Stellpflug, Samuel J., MD
Physician Emergency Medicine, JS Emergency Medicine GHI
About

Specialty: Director, Twin Cities Medical Toxicology Fellowship

Faculty Appointment: Associate Professor of Emergency Medicine, University of Minnesota Medical School

Publications
selected publications
Journal Article
  • Analysis of a consecutive retrospective cohort of strangulation victims evaluated by a sexual assault nurse examiner consult service
    Journal of Emergency Nursing. 2022
  • Analysis of the fight-ending chokes in the history of the Ultimate Fighting Championship™ mixed martial arts promotion
    Physician and Sportsmedicine. 2022
  • Approach considerations for the management of strangulation in the emergency department
    J Am Coll Emerg Physicians Open. 2022
  • Cervical artery dissections and ischemic strokes associated with vascular neck compression techniques (sportive chokes)
    Journal of Emergency Medicine. 2022
  • Delayed peaks of acetaminophen in overdose patients with concomitant abdominal trauma
    Clinical Toxicology (Philadelphia, Pa.). 2021
  • Electrocardiographic diagnosis of acute coronary occlusion myocardial infarction in ventricular paced rhythm using the modified Sgarbossa criteria
    Annals of Emergency Medicine. 2021
  • Intravenous fat emulsion does not significantly alter clotting markers in dabigatran-treated blood
    Indian Journal of Hematology & Blood Transfusion. 2021
  • Development and feasibility of a porcine model of amlodipine toxicity
    Journal of Medical Toxicology. 2020
  • Effect of methylene blue on a porcine model of amlodipine toxicity
    Journal of Medical Toxicology. 2020
  • Oral nitroglycerin solution for oesophageal food impaction: a prospective single-arm pilot study
    Emergency Medicine Journal. 2020
  • The safety of sportive chokes: a cross-sectional survey-based study
    Physician and Sportsmedicine. 2020
  • Urine drug screens in the emergency department: the best test may be no test at all
    Journal of Emergency Nursing. 2020
  • Use of a porcine model to evaluate the risks and benefits of vasopressors in propranolol poisoning
    Journal of Medical Toxicology. 2020
  • A comparison of resource utilization in the management of anticholinergic delirium between physostigmine and nonantidote therapy
    Annals of Pharmacotherapy. 2019
  • A randomized controlled study comparing high-dose insulin to vasopressors or combination therapy in a porcine model of refractory propranolol-induced cardiogenic shock
    Clinical Toxicology (Philadelphia, Pa.). 2019
  • A swine model of severe propranolol toxicity permitting direct measurement of brain tissue oxygenation
    Journal of Medical Toxicology. 2019
  • Ten years of robotripping: evidence of tolerance to dextromethorphan hydrobromide in a long-term user
    Journal of Medical Toxicology. 2019
  • Toxicology education in emergency medicine: an assessment and pilot study
    Toxicology communications. 2019
  • Hemodialysis in metformin-associated lactic acidosis due to acute overdose in a metformin-naive patient
    American Journal of Emergency Medicine. 2018
  • Hypoglycemia and lactic acidosis outperform King's College criteria for predicting death or transplant in acetaminophen toxic patients
    Clinical Toxicology (Philadelphia, Pa.). 2018
  • Oral nitroglycerin solution may be effective for esophageal food impaction
    Journal of Emergency Medicine. 2018
  • The hepatoprotective effects of N-acetylcysteine with repeated toxic acetaminophen ingestions: a case report
    Toxicology communications. 2018
  • The treatment of maternal and fetal anticholinergic toxicity with physostigmine
    Toxicology communications. 2018
  • A 15-year retrospective review of brake fluid exposures in children from a single poison center
    Toxicology communications. 2017
  • A case of U-47700 overdose with laboratory confirmation and metabolite identification
    Clinical Toxicology (Philadelphia, Pa.). 2017
  • Estimating the impact of adopting the revised United Kingdom acetaminophen treatment nomogram in the U.S. population
    Clinical Toxicology (Philadelphia, Pa.). 2017
  • A prospective study of ketamine versus haloperidol for severe prehospital agitation
    Clinical Toxicology (Philadelphia, Pa.). 2016
  • Refractory hypotension and "ventricular fibrillation" with large U waves after overdose
    JAMA internal medicine. 2016
  • The association between ketamine given for prehospital chemical restraint with intubation and hospital admission
    American Journal of Emergency Medicine. 2015
  • 2-(4-Iodo-2,5-dimethoxyphenyl)-N-[(2-methoxyphenyl)methyl]ethanamine (25I-NBOMe): clinical case with unique confirmatory testing
    Journal of Medical Toxicology. 2014
  • Asystole immediately following intravenous fat emulsion for overdose
    Journal of Medical Toxicology. 2014
  • The poison pen: how confident are we about iocane?
    Journal of Medical Toxicology. 2014
  • A blinded, randomized, controlled trial of three doses of high-dose insulin in poison-induced cardiogenic shock
    Clinical Toxicology (Philadelphia, Pa.). 2013
  • A life-threatening flecainide overdose treated with intravenous fat emulsion
    Pacing and Clinical Electrophysiology. 2013
  • Hydroxocobalamin hinders hemodialysis
    American Journal of Kidney Diseases. 2013
  • Bath salts: the ivory wave of trouble
    Western Journal of Emergency Medicine. 2012
  • Holiday plants with toxic misconceptions
    Western Journal of Emergency Medicine. 2012
  • Massive atropine eye drop ingestion treated with high-dose physostigmine to avoid intubation
    Western Journal of Emergency Medicine. 2012
  • Response to "the first published case of a pediatric diphenhydramine overdose whose electrocardiogram shows terminal 40-millisecond frontal plane QRS axis deviation"
    Pediatric Emergency Care. 2012
  • Reversal of quetiapine-induced altered mental status with physostigmine: a case series
    American Journal of Emergency Medicine. 2012
  • Cardiotoxic overdose treated with intravenous fat emulsion and high-dose insulin in the setting of hypertrophic cardiomyopathy
    Journal of Medical Toxicology. 2011
  • High-dose insulin: a consecutive case series in toxin-induced cardiogenic shock
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Transaminitis: the lab test that has inflammation...
    Journal of Medical Toxicology. 2011
  • Unique configuration of the four-lumen oesophagogastric tamponade tube (Minnesota tube) for the control of massive upper GI bleeding
    Emergency Medicine Journal. 2011
  • What toxicity may result from the xenobiotic responsible for the finding on this plain film? Answer: reduced iron, found in heating pads and instant hand warmers, may result in elevated serum iron concentrations and subsequent iron toxicity
    Journal of Medical Toxicology. 2011
  • Wide complex tachycardia in a pediatric diphenhydramine overdose treated with sodium bicarbonate
    Pediatric Emergency Care. 2011
  • "I Shouldn't Have Had Dessert..." A Moonflower Seed Ingestion
    Western Journal of Emergency Medicine. 2010
  • Addition of phenylephrine to high-dose insulin in dihydropyridine overdose does not improve outcome
    Clinical Toxicology (Philadelphia, Pa.). 2010
  • Intentional overdose with cardiac arrest treated with intravenous fat emulsion and high-dose insulin
    Clinical Toxicology (Philadelphia, Pa.). 2010
  • Which xenobiotic(s) could be responsible for the radiologic findings below? Answer: any proconvulsant xenobiotic, in this case tramadol, bupropion, and nortriptyline
    Journal of Medical Toxicology. 2010
  • What signs and symptoms would be expected after ingestion of this plant?
    Journal of Medical Toxicology. 2009
  • Chapter
  • Antidotes in depth: high dose insulin (HDI)
    Goldfrank's toxicologic emergencies. 2019
  • Antidiabetic agents
    Critical care toxicology: diagnosis and management of the critically poisoned patient. 2016
  • Patellar tendon rupture
    Atlas of clinical emergency medicine. 2016
  • Antidotes in depth: high dose insulin euglycemia
    Goldfrank's toxicologic emergencies. 2015
  • Barbiturates
    Harwood-Nuss Clinical practice of emergency medicine. 2014
  • Benzodiazepines
    Harwood-Nuss Clinical practice of emergency medicine. 2014
  • Muscle relaxants and other sedative hypnotic agents
    Harwood-Nuss Clinical practice of emergency medicine. 2014
  • Beta blockers
    Poisonings with cardiotoxicants: epidemiology, features, management, and exceptional therapies. 2013
  • Suspected intoxication and overdose
    Principles and practice of hospital medicine. 2012
  • GI (gastrointestinal) decontamination
    AAEM/RSA (American Academy of Emergency Medicine/Resident & Student Association) toxicology handbook. 2011
  • Abstract
  • The undifferentiated becomes obvious: the perfect timeline [abstract]
    Journal of Medical Toxicology. 2018
  • Effect of methylene blue on mortality in a porcine model of amlodipine toxicity [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2017
  • EMF development of a porcine model of amlodipine toxicity [abstract]
    Annals of Emergency Medicine. 2016
  • A prospective study of ketamine versus haloperidol for severe prehospital agitaiton [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2015
  • Brom(ism)ance: an escalating relationship with dextromethorphan [abstract #97]
    Journal of Medical Toxicology. 2015
  • Estimating the financial impact of adopting the revised United Kingdom acetaminophen treatment nomogram in the US population [abstract #251]
    Clinical Toxicology (Philadelphia, Pa.). 2015
  • Estimating the impact of adopting the revised United Kingdom acetaminophen treatment nomogram in the US population [abstract]
    Journal of Medical Toxicology. 2015
  • Hypoglycemia in acetaminophen-induced hepatic failure: what's the significance [abstract]?
    Annals of Emergency Medicine. 2015
  • Intravenous fat emulsion does not significantly alter clotting markers in dabigatran-treated blood [abstract #20]
    Journal of Medical Toxicology. 2015
  • Pediatric bupropion overdose mimics clinical brain death [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2014
  • A swine model of severe propranolol toxicity permitting direct measurement of cerebral oxygen tension [abstract]
    Journal of Medical Toxicology. 2013
  • Hydroxychloroquine overdose treated successfully with intravenous fat emulsion [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2013
  • Surfactant administration as treatment for respiratory failure following hydrocarbon aspiration [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2013
  • A rat model of carbon monoxide induced neurotoxicity [abstract]
    Academic Emergency Medicine. 2012
  • Comparison of vasopressors versus placebo in beta blocker toxicity in a porcine model [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2012
  • Correlation of osmolar gap and ethylene glycol concentration during dialysis [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2012
  • Hydroxocobalamin hinders hemodialysis [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2012
  • The role of early notification from a social networking site in intentional cyanide ingestion [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2012
  • 10 U/kg/hr of high dose insulin is superior to 1 U/kg/hr in a blinded, randomized, controlled trial in poison-induced cardiogenic shock [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • A cost comparison of fomepizole and hemodialysis in the treatment of methanol and ethylene glycol toxicity [abstract #229]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Atropine eye drop ingestion treated with high-dose physostigmine [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Failure of high-dose insulin and intravenous fat emulsion in two patients with poison-induced cardiopulmonary arrest after 2-CE use [abstract #55]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Lead pellet embedded in the C2 vertebra of a child: a clinical dilemma [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Massive amantadine overdose resulting in status epilepticus and death [abstract #304]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Medical child abuse with Ipecac: a variant of Manchausen syndrome by proxy [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Ondansetron toxicity in a toddler resulting in tachycardia, altered mental status, and QTC prolongation [abstract #109]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Surreptitious steroid ingestion resulting in factitious Cushing's syndrome: sometimes sendouts make the diagnosis [abstract]
    Clinical Toxicology (Philadelphia, Pa.). 2011
  • Teaching
    teaching overview
  • Specialty: Director, Twin Cities Medical Toxicology Fellowship

    Faculty Appointment: Associate Professor of Emergency Medicine, University of Minnesota Medical School

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