Marcia Gamaly – Emerging Toxicology


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Marcia Gamaly – Emerging Toxicology

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Effective assessment for substance use and abuse is vitally important to get the best outcomes for your patients. Marcia will discuss the current trends and challenges encountered with OTC and herbal medication overuse, prescription drug abuse and the new “Street Drugs” of choice. This session will maximize your identification skills and improve your ability to facilitate rapid treatment.


  1. Interpret patient presentation to identify possible toxic substance abuse to facilitate rapid and correct treatment.
  2. Categorize symptoms of common of sympathetic and parasympathetic toxidromes and how to intervene quickly.


  • Basic Principles
  • Management
  • Physical Examination and Assessment
  • Blood Gases and Rules
  • Decontamination Reduce/Remove
    • Gastric Decontamination
      • Gastric Lavage
      • Ipecac
      • Activated Charcoal
        • Drugs that Do Not Absorb to Charcoal
  • Whole Bowel Irrigation
    • Hemoperfusion
    • Toxidromes



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Marcia Gamaly, MSN, MHA, RN-BC, CEN, PCCN, has over twenty years of nursing experience at the bedside and in staff development. Marcia currently works as a clinical nurse educator at St. Mary Medical Center in Langhorne, Pennsylvania. In her current role, she oversees and plans the educational needs for over 250 nurses and support staff on a variety of units, including a step-down, neuro-tele and medical-surgical units. She has developed and presented on a variety of topics including certification courses for critical care, progressive care, medical-surgical, oncology and emergency nursing. Other presentations include telemetry skills day, medical-surgical skills day, cardiac dysrhythmia interpretation, post-operative care and heart failure. Additionally, Marcia is an instructor for BLS, ACLS, PALS, TNCC, ENPC and ASLS and works as a per-diem emergency department staff nurse.

She is a doctoral student at Villanova University, with a research interest in bariatrics. She is certified in medical-surgical nursing, progressive care nursing, emergency nursing, and professional staff development. She is a member of the Emergency Nurses Association, American Association of Critical Care Nurses, and American Society of Metabolic and Bariatric Surgery.

Marcia combines her role in clinical education with hands-on experience to deliver a high-level learning opportunity that is patient-focused and outcome-driven. The meaningful insights she has to share will be applied easily at the bedside to improve your own care of patients!

Speaker Disclosures:

Financial: Marcia Gamaly has an employment relationship with St. Mary Medical Center and Lower Bucks Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Marcia Gamaly is a member of the Academy of Medical-Surgical Nurses; America Association of Critical-Care Nurses; American Nurses Association; American Society of Metabolic and Bariatric Surgery; and Emergency Nurses Association.

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