Research Topics
| R C DartSummaryAffiliation: Rocky Mountain Poison and Drug Center Country: USA Publications
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Detail Information
Publications
Efficacy, safety, and use of snake antivenoms in the United StatesR C Dart
Rocky Mountain Poison and Drug Center, Denver Health Authority, and the Department of Surgery, Medicine and Pharmacy, University of Colorado Health Sciences Center, Denver, CO 80230, USA
Ann Emerg Med 37:181-8. 2001..Fab fragments enter solution quickly, thereby shortening the time to antivenom administration and are remarkably stable under extreme conditions of heat and handling...
Evaluating patient compliance with nurse advice line recommendations and the impact on healthcare costsGregory M Bogdan
Rocky Mountain Poison and Drug Center, Denver, Colo 80204, USA
Am J Manag Care 10:534-42. 2004....
Monitoring risk: post marketing surveillance and signal detectionRichard C Dart
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority and University of Colorado School of Medicine, Denver, CO 80204, USA
Drug Alcohol Depend 105:S26-32. 2009..While general risk management guidance has been developed by FDA, more specific analyses and guidance are needed to improve surveillance methodology for drugs which are misused, abused, diverted...
Pediatric fatalities associated with over the counter (nonprescription) cough and cold medicationsRichard C Dart
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO 80204, USA
Ann Emerg Med 53:411-7. 2009..We evaluate the role of these medications in pediatric fatalities and identified factors that contributed to the death...
A randomized multicenter trial of crotalinae polyvalent immune Fab (ovine) antivenom for the treatment for crotaline snakebite in the United StatesR C Dart
Rocky Mountain Poison and Drug Center, 1010 Yosemite Cir, Denver, CO 80230, USA
Arch Intern Med 161:2030-6. 2001..We compared the efficacy and safety of 2 dosing regimens with a new antivenom, Crotalinae polyvalent immune Fab (Fab AV)...
The safety profile of sustained release paracetamol during therapeutic use and following overdoseRichard C Dart
Department of Surgery Emergency Medicine, Rocky Mountain Poison and Drug Center, Denver Health, University of Colorado Health Sciences Center, Denver, Colorado 80204, USA
Drug Saf 28:1045-56. 2005..There were two deaths recorded in the TESS database: both were the result of multiple drug ingestion. No cases of death or unusual types of toxicity have been described from an overdose of paracetamol SR alone...
Expert consensus guidelines for stocking of antidotes in hospitals that provide emergency careRichard C Dart
Rocky Mountain Poison and Drug Center Denver Health, Denver, CO, USA
Ann Emerg Med 54:386-394.e1. 2009..We developed recommendations for antidote stocking at hospitals that provide emergency care...
Does therapeutic use of acetaminophen cause acute liver failure?Richard C Dart
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, Colorado 80204, USA
Pharmacotherapy 27:1219-30. 2007..To compare the reported occurrence of liver failure in subjects in prospective trials with that in patients in retrospective reports after repeated use of therapeutic dosages of acetaminophen...
A randomized trial to determine the change in alanine aminotransferase during 10 days of paracetamol (acetaminophen) administration in subjects who consume moderate amounts of alcoholK Heard
Rocky Mountain Poison and Drug Center, Division of Emergency Medicine, Department of Surgery, University of Colorado Denver and Health Sciences Center, Denver, CO, USA
Aliment Pharmacol Ther 26:283-90. 2007..However, 14 days of therapeutic doses of paracetamol has been associated with an increase in serum transaminases...
Affinity-purified, mixed monospecific crotalid antivenom ovine Fab for the treatment of crotalid venom poisoningR C Dart
Rocky Mountain Poison and Drug Center, Denver, CO, USA
Ann Emerg Med 30:33-9. 1997..To test the efficacy and safety of a new antivenom, affinity-purified, mixed monospecific crotalid antivenom ovine Fab, in human subjects with minimal or moderate crotalid envenomation...
Effect of maximal daily doses of acetaminophen on the liver of alcoholic patients: a randomized, double-blind, placebo-controlled trialE K Kuffner
Rocky Mountain Poison and Drug Center, 1010 Yosemite Cir, Denver, CO 80230, USA
Arch Intern Med 161:2247-52. 2001..Millions of patients use acetaminophen; the prevalence of alcoholism in the United States is 5% to 10%...
The effects of paracetamol (acetaminophen) on hepatic tests in patients who chronically abuse alcohol - a randomized studyR C Dart
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, CO 80204, USA
Aliment Pharmacol Ther 32:478-86. 2010..Metabolism of paracetamol to its hepatotoxic metabolite is enhanced in patients who abuse alcohol, who also have compromised liver defences from depressed hepatic glutathione...
The effect of acetaminophen (four grams a day for three consecutive days) on hepatic tests in alcoholic patients--a multicenter randomized studyE K Kuffner
Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO, USA
BMC Med 5:13. 2007..Our hypothesis was that common liver tests would be unaffected by administration of the maximum recommended daily dosage of acetaminophen for 3 consecutive days to newly-abstinent alcoholic subjects...
Neutralization of Latrodectus mactans and L. hesperus venom by redback spider (L. hasseltii) antivenomF F Daly
Rocky Mountain Poison and Drug Center Denver Health Authority, Denver, Colorado, USA
J Toxicol Clin Toxicol 39:119-23. 2001..To test the effectiveness of L. hasseltii (redback spider) antivenom in neutralizing the lethal effects of L. hesperus and L. mactans (North American black widow) venoms...
Placental transfer of N-acetylcysteine following human maternal acetaminophen toxicityR S Horowitz
Rocky Mountain Poison and Drug Center, Denver, Colorado 80220 6800, USA
J Toxicol Clin Toxicol 35:447-51. 1997..To determine whether the antidote for acetaminophen poisoning, N-acetylcysteine, administered to pregnant women with acetaminophen toxicity, crosses the placenta and can be measured in the newborn circulation following delivery...
Acetaminophen-cysteine adducts during therapeutic dosing and following overdoseKennon J Heard
Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO, USA
BMC Gastroenterol 11:20. 2011..The objective of this study is to describe APAP-CYS concentrations in these clinical settings as well as to further characterize the concentrations observed following acetaminophen overdose...
Overuse of over-the-counter analgesics by emergency department patientsKennon Heard
Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO, USA
Ann Emerg Med 48:315-8. 2006..The purpose of this study is to determine the prevalence of over-the-counter analgesic overuse in a sample of emergency department (ED) patients...
Effects of clinical laboratory choice on study outcome: an interlaboratory evaluation of aminotransferase levelsJody L Green
Research Department, Denver Health Rocky Mountain Poison and Drug Center, Denver, CO, USA
Pharmacotherapy 28:453-7. 2008..To determine if laboratories with disparate alanine aminotransferase (ALT) reference ranges would report different rates of elevation greater than the upper limit of reference range (ULRR) and thus have the potential to alter study results...
The effect of FDA approval of a generic competitor to OxyContin (oxycodone HCl controlled-release) tablets on the abuse of oxycodoneJ Elise Bailey
Rocky Mountain Poison and Drug Center, Denver Health, CO, USA
Drug Alcohol Depend 84:182-7. 2006..These results did not vary when population rates or patient rates were used. PCC data indicate that approval of generic CR oxycodone was not followed by an immediate unfavorable effect on the misuse/abuse of oxycodone...
The underrecognized toll of prescription opioid abuse on young childrenJ Elise Bailey
Rocky Mountain Poison and Drug Center Denver Health, Denver, CO 80204, USA
Ann Emerg Med 53:419-24. 2009..We hypothesize that poisoning of young children from prescription opioids occurs regularly in the United States and is associated with serious health events, including death...
Active surveillance of abused and misused prescription opioids using poison center data: a pilot study and descriptive comparisonAlice A Hughes
Rocky Mountain Poison and Drug Center Denver Health and Hospital Authority, Denver, Colorado 80204, USA
Clin Toxicol (Phila) 45:144-51. 2007....
Prospective evaluation of repeated supratherapeutic acetaminophen (paracetamol) ingestionFrank F S Daly
Rocky Mountain Poison and Drug Center-Denver Health Authority, Denver, CO, USA
Ann Emerg Med 44:393-8. 2004..Determination of serum aspartate aminotransferase and acetaminophen concentrations may allow early discharge from the emergency department...
Therapeutic acetaminophen is not associated with liver injury in children: a systematic reviewEric J Lavonas
Rocky Mountain Poison and Drug Center, 777 Bannock St, MC 0180, Denver, CO 80204, USA
Pediatrics 126:e1430-44. 2010..Concern exists about the potential for liver injury with therapeutic dosing of acetaminophen in children...
Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshopEric J Lavonas
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, Colorado, USA
BMC Emerg Med 11:2. 2011..Treatment of crotaline envenomation is not standardized, and significant variation in practice exists...
Calcium neutralizes fluoride bioavailability in a lethal model of fluoride poisoningK Heard
Rocky Mountain Poison and Drug Center, Denver, Colorado, USA
J Toxicol Clin Toxicol 39:349-53. 2001..The purpose of this study is to evaluate the effect of calcium and magnesium to decrease the bioavailability of fluoride in a lethal model of fluoride poisoning...
Tricyclic antidepressants directly depress human myocardial mechanical function independent of effects on the conduction systemK Heard
Rocky Mountain Poison and Drug Center, Denver Health Authority, Denver, CO, USA
Acad Emerg Med 8:1122-7. 2001..To measure the effect of tricyclic antidepressant drugs (TCAs) on human myocardial contractility...
Attenuation of verapamil-induced myocardial toxicity in an ex-vivo rat model using a verapamil-specific ovine immunoglobinR E Hill
Rocky Mountain Poison and Drug Center, Denver Health Authority, Denver, CO 80230-6800, USA
Acad Emerg Med 8:950-5. 2001..9% (SD +/- 8.1) for verapamil alone (p < 0.05). There was no difference between the two control groups. CONCLUSION: Verapamil-specific IgG attenuated verapamil-induced reduction of developed tension in an ex-vivo rat model...
Accidental, intravenous infusion of a peanut oil-based medicationS A Seifert
Rocky Mountain Poison and Drug Center, Denver, Colorado 80220 6800, USA
J Toxicol Clin Toxicol 36:733-6. 1998....
Clinical ergotism with lingual ischemia induced by clarithromycin-ergotamine interactionR S Horowitz
Rocky Mountain Poison Center, Denver, Colo, USA
Arch Intern Med 156:456-8. 1996....
Acute myocardial infarction associated with amphetamine useJ Waksman
Rocky Mountain Poison and Drug Center, Denver Health Authority, Colo 80230 6800, USA
Mayo Clin Proc 76:323-6. 2001..However, he subsequently experienced a non-Q-wave anterior wall myocardial infarction associated with the use of amphetamines...
The effect of amiodarone pretreatment on survival of mice with cocaine toxicityChristopher R DeWitt
Medical Toxicology Fellow, Rocky Mountain Poison and Drug Center and Denver Health Medical Center, Denver, CO
J Med Toxicol 1:11-8. 2005..CONCLUSIONS: In this study, pretreatment with amiodarone in cocaine poisoned mice resulted in no change in seizure incidenceor mortality. However, definite conclusions about the reason for these findings cannot be drawn from this model...
New developments in antidotesNicole L Ries
Rocky Mountain Poison and Drug Center, Denver Health, Denver, CO 80204, USA
Med Clin North Am 89:1379-97. 2005..The timely and judicious use of an antidote can prevent death and shorten hospitalization as well as reduce the patient's pain and suffering. Although their importance is recognized, sufficient stocking of antidotes remains a problem...
Alcohol and acetaminophen hepatotoxicityRichard C Dart
Arch Intern Med 163:244-5. 2003
Acetaminophen poisoning: an evidence-based consensus guideline for out-of-hospital managementRichard C Dart
American Association of Poison Control Centers, Washington, District of Columbia 20016, USA
Clin Toxicol (Phila) 44:1-18. 2006..However, the effects of other drugs might require referral to an emergency department in accordance with the poison center's normal triage criteria. 2) The use of cimetidine as an antidote is not recommended (Grade A)...
The development of a comprehensive risk-management program for prescription opioid analgesics: researched abuse, diversion and addiction-related surveillance (RADARS)Theodore J Cicero
Washington University School of Medicine, St Louis, Missouri 63110, USA
Pain Med 8:157-70. 2007..Thus, its major focus was the detection of abuse of OxyContin and other commonly prescribed opioid analgesics at the three-digit ZIP code level across the country utilizing a number of different detection systems...
Patient-tailored acetylcysteine administrationRichard C Dart
Ann Emerg Med 50:280-1. 2007
The use of visual analog pain scales in black widow spider envenomationJody J Rogers
J Med Toxicol 2:46-7. 2006
Prescribing methadone as an analgesicRichard C Dart
Ann Intern Med 143:620. 2005
Inhalational abuse of methanol products: elevated methanol and formate levels without vision lossVikhyat S Bebarta
Department of Emergency Medicine, Wilford Hall Medical Center, San Antonio, TX, USA
Am J Emerg Med 24:725-8. 2006....
A 20-hour treatment for acute acetaminophen overdoseLuke Yip
N Engl J Med 348:2471-2. 2003
Coma, metabolic acidosis and normal liver function in a child with a large serum acetaminophen levelCarrie D Mendoza
Ann Emerg Med 48:637. 2006
Osteoarthritis of the kneeRaymond S Koff
N Engl J Med 354:2508-9; author reply 2508-9. 2006
