric Problems." Abstract at Pediatric Academic Societies (PAS) Annual Scientific Meeting, Baltimore, MD, April 30-May 3, 2016.
  • Kessler D, Auerbach M, Mehta R, Scalzo A, Gerard J. Infant LP JITT study. Abstract IMSH 2016, San Diego, CA January 15-20, 2016.
    Scalzo A: "Leaderboard Gaming and Simulation to teach common Pediatric Problems." Electronic Poster at Professor Rounds. Published Work-in-Progress Conference Proceedings, International Meeting for Simulation in Healthcare (IMSH) 2016, San Diego, CA, January 15-20, 2016.
  • Kopec G, Wathen D, King M, Scalzo A. "Being Covered in Spots is a Pain in the Gut." Poster at the North American Congress of Clinical Toxicology, San Francisco, CA, October 8-12, 2015; published Clin Toxicol 2015;53:746.
  • Baram M, Gerard J, Scalzo A: Correlation of Acute Generalized Exanthematous Pustulosis and hemolysis in brown recluse spider bites. Abstract Oral Presentation and Poster at the North American Congress of Clinical Toxicology, San Francisco, CA, October 8-12, 2015; published Clin Toxicol 2015;53:736.
    Presentations
  • Scalzo AJ: "Synthetic Cannabinoids - Clinical Effects, Mechanisms of Toxicity, and Laboratory Findings" Internal Medicine Grand Rounds on January 29, 2016
  • Scalzo AJ: "Teenage Boy with Mental Status Changes and Acute Kidney Injury" Pediatrics Grand Rounds on May 25, 2016
  • Scalzo AJ: "Synthetic Cannabinoids and Cathinones Laboratory Issues" Midwest Applied Toxicology MATT Annual Meeting, St. Louis, April 14, 2016
  • Scalzo AJ: "Synthetic Cannabinoids and E-Cig Devices" Midwest Society of Respiratory Care Annual Meeting, Lake Ozarks, April 20, 2016
  • Scalzo AJ: Pediatric Science Days, 4 Research Posters with medical students, other Pediatric Faculty (EM and Critical Care) and Plastic Surgery Faculty, April 21-22, 2016
  • Scalzo AJ: "Teratology of Synthetic Drugs" Invited Professor Lecture at the
  • Organization of Teratology Information Specialists, Baltimore, June 27, 2016
  • Long C: "Forensic Toxicology" at Medicolegal Death Investigators Training Course, Saint Louis University, Learning Resources Center, St. Louis, MO, March/April 2016.
  • Long C: "Introduction to Forensic Toxicology," Saint Louis University, Saint Louis, MO, 2015-2016.
  • Long C: Clinical Laboratory Specialists Rotation for SLU Hospital, St. Louis, MO, 2015-2016.
  • Long C: Introduction to Forensic Toxicology for Pathology Residents, St. Louis, MO, 2015-2016.
  • Long C: Introduction to Toxicology: Forensic Pathology Elective, St. Louis, MO, 2015-2016.