Michael E Mullins, MD, FACEP, FAACT

Michael E Mullins, MD, FACEP, FAACT

Professor, Emergency Medicine


  • B.A., Psychology, Washington University, St. Louis, Missouri 1983
  • M.D., Hahnemann Univeristy School of Medicine, Philadelphia, Pennsylvania 1987


  • Residency: Emergency Medicine, Darnall Army Community Hospital, Fort Hood, Texas 1994
  • Fellowship: Medical Toxicology, Oregon Poison Center/Oregon Health Sciences University, Portland, Oregon 1999

Licensure and Board Certification

  • Medical Toxicology
  • Emergency Medicine

Honors and Awards

  • Combat Medical Badge
  • Army Flight Surgeon Badge
  • Bronze Star
  • Meritorious Service Medal
  • Army Commendation Medal
  • Air Medal
  • Army Achievement Medal
  • Kuwait Liberation Medal (Kuwait)
  • Kuwait Liberation Medal (Saudi Arabia)
  • Southwest Asia Service Medal
  • Overseas Service Ribbon
  • Army Service Ribbon

Recent Publications

Peer reviewed manuscripts

  1. Gerardo CJ, Quackenbush E, Lewis B, Rose SR, Greene S, Toschlog EA, Charlton NP, Mullins ME, Schwartz R, Denning D, Sharma K, Kleinschmidt K, Bush SP, Ryan S, Gasior M, Anderson VE, Lavonas EJ.  The efficacy of Fab antivenom versus placebo plus optional rescue therapy on recovery from copperhead snake envenomation:  a randomized, double-blind, placebo-controlled clinical trail.  Ann Emerg Med 2017; 70:233-244.e3 PMID: 28601268 DOI: 10.1016/j.annemergmed.2017.04.034
  2. Dezieck L, Hafez Z, Conicella A, Blohm E, O’Connor MJ, Schwarz EJ, Mullins ME.  Resolution of cannabis hyperemesis syndrome with topical capsaicin in the emergency department: a case series.  Clin Toxicol 2017;55:908-913. 10.1080/15563650.2017.3224166
  3. Mullins ME, Hoffman RS.  Is mannitol the treatment of choice for ciguatera fish poisoning?  Clin Toxicol 2017; 55 (in press) PMID:  28535116 DOIL 10.1080/15563650.2017.1327664
  4. Willman MW, Liss DB, Schwarz ES, Mullins ME.  Do opioid overdose patients require observation after receiving naloxone?  Clin Toxicol 2017;55:81-87. 27849133 DOI:  10.1080/15563650.2016.1253846
  5. Farrugia LA, Rhyee SH, Calello DP, Campleman SL, Riederer AM, Malashock HR, Pizon A, Wiegand T, Wax PM, Brent J; Toxicology Investigators Consortium Study Group.  The Toxicology Investigators Consortium Case Registry-the 2016 Experience.  J Med Toxicol.  2017 Aug 1.  PMID 28766237 doi: 10.1007/s13181-017-0627-3
  6. McGovern AJ, Vitkovitsky IV, Jones DL, Mullins ME. Can AST/ALT ratio indicate recovery after acute paracetamol poisoning? Clin Toxicol 2015; 53: 164-167. PMID: 25652258
  7. Watkins JW, Schwarz ES, Mullins ME, Arroyo-Plasencia A. The use of physostigmine by toxicologists in anticholinergic toxicity. J Med Toxicol 2015 (accepted, in press, on-line 16 Dec 2014) PMID: 25510306
  8. Ali AJ, Horwitz DA, Mullins ME. Lack of Coagulopathy after Copperhead Snakebites. Ann Emerg Med 2015 (published on-line 7 Sept 2014) PMID: 25199611
  9. Lavonas EJ, Gerardo CJ, for the Copperhead Snakebite Recovery Outcome Group. Prospective study of recovery from copperhead snake envenomation. BMC Emerg Med 2014 (accepted, in press)
  10. Abdelmalek D, Schwarz ES, Halcomb SE, Sampson C, Arroyo-Plasencia A, McCammon C, Stenger A, Krehbiel N, and Mullins ME. Life threatening diphenhydramine toxicity presenting with seizures and a wide complex tachycardia improved with intravenous fat emulsion. Am J Ther 2014; 21:542-544. PMID: 24096706
  11. Liss DB, Paden MS, Schwarz ES, Mullins ME. What is the clinical significance of 5-oxoproline (pyroglutamic acid) in high anion gap metabolic acidosis following paracetamol (acetaminophen) exposure? Clin Toxicol 2013; 51: 817-27. PMID: 24111553
  12. Ran R, Mullins ME. Does handling E-85 motor fuel produce positive breath alcohol measurements? J Anal Toxicol 2013; 37: 430-432.
  13. Rengarajan A, Mullins ME. Frequency of false positive urine screens for PCP with common medications. Clin Toxicol 2013; 51: 493-496
  14. Ferguson IT, Mullins ME. Diagnostic accuracy of fingerstick β-hydroxybutyrate (β-OHB) for ketonuria in pregnant women with nausea and vomiting. Acad Emerg Med 2013; 20:954-956.
  15. Roe JL, Fuentes JM, Mullins ME. Underdosing of common antibiotics in obese patients. Amer J Emerg Med 2012; 30: 1212-1214. DOI 10.1016/j.ajem.2011.05.027
  16. Mullins ME, Vitkovitsky IV. Acute Hemolysis and Hemolytic Uremic Syndrome following Five fold N-Acetylcysteine Overdose. Clin Toxicol 2011; 49: 755-759.
  17. Cannarrozzi AA, Mullins ME, Ranganathan P, Bailey T. Colchicine toxicity and fatality among hospital patients. Clin Toxicol 2011; 49: 648-652.
  18. Roe J, Fuentes J, Mullins ME. Underdosing of common antibiotics in obese patients. Amer J Emerg Med 2011 (in press) DOI 10.1016/j.ajem.2011.05.027
  19. Johnson MT, McCammon CA, Mullins ME, Halcomb SE. Evaluation of a simplified N-acetylcysteine dosing regimen for the treatment of acetaminophen toxicity. Ann Pharmacother 2011; 45: 713-720. DOI 10.1345/aph.1P613
  20. Mullins ME, Sosa SF, Empey M, Jaramillo D, Human T, Diringer M. Comparison of antipyretic effect of combination of acetaminophen and ibuprofen in Neuro ICU patients with fever. Neurocritical Care 2011 (online 19 April 2011) DOI: 10.1007/s12028-011-9533-8
  21. Casey ER, Scott MG, Tang S, Mullins ME. Incidence of false positive amphetamine results due to bupropion in the Syva Emit II urine drug screens. J Med Toxicol 2011 DOI: 10.1007/s13181-010- 0131-5

Invited publications (e.g. reviews, book chapters, etc.)

  1. Mullins ME. Commentary on: Unexplained hemolytic anemia with multi-organ failure. Clin Chem 2011 57: 1488.
  2. Mullins ME. Mon bête noir. J Med Toxicol 2011;7: 181. DOI 10.1007/s13181-011-0153-7
  3. Mullins ME. On the Level. J Med Toxicol 2010; 6:471. DOI: 10.1007/s13181-010-0118-2
  4. Elias MF, Mullins ME. What’s new in Hawaiian emergency medicine? The Proceedings of the Straub Foundation, 1998; 62:34-5.