David J. Vearrier, MD, MPH

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David J. Vearrier, MD, MPH, is a medical toxicologist in the Poison Control Center at Children's Hospital of Philadelphia.

Locations: Main Campus
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

Education and Training

Medical School

MD - School of Medicine, University of California San Diego, San Diego, CA

Residency

Emergency Medicine - Drexel University College of Medicine, Philadelphia, PA
Occupational Medicine - Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA

Fellowship

Medical Toxicology - Drexel University College of Medicine, Philadelphia, PA

Board Certification

Occupational Medicine
Emergency Medicine
Medical Toxicology

Graduate Degree

MPH - Drexel University School of Public Health, Philadelphia, PA

Titles and Academic Titles

Medical Toxicologist

Adjunct Associate Professor of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania

Departments and Services

Publications

Papers

2017

Goldberg D, Vearrier, D. Evaluation of a Food and Drug Administration Mandate to Limit Acetaminophen in Prescription Combination Products. J Med Toxicol.2017 Jul 14 [Epub ahead of print].

Vearrier D, Greenberg MI. The implementation of medical monitoring programs following potentially hazardous exposures: a medico-legal perspective. Clin Toxicol (Phila). 2017 Nov;55(9):956-969. doi: 10.1080/15563650.2017.1334913. Epub 2017 Jun 23.

Surmaitis R, Khalid M, McKeever R, Vearrier D, Greenberg M. The American Academy of Clinical Toxicology Question of the Day. Disease-a-Month. Dis Mon. 2017 Aug;63(8):182-234. doi: 10.1016/j.disamonth.2017.03.005. Epub 2017 Jun 2.

2016

Patel N, Vearrier D. Traumatic uvulitis: a complication of upper GI endoscopy. Visual Journal of Emergency Medicine. 2016 Oct;5(5):19-20.

Vearrier, D. How do I diagnose and treat workers with injuries from hydrofluoric acid? J Occup Environ Med. 2016 Jul;58(7):e275-e277.

Vearrier D, Vearrier L, McKeever R, Okaneku J, LaSala G, Goldberger D, McCloskey K. Issues in driving impairment. Disease-a-Month. 2016;62(4):72-116.

Vearrier D. A man with chronic abdominal pain. Visual Journal of Emergency Medicine. 2016 Jul;4:22-23.

Vearrier D. A fall with facial injuries. Visual Journal of Emergency Medicine 2016 Apr;3:9-10.

Greenberg MI, Sexton KJ, Vearrier D. Sea-dumped chemical weapons: environmental risk, occupational hazard. Clin Tox 2016 Feb;54(2):79-91.

Vearrier D. Seizure after bicycle crash. Visual Journal of Emergency Medicine 2016 Jan;2:53-54.

Vearrier D. Closed head injury in a chronic alcoholic man. Visual Journal of Emergency Medicine 2016 Jan;2:11-12.

2015

Vearrier D. A belligerent man after a fall. Visual Journal of Emergency Medicine 2015 Oct;1:4-5.

Vearrier D. A fall on outstretched hand. Visual Journal of Emergency Medicine 2015 Oct;1:18-19.

Feit R, Vearrier D. Eyelid margin laceration. Visual Journal of Emergency Medicine 2015 Oct;1:1.

Owsik G, Vearrier D. Peripheral intravenous catheter infiltration. Visual Journal of Emergency Medicine 2015 Oct;1:8-9.

Vearrier D. Left shoulder pain after accidental fall. Visual Journal of Emergency Medicine 2015 Oct;1:10-11.

Okaneku J, Vearrier D. A “knockdown” gas exposure. DrexelMed Journal 2015; 9(1):27-28.

Singh N, LaSala G, Vearrier D. Green potatoes lead to solanine poisoning. DrexelMed Journal 2015;9(1):27.

LaSala G, Vearrier D. Toxicity from ingestion of a transdermal nicotine patch. DrexelMed Journal 2015;9(1):26.

Sexton K, Vearrier D. An interesting case of undifferentiated metabolic acidosis. DrexelMed Journal 2015;9(1):26-27.

McKeever RG, Vearrier D, Jacobs D, LaSala G, Okaneku J, Greenberg MI. K2-not the spice of life; synthetic cannabinoids and ST elevation myocardial infarction: a case report. J Med Toxicol 2015 Mar;11(1):129-131.

Vearrier D, Jacobs D, Greenberg MI. Phenol toxicity following cutaneous exposure to Creolin®: a case report. J Med Toxicol 2015 Jun;11(2):227-231.

Greenberg MI, Vearrier D. Metal fume fever and polymer fume fever. Clin Tox 2015;53(4):195-203.

LaSala G, Vearrier D, Jacobs D, McKeever R, Okaneku J. The epidemiology and characteristics of carbon monoxide poisoning among recreational boaters. Clin Tox 2015;53(2):127-130

LaSala G, McKeever RG, Patel U, Okaneku J, Vearrier D, Greenberg MI. Effect of single-dose Ginkgo biloba and Panax ginseng on driving performance. Clin Tox 2015;53(2):108-112.

Okaneku J, Vearrier D, McKeever RG, LaSala GS, Greenberg, MI. The change in perceived risk associated with marijuana use in the United States from 2002 to 2012. Clin Tox 2015;53(3):151-155.

Okaneku J, Vearrier D, McKeever RG, LaSala GS, Greenberg, MI. Urine uranium concentrations and renal function in residents of the United States – 2001 to 2010. Clin Tox 2015;53(10):931-934.

McKeever R, Vearrier D. A case of gamma-hydroxybutyrate (GHB) withdrawal. DrexelMed Journal 2015;9(1):25.

2014

Okaneku J, Vearrier D. Zinc phosphide rodenticide ingestion in a toddler. DrexelMed Journal 2014;8(1):32.

2013

Greenberg MI, Curtis JA, Vearrier D. The perception of odor is not a surrogate marker for chemical exposure: a review of factors influencing human odor perception. Clin Tox 2013;51(2):70-76.

2012

Vearrier D, Greenberg MI, Miller SN, Okaneku JT, Haggerty DA. Methamphetamine: history, pathophysiology, adverse health effects, current trends, and hazards associated with the clandestine manufacture of methamphetamine. Dis Mon 2012 Feb;58(2):38-89.

Vearrier D, Greenberg MI. Blood lead levels in the “oldest-old” United States population. Clin Tox 2012;50(9):838-840.

2011

Vearrier D, Curtis JA. Case files of the medical toxicology fellowship at Drexel University: rhabdomyolysis and compartment syndrome following acute diphenhydramine overdose. J Med Toxicol 2011;7(3):213-219.

Vearrier D, Greenberg MI. Occupational health of miners at altitude: adverse health effects, toxic exposures, pre-placement screening, acclimatization, and worker surveillance. Clin Tox 2011;49(7):629-940.

Vearrier D, Simpson SE, Greenberg MI. Mutism and persistent dysarthria due to tacrolimus-based immunosuppression following allogeneic liver transplantation. Am J Ther 2011 Nov;18(6):e274-e276.

Vearrier D, Phillips B, Greenberg MI. Addressing obstructive sleep apnea in the emergency department. J Emerg Med 2011;41(6):728-740.

2010

Vearrier D, Greenberg MI. Anticholinergic delirium following ingestion of the seeds of Datura stramonium: implications for the Internet age. J Emerg Trauma Shock 2010;3(3):303-305.

Vearrier D, Osterhoudt, KC. A teenager with agitation: higher than she should have climbed. Pediatr Emerg Care 2010;26(6):462-465.

Vearrier D, Osterhoudt KC. Case Report: Aluminum encephalopathy following bladder irrigation with 1% alum solution. Drexelmed Journal 2010;4(1):17-18.

Vearrier D, Greenberg MI. Care of patients who are worried about mercury poisoning from dental fillings [research letter].  J Am Board Fam Med 2010;23:797-798.

2009

Greenberg MI, Curtis JA, Madsen J, Vearrier D, Haggerty D, D’Orazio J. American Academy of Clinical Toxicology: “question of the day”. Semin Diagn Pathol 2009; 26(1):68-75.

Vearrier D, Curtis JA, Greenberg MI. Technologically enhanced naturally occurring radioactive materials. Clin Tox 2009;47(5):393-406.

Vearrier D, Curtis J. Rhabdomyolysis and compartment syndrome following massive diphenhydramine ingestion. Drexelmed Journal 2009;3(1):51-55.

2006

Vearrier D, Buka RL, Roberts B, Cunningham BB, Eichenfield LF, Friedlander SF. What is standard of care in the evaluation of elastosis perforans serpiginosa? A survey of pediatric dermatologists. Pediatr Dermatol 2006;23(3):219-224.

Books

2016

Editor. Tarascon Adult Emergency Pocketbook, Fifth Edition. Burlington: Tarascon; 2016. 

Chapters

2011

Vearrier D. Chapter 3. Occupational Dermatology: Issues for the Emergency Department. In Greenberg MI, Madsen JM, eds. Occupational Emergency Medicine. Oxford, England: Blackwell Publishing Ltd; 2011. p. 29 – 45.

2010

Vearrier D, Curtis JA, Greenberg MI. Chapter 14. Biological Testing of Drugs of Abuse. In:  Luch A, editor. Molecular, Clinical and Environmental Toxicology. Volume 2: Clinical Toxicology. Switzerland: Birkhauser Basel; 2010. p. 489 – 517.

Vearrier D, Greenberg MI. Chapter 6. Environmental. In: Harrigan RA, Ufberg J,  and Tripp M, eds. Emergency Medicine Review: Preparing for the Boards. Philadelphia: Elsevier; 2010. p. 116 – 136.

Posters and Presentations

2017

McCloskey K, Surmaitis R, Goldberger D, McKeever R, Vearrier D, Schwartzkopf Z, Greenberg MI. Descriptive study of an urban academic toxicology consultation service, 2012 – 2016 [platform]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):377.

Surmaitis R, McCloskey K, Goldberger D, Vearrier D. Characterizing the administration of fomepizole by medical toxicologists [poster]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017.
Published as an abstract in Clin Tox 2017;55(5):393.

Goldberger D, Vearrier D. Evaluation of a US Food and Drug Administration mandate to limit acetaminophen in prescription combination products [platform]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):420.

Goldberger D, Rajasimhan S, Gragossian A, McKeever R, Vearrier D, Greenberg MI. Hypersensitivity secondary to naltrexone depot injection [poster]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):435.

McCloskey K, Vearrier D, McKeever R, Goldberger D. Peyote use in the US, 2002 – 2013 [poster]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):454.

7 MM, Waring ED, Vearrier D, McKeever R, Greenberg MI. Symptomatic elevation of antiepileptic drug concentrations after addition of hemp oil to a therapeutic regimen [poster]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):467.

McCloskey K, Goldberger D, Vearrier D. Fetal deaths as reported to the USA National Poison Data System 2011 – 2015 [platform]. 37th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Basel, Switzerland. May 2017. Published as an abstract in Clin Tox 2017;55(5):480.

Surmaitis R, Pietrowski M, Kolecki P, Miloradovich J, Vearrier D, Osterhoudt K. Thistle while you work: A case of mushroom poisoning with liver recovery evident before silibinin administration [poster]. American College of Medical Toxicology Annual Scientific Meeting. San Juan, Puerto Rico. March 2017. Published as an abstract in J Med Toxicol 2017;13(1):23.

2016

McCloskey K, Vearrier D, McKeever R, Greenberg M, Hwang J. Cardiac glycoside toxicity from ingestion of commercially available tincture of Convallaria majalis [poster]. 2016 North American Congress of Clinical Toxicology. Boston, MA. September 2016. Published as an abstract in Clin Tox 2016;54(8):676.

Trella J, Lombardo M, Boroughf W, Vearrier D. Lamotrigine causes false positive field test for methylenedioxypyrovalerone [poster]. 2016 North American Congress of Clinical Toxicology. Boston, MA. September 2016. Published as an abstract in Clin Tox 2016;54(8):722.

McCloskey K, Vearrier D, McKeever R, Rajasimhan S, Greenberg M, Lassiter M. Xylazine intoxication from oral ingestion [poster]. 2016 North American Congress of Clinical Toxicology. Boston, MA. September 2016. Published as an abstract in Clin Tox 2016;54(8):737.

McKeever R, Surmaitis R, Vearrier D, Greenberg M. Fatal lactic acidosis associated with tenofovir therapy for chronic active hepatitis B infection [poster]. 2016 North American Congress of Clinical Toxicology. Boston, MA
September 2016. Published as an abstract in Clin Tox 2016;54(8):745.

Goldberger D, Vearrier D. Mandating limits on acetaminophen in combination opioid products does not decrease incidence of hepatotoxicity [poster]. 2016 North American Congress of Clinical Toxicology. Boston, MA. September 2016. Published as an abstract in Clin Tox 2016;54(8):768.

McKeever RG, LaSala GS, Liss B, Vearrier D, Greenberg MI. The effects of shift work on the driving performance of emergency medicine residents: a pilot study [poster]. Society for Academic Emergency Medicine Annual Meeting (SAEM16). New Orleans, LA. May 2016. Published as an abstract in Acad Emerg Med 2016;23(S7):S247.

McKeever RG, Lange J, Vearrier D, Goldberger DJ, Greenberg M. Ocular ischemic syndrome associated with repeated intravenous injection of cocaine and methamphetamine [platform]. 36th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Madrid, Spain. May 2016. Published as an abstract in Clin Tox 2016;54(4):379-380.

McCloskey K, Vearrier D, McKeever RG, Greenberg M. E-cigarettes and synthetic cannabinoids: a new trend [poster]. 36th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Madrid, Spain. May 2016. Published as an abstract in Clin Tox 2016;54(4):390.

Goldberger DJ, Vearrier D. Inhalational heroin resulting in acute cardiomyopathy and sensorineural hearing loss [poster]. 36th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Madrid, Spain. May 2016. Published as an abstract in Clin Tox 2016;54(4):398.

McCloskey K, Vearrier D, McKeever RG, Greenberg M. Severe hypercalcemia secondary to chronic vitamin D overdose in an infant [platform]. 36th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Madrid, Spain. May 2016. Published as an abstract in Clin Tox 2016;54(4):425-426.

Goldberger DJ, Vearrier D, McKeever RG, Greenberg M. Late presenting-massive acetaminophen overdose treated with liver dialysis [platform]. 36th International Congress of the European Association of Poisons Centres and Clinical Toxicologists. Madrid, Spain. May 2016. Published as an abstract in Clin Tox 2016;54(4):476.

2015

Jacobs D, Vearrier D. Implementation of a voluntary opioid prescribing guideline is effective in altering the prescribing habits of emergency department doctors in an urban setting [poster]. 2015 North American Congress of Clinical Toxicology. San Francisco, CA. October 2015. Published as an abstract in Clin Tox 2015;53(7):659.

LaSala GS, Vearrier D, Greenberg MI. Association between phthalate exposure and eosinophilia [poster] . 2015 North American Congress of Clinical Toxicology. San Francisco, CA. October 2015. Published as an abstract in Clin Tox 2015;53(7):768.

McKeever RG, LaSala GS, Vearrier D, Greenberg MI. Air transport of a severe salicylate intoxicated patient: Unforeseen risks [poster]. XXXV International Congress of the European Association of Poisons Centres and Clinical Toxicologists. St. Julian’s, Malta. May 2015. Published as an abstract in Clin Tox 2015;53(4):301.

LaSala GS, Sexton KJ, Okaneku J, Hand C, Vearrier D, Greenberg MI. Pentobarbital coma with loss of pupillary light reflex [poster]. XXXV International Congress of the European Association of Poisons Centres and Clinical Toxicologists. St. Julian’s, Malta. May 2015. Published as an abstract in Clin Tox 2015;53(4):302.

LaSala GS, Vearrier D, Greenberg MI. Compartment syndrome secondary to neuroleptic malignant syndrome [poster]. XXXV International Congress of the European Association of Poisons Centres and Clinical Toxicologists. St. Julian’s, Malta. May 2015. Published as an abstract in Clin Tox 2015;53(4):302.

Okaneku J, McKeever R, Vearrier D, Greenberg MI. Characteristics of occupational fatalities from inhalation injury in confined versus non-confined spaces (2003 to 2010) [poster]. XXXV International Congress of the European Association of Poisons Centres and Clinical Toxicologists. St. Julian’s, Malta. May 2015. Published as an abstract in Clin Tox 2015;53(4):301.

Vearrier D, McKeever RG, Greenberg MI. Proposed methodology for modification of inhalational exposure limits at high altitude [platform]. 2015 American Occupational Health Conference. Baltimore, MD. May 2015

Levine M, Finkelstein Y, Rhyee SH, Vearrier DJ, Leikin JB, Beuhler MC on behalf of the MILO. Antidotal therapy by intravenous lipid emulsion: observations from the Toxicology Investigators Consortium (ToxIC) [poster]. 2015 American College of Medical Toxciology Annual Scientific Meeting. Clearwater Beach, FL. March 2015. Published as an abstract in J Med Toxicol 2015 Mar;11(1):25.

Invited Lectures

2017

Vearrier D. The Opioid Epidemic and Occupational Medicine. Pennsylvania Occupational and Environmental Medical Society. Bala Cynwyd, PA. April 2017

Vearrier D. Environmental Toxicology. CHM 1054 – Environmental Chemistry. Villanova University. March 2017.

2016

Vearrier D. The Toxicology Experience with NRMP and the Match, Panelist. Society of Clinical Ultrasound Fellowships 2nd Annual Conference. Philadelphia, PA . April 2016.

Awards and Honors

2015, American Occupational Health Conference (AOHC) Occupational Physicians Scholarship Fund Resident Scholarship

2014-2015, Resident Research Award, American College of Occupational and Environmental Medicine

2014, Physician’s Recognition Award with Commendation, American Medical Association

2013-present, Delta Omega Public Health Honor Society

2011-2014, Hahnemann Teaching Award, Drexel University College of Medicine

2001-2005, Regents’ and Chancellor’s Scholarship, School of Medicine, University of California San Diego

1996-2000, High Distinction in General Scholarship (Magna Cum Laude), University of California Berkeley

1996-2000, Regents’ and Chancellor’s Scholarship, University of California Berkeley

Editorial and Academic Positions

Editorial Positions

2017-present, Chief Editor, Medscape Drugs & Diseases, www.medscape.com
2015-present, Associate Editor Visual Journal of Emergency Medicine
2011-present, Peer Reviewer, Journal of Medical Toxicology
2010-present, Assistant Editor, www.ToxED.com, Elsevier, Inc.

Leadership and Memberships

Memberships in Professional Organizations

2011-present, American College of Medical Toxicology
 - 2016-present, Membership Committee
 - 2012-present, Website Committee
 - 2011-present, Fellowship Director Committee

2009-present, American Academy of Emergency Medicine

2008-present, American Academy of Clinical Toxicology
 - 2018-present, Occupational & Environmental Toxicology Section
 - 2011-present, Chairperson, Occupational & Environmental Toxicology Section
 - 2008-present, Envenomation Section
 - 2008-present, Radiation Section
 - 2008-present, Herbs & Dietary Supplements Section

2008-present, American College of Occupational and Environmental Medicine