Dr. Schwarz

Recent Publications

  1. Carpenter CR, Lewis L, Jotte R, Schwarz ES. A Bridge to Nowhere? Challenging Outpatient Transitions of Care for Acute Pain Patients in the Opioid Epidemic Area. MO Medicine 2018.[PMID: 30228730]
  2. Karlow N, Schlaepfer CH, Stoll C RT, Doering M, Carpenter CR, Colditz GA, Motov S, Schwarz ES. A Systematic Review and Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. Academic Emergency Medicine 2018. In press. [PMID: 20019434]
  3. Marks LR, Munigala S, Warren DK, Liang SY, Schwarz ES, Durkin MJ. Addition medicine consultations reduce readmission rates for patients with serious infections from opioid use disorder. Clinical Infectious Diseases 2019;68(11):1935-1937.[PMID: 30357363]
  4. Lange J, Gaddis G, Varner E, Schmidt S, Cohen R, Schwarz E. Residents Access to the St. Louis County Prescription Drug Monitoring Program: Why PDMPs Matter and How to Gain Access. MO Medicine 2018; 115(6):487-493.[PMID: 30643325]
  5. Mullins ME, Liss DB, Fishburn SJ, Dribben WH, Schwarz ES. Comments on Chhabria et al. “Lipid emulsion for acute organophosphate insecticide poisoning.” Clin Toxicol (Phila) 2019;22:1. [PMID: 30666881]
  6. Mullins ME, Jones MS, Nerenz RD, Schwarz ES, Dietzen DJ. 5-Oxoproline concentrations in acute acetaminophen overdose. Clin Toxicol (Phila) 2020;58(1):62-64. [PMID:31050299]
  7. Wax PM, Stolbach AI, Schwarz ES, Warrick BJ, Wiegand TJ, Nelson LS. ACMT Position Statement: Buprenorphine Administration in the Emergency Department. J Med Toxicol 2019;15(3):215-216.[PMID: 31087272]
  8. Schwarz ES, Laes JR, Wiegand TJ. A New Way Forward in the Emergency Department. J Med Toxicol 2019;15(4):220-222. [PMID:31278586]
  9. Marino R, Perrone J, Nelson LS, Wiegand TJ, Schwarz ES, Wax PM, Stolbach AI. ACMT Position Statement; Remove the Waiver Requirement for Prescribing Buprenorphine for Opioid Use Disorder. J Med Toxicol 2019;15(4):307-309. [PMID 31414402]
  10. Reynolds WR, Schwarz ES. Dentists’ Current and Optimal Opioid Prescribing Practices: A Proactive Review. Mo Med 2019;116(5):347-350.[PMID: 31645771]
  11. Baumgartner K, Doering M, Schwarz ES. Vilazodone Poisoning: A Systematic Review. Clin Tox 2020;58(5):360-67. [PMID: 31777303]
  12. Carpenter J, Amirshahi M, Laes J, Nacca N, Nelson L, Perrone JM, Schwarz ES, Wiegand T, Wax P. Leadership roles in Opioid Stewardship and the Treatment of Patients with Opioid Use Disorder among Medical Toxicologists. J Med Toxicol 2020;16(2):204-11.[PMID: 21863312]
  13. Schwarz ES, Moy HP. In acute pain in prehospital settings, opioid and nonopioid analgesics do not differ for pain at 15 or 60 min. Ann Intern Med 2020;172(4):JC20 [PMID: 32066153]
  14. Marks LR, Munigala S, Warren DK, Liang SY, Schwarz ES, Durkin MJ. Evaluation of partial oral antibiotic treatment for persons who inject drugs and are hospitalized with invasive infections. Clinical Infectious Diseases 2020. Accepted for publication.

Lectures and Courses

November 6, 2018  American Association for Clinical Chemistry.  Role and Importance of medical Toxicology in the Ongoing Opioid Crises.  Webinar Series.

September 5, 2018 American College of medical Toxicology Total Toxicology Course.  Acetaminophen.  Chicago, Illinois

September 5, 2018  American College of Medical Toxicology bard Review Course.  Forensic Toxicology-Self paced Lecture.  Chicago, Illinois

September 5, 2018 American College of Medical Toxicology Board Review Course.  Dermatology and Pathology-Self Paced Lecture.  Chicago, Illinois

September 5, 2018 American College of Medical Toxicology Board Review Course.  Classic Toxins.  Chicago, Illinois 2018

September 5, 2018 American College of Medical Toxicology Board Review Course.  miscellaneous Toxins.  Chicago, Illinois.  2018

August 17, 2018 5th Annual Advance Practice Conference.  My Patient Took What?  An Update on Drugs of Abuse and Treatment.  St. Louis, MO

May 23, 2018  Opioid Solutions Panel.  american College of Emergency Physicians Leadership & Advocacy Conference.  Washington, DC.  Audience size:  300 people

April 28, 2018  Care of the Hospitalized Patient.  Pain and Opioid Use Disorder in the Emergency Department.  St. Louis, MO.

April 27, 2018  Midwest Osteopathic Annual Convention. Street Drug Update.  Branson, MO.

April 21, 2018  St. Louis Metropolitan Medical Society.  What’s My Role for Addressing the Opioid Crises?  St. Louis, MO.

April 14, 2018  American Association of Addiction Medicine 49th  Annual Conference.  San Diego, California.  Fentanyl and Analogs, Oh My:  Their Impact on Patients and Public Health

March 2, 2018  Missouri Opioid Summit.  Treatment Initiation in the Emergency Department.  Saint Louis, MO.

January 3, 2018  Missouri Hospital Association Aim for Excellence Webinar.  Emergency Department Management of Opioid Use Disorders.  Audience size:  31

November 14, 2017  Annual Pediatric Trauma Update Conference in Southern Illinois.  My Patient Did What?  New Drugs of Abuse.  Audience size:  50

August 29, 2017  Saint Louis University Emergency Medicine Grand Rounds.  Difficult Toxicology Cases.  Saint Louis, MO.  Audience size:  30

August 22, 2017 Larry Lewis 1st Annual Health Policy Symposium.  Pain management in the Emergency Department.  Saint Louis, MO.  Audience size:  350

July 19, 2017  Lifelong Learning and Self-Assessment for 2017 Medical Toxicology Articles.  Hosted by the American College of Medical Toxicology.  Webinar.  Audience size:  150

July 11, 2017  American College of Medical Toxicology National Journal Club Webinar.  Ketamine in Excited Delirium.  Audience size:  65

May 4, 2017 15th Annual Dr. Tom Steele Emergency Care Symposium.  New Drugs of abuse.  Springfield, MO.

May 4, 2017  15th Dr. Tom Steele Emergency Care Symposium.  Ketamine for Agitated Delirium.  Springfield, MO

May 4th, 2017 15th Annual Dr. Tom Steele Emergency Care Symposium.  Addiction Management/Pain Management.  Springfield, MO

May 2017 Emergency Physicians Monthly May 2017.  Unpacking the Opioid Blame Game 

April 2017 Resolution of cannabis hyperemesis syndrome with topical capsaicin in the emergency department; a case series. Clinical Toxicology 2017

March 4, 2017 25th Annual Refresher Course & Update in General Surgery. Common Bites and Envenomations. St. Louis, MO

March 2017 Should we be using the poisoning severity score? Journal of Medical Toxicology 2017

March 2017 Missouri EPIC Toxicology Corner: New Dosing for an Old Antidote. 

January 2017 Is a Prehospital Treat and Release Protocol for Opioid Overdose Safe?  Journal of Emergency Medicine 2016

January 2017 Do Heroin Overdose Patients Require Observation after Receiving Naloxone? Clinical Toxicology 2017. 

November 29, 2017 Washington University Department of Psychiatry Grad Rounds. Opioid Use Disorders in the Emergency Department. Saint Louis, MO.

November 2016 Appointed Associate Editor for Internal and Emergency Medicine Journal 

November 15, 2016 11th Annual Pediatric Trauma Update Conference in Southern Illinois. Current Topics in Drug Abuse: Just Because It’s Legal Doesn’t Mean It’s Safe.

October 13, 2016 Lecturing at the Code 3 Emergency Medical Services Saint Louis Regional Conference

October 11, 2016 Grand Rounds. Saint Lukes Hospital in Saint Louis. Heroin Addiction.

October 1, 2016 The American College of Medical Toxicology Board Review Course. Lunch’N Learn: Toxic Dermatology and Pathology.

September 24, 2016 Lecturing at the Pediatric Emergency Medicine Conference 2016 in Saint Louis.

April 2016 Will be presenter at the Care of the Hospitalized Patient Conference.  Lecturing on Addiction in the Hospitalized Patient

April 2016 Lecturing to the Saint Louis Chapter of the Society of Hospitalist Medicine about Addiction

March 2016 Article published in Emergency Physicians Monthly. The CDC Weighs in about Opioid Abuse but Are We Receiving Mixed Messages?

March 2016 Lecturing at the University of Tennessee Emergency Medicine Program about New Designer Drugs and Updates in Antidotes

December 2015 Guest presenter on EMJClub Emergency Medicine Podcast. Discussed balanced fluid resuscitation

December 2015 Lectured to the Anesthesiology and Surgical Critical Care Fellows about Toxicology in the Intensive Care Unit

November 2015 Presented general toxicology to St. Louis City Emergency Medical Services

October 2015 Presenting abstract: Arroyo-Plasencia AM, Schwarz ES. Street Drug Exposures in Hospitalized Patients as Reported to the Toxicology Investigators Consortium Case Registry. North American Clinical Congress of Toxicology (NACCT) Scientific Assembly.

October 2015 Code 3 Emergency Medical Services Saint Louis Regional Conference. Coming Soon to a Boutique Near You: Designer Street Drugs.

October 11, 2015 Lifelong Learning and Self-Assessment for the 2013 Medical Toxicology Articles. Hosted by the American College of Medical Toxicology and American Association of Clinical Toxicology

September 15, 2015 Lecturing to first year Wash U Med students Practice of Medicine 1: Heart Sounds & the ‘Art’ of Auscultation.

August 6, 2015 Environmental and Health Consequences of Clandestine Methamphetamine Laboratories. American College of Medical Toxicology in agreement with AMCT/BIA. Methamphetamine Lab Hazards, PPE, & Monitoring of Personnel.

August 6, 2015 Environmental and Health Consequences of Clandestine Methamphetamine Laboratories. American College of Medical Toxicology in agreement with ACMT/BIA. History & Epidemiology of Exposure to Methamphetamine Contamination in Homes and Clandestine Labs.

August 4, 2015 Lectured at Emergency Medicine Resident Conference. Updates in Ethanol Withdrawal.

August 2015 Publication in the Summer 2015 EPIC for the Missouri College of Emergency Physicians. Powdered Alcohol.

July 15, 2015 Lifelong Learning and Self-Assessment for the 2015 Medical Toxicology Articles. Hosted by the American College of Medical Toxicology

July 2, 2015 Gave lecture at Internal Medicine Noon Conference. Overdose/Toxicology Emergencies

July 2015 Publication in Emergency Physicians Monthly: Palcawhat?

June 30, 2015 Lectured at Pediatric Noon Conference: Nicotine Ingestion.

June 16, 2015 Gave lecture to Practice of Medicine III students: Alternative and Complementary Medicine.

May 20, 2015 Lecture to Pediatric Emergency Medicine Fellowship Series: Toxic Alcohols and ‘Shrooms.

May 2015 Publication in Emergency Physicians Monthly: In Sepsis, Fluid Choice Matters

April 6, 2015 Lecture to Emergency Medicine Services Fellowship Series: Acute Toxicologic Emergencies.

April 1, 2015 Lecture to Medprep 2: Interesting Ingestions and Overdoses.

March 27, 2014 American College of Medical Toxicology Natural Toxins Academy. “Ibogaine.”

April 4, 2014 Emergency Medicine Services Fellowship Series: Prehospital Toxicology.

April 11, 2014 Emergency Medicine Services Fellowship Series: Toxic Inhalants.

April 9, 2014 Environmental and Health Consequences of Clandestine Methamphetamine Laboratories. American College of Medical Toxicology in agreement with NCEH/ATSDR. “Children removed from meth labs.”

May 17, 2014 36th Annual Conference: Common Childhood Problems for the Practitioner Who Cares for Children. “Pediatric Emergencies. Poisonings and Toxidromes.”

July 8, 2014 Internal Medicine Noon Conference. Overdose/Toxicology Emergencies.

July 24, 2014 University of Missouri Columbia Emergency Medicine Grand Rounds. “What’s Old is New Again.”

October 23, 2014 Emergency Medical Services Saint Louis Regional Conference

October 29, 2014 Critical Care Conference (SICU): Toxidromes and weird antidotes for the ICU.

February 10, 2015 Saint Louis University Emergency Medicine Grand Rounds

January 21, 2015 Toxicology Scholar Track Presentation: My Name is Dr. Oz and I’m an ……

April 6, 2015 Emergency Medicine Services Fellowship Series Presentation: Acute Toxicologic Emergencies

April 13, 2015 Washington University Wilderness Medicine Selective Presentation: Hymenoptera

April 13, 2015 Washington University Wilderness Medicine Selective: Spider Envenomations

May 18, 2015 Emergency Medicine Services Fellowship Series: Toxic Inhalants

February 10, 2015 Saint Louis University Emergency Medicine Grand Rounds: An Update on Alcohol Withdrawal: Beyond Benzos

February 10, 2015 Saint Louis University Emergency Medicine Grand Rounds: Odd Antidotes

May 2015 Received Departmental and MoCEP grant for a Randomized Controlled Trial on Ketamine for Acute Pain in the Emergency Department.  Accepted abstracts: Paden M, Schwarz ES, Mullins ME. 5-0xoproline concentrations in acetaminophen overdose. EAPCCT Annual

March 2015 Musisca N, Arroyo-Plasencia AM, Mullins ME, Schwarz ES. Kids Get into the Darndest Things. Society of Hospital Medicine Annual Meeting

Honors and Awards

President of the Missouri College of Emergency Physicians 2018-2020Board of Governors for ACEP’s  Pain and Addiction Care in the Emergency Department On ACMT Board of Directors,present as was Dean in the Office of Student Affairs 2015-present May 2017  Elected Councilor for the Missouri College of Emergency Physicians

Dr. Mullins

2019 Invited Lectures

February 14, 2019:  Invited presentation on “A bloody mess: outbreak of brodifacoum tainted K2 in Illinois” at Illinois ACEP meeting (Peoria, IL).   This lead to subsequent presentations on this topic at four international meetings in Australia, Poland, Israel, and Mexico.

May 2, 2019:  Toxicology and Poisons Network Australasia (TAPNA) meeting in Gold Coast, Queensland, Australia.

November 16, 2019:  Copernicus Emergency Medicine conference in Lodz, Poland

November 20, 2019:  Israeli — American Toxicology Conference in Haifa, Israel.

November 23, 2019:  XIV Congreso Nacional en Medicina de Urgencia in Merida, Yucatan, Mexico

 “A quick trip through the QT interval: using the QT nomogram to predict cardiac events” at the Israeli — American Toxicology Conference in Haifa, Israel and Urgencias Mexico in Merida, Yucatan, Mexico

2019 Editorial Responsibilities 

Editor-in-Chief, Toxicology Communications

11th year as Reviews Editor for Clinical Toxicology.

INVITED NATIONAL / INTERNATIONAL PRESENTATIONS:

  • “Controversies in the treatment of ciguatera fish poisoning” Vth Congreso Peruano de Toxicología y IVth Congreso Internacional de Toxicología” (Lima, Perú); 19 Aug 2015

INVITED REGIONAL / LOCAL PRESENTATIONS:

  • “Is mannitol the drug of choice for treatment of ciguatera poisoning?” Washington Univ. EM Grand Rounds 6 Jan 2015.
  • “Snakes on a Plain” Memorial Hospital (Springfield IL) and St. Francis Hospital (Peoria IL) 3 Sep 2015.
    Missouri Chapter American College of Physicians (Osage Beach MO) 20 Sep 2015.
  • “Synthetic Cannabinoids and ‘Bath Salts” Memorial Hospital (Springfield IL) and St. Francis Hospital (Peoria IL) 3 Sep 2015.
  • “Carbon Monoxide Poisoning” Memorial Hospital (Springfield IL) and St. Francis Hospital (Peoria IL) 19 Jan 2016
  • “Devil in a Blue Dress” (Loperamide poisoning) Memorial Hospital (Springfield IL) and St. Francis Hospital (Peoria IL) 19 Jan 2016
  • “Global Health Opportunities” (panel discussion) Washington University (Danforth Campus) 5 Apr 2016

January 2017 Editor-in-Chief, January 2017 to present

March 2015 Musicca N, Arroyo-Plasencia AM, Mullins ME, Schwarz ES. Kids Get into the Darndest Things.  Society of Hospital Medicine Annual Meeting

February 2015 Mike Mullins spoke at a press conference with State Representative Jeanne Kirkton on Friday, February 20, at the National Council of Alcoholism and Drug Dependence.  He spoke about opioid addiction and overdose and legislation currently being proposed to fix these problems.

July 2014 Emergency Medicine Expert Series Lecture

May 2014 “Dr. Michael Mullins was an invited speaker at the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) meeting in Brussels. Dr. Mullins debated Dr. Robert Hoffman over the question of whether mannitol should be the drug of choice for ciguatera fish poisoning.”

Dr. Dribben
Dr. Liss
Recent Speaking Events:
Liss DB, Devgun J, Mullins ME.  American College of Medical Toxicology National Journal Club. Phenobarbital in Alcohol Withdrawal, November 12, 2019.  
Liss DB. Washington University Emergency Medicine Conference, EM Experts Series.  Crazy High Dose Insulin, August 20, 2019.   
Liss DB. Washington University Emergency Medicine Residency Scholar Track.  Everything but the Lipid Sink, July 30, 2019.   
Liss DB. Addiction Science: Medication First Treatment of Opioid Use Disorder: Models Across Care Settings, University of Missouri St. Louis. May 10, 2019.  
Recent Publications:
Marks LR, Liang SY, Muthulingam D, Schwarz ES, Liss DB, Munigala S, Warren DK, Durkin MJ. Evaluation of partial oral antibiotic treatment for persons who inject drugs and are hospitalized with invasive infections. Clin Infect Dis. 2020 Apr 2. PMID: 32239136.  
Bradley ES, Liss D, Carreiro SP, Brush DE, Babu K. Potential uses of naltrexone in emergency department patients with opioid use disorder. Clin Toxicol (Phila). 2019 Sep;57(9):753-759. PMID: 30831039  
Mullins ME, Liss DB, Fishburn SJ, Dribben WH, Schwarz ES. Comments on Chhabria et al. “Lipid emulsion for acute organophosphate insecticide poisoning”. Clin Toxicol (Phila). 2019 Jan 22:1. PMID: 30666881  
Dr. Devgun
2016Toxicology and Occupational Medicine Combined Conference. “Heavy Metal: Cadmium, Lead, Mercury”, University of Illinois , Chicago, IL
2017Visiting Lecture, Residency Conference. Department of Pediatrics, “Pediatric Acetaminophen Poisoning”, University of Illinois, Chicago, IL
2017CME Grand Rounds. “Ever-Evolving Emerging Drugs of Abuse”, Kane County Medical Society, Elgin, IL
2017Toxicology and Occupational Medicine Combined Conference. “Industrial Metal: Arsenic, Chromium, Nickel”, University of Illinois, Chicago, IL
2017Toxicology and Occupational Medicine Conference. “Methyl Bromide” , University of Illinois, Chicago, IL
2018North American Congress of Clinical Toxicology, Platform: An Outbreak of Severe Coagulopathy from Synthetic Cannabinoids Tainted with Long-Acting Anticoagulant Rodenticides, Chicago, IL
2019Opioids Abound – Adolescents and Young Adults: Lecture to Pediatric Emergency Medicine Fellowship, Washington University School of Medicine, St. Louis, MO
2020All about APAP: Lecture to Pediatric Emergency Medicine Fellowship, Washington University School of Medicine, St. Louis, MO
2020All about APAP: Lecture to Pediatric Emergency Medicine Fellowship, Washington University School of Medicine, St. Louis, MO
2020Ever-evolving Emerging Drugs of Abuse: Lecture to Emergency Medicine Residency, Washington University School of Medicine, St. Louis, MO
2020Extracorporeal Elimination in Poisoning (Dialysis Can’t Touch This?): Lecture to Emergency Medicine Residency, Washington University School of Medicine, St. Louis, MO