Banner Health - Making a Difference in People's Lives Welcome to BannerHealth.com. Banner Health is making a difference in people´s lives through excellent patient care at hospitals and long-term care facilities in seven western states.

Warning This web site is best viewed on a modern W3C standards compliant browser such as Internet Explorer or Firefox.
  1. I understand. Don't warn me anymore.
  2. I want to upgrade my web browser to one of the following:
    • Internet Explorer 5.5+
    • Firefox
Banner — University Medical Center Phoenix  
Faculty
 

Return to Faculty Page

Anne-Michelle Ruha, M.D.Anne-Michelle Ruha, MD, FACMT
Director, Medical Toxicology Fellowship
Clinical Associate Professor of Emergency Medicine
University of Arizona College of Medicine
Undergraduate: Lafayette College, Easton Pa
Medical School: UMDNJ – New Jersey Medical School
Residency: Emergency Medicine, Morristown Memorial Hospital, NJ
Fellowship: Medical Toxicology, Good Samaritan Regional Medical Center, Phoenix
Board Certification: Emergency Medicine 2000, Toxicology 2002
Areas of Interest: Envenomations, Alcohol Withdrawal

Dr. Ruha's Publications

Publications:

Tanen DA, Ruha AM, Curry SC, Graeme KA, Reagan CG: Hypertonic Sodium Bicarbonate is Effective in the Acute Management of Verapamil Toxicity in a Swine Model.  Ann Emerg Med. 2000 Dec;36(6):547-553.
 
Ruha AM, Tanen DA, Suchard JR, Curry SC:  Combined Ingestion and Subcutaneous Injection of Elemental Mercury.  J Emerg Med. 2001 Jan;20(1):39-42.
 
Tanen DA, Ruha AM, Graeme KA, Curry SC: Epidemiology and Hospital Course of Rattlesnake Envenomations Cared for at a Tertiary Referral Center in Central Arizona.  Acad Em Med. 2001 Feb;8(2):177-182.
 
Tanen DA, Ruha AM, Graeme KA, Curry SC, Fischione MA:  Rattlesnake Envenomations: Unusual Presentations.  Arch Int Med. 2001;161:474-479.
 
Ruha AM, Tanen DA, Patel P, Wallace K:  Dilute Diquat Death. Am J Emerg Med. 2001 Oct;19(6):527-8. (letter)
 
Ruha AM, Selden B, Curry S:  Hemolytic Anemia Following Acetaminophen Overdose in a Patient with Glucose-6-Phosphate Dehydrogenase Deficiency. Am J Med. 2001 Feb 15;110:240-241. (letter)
 
Ruha AM, Tanen DA, Graeme KA, Curry SC, Miller MB, Gerkin R, Reagan CG, Brandon T:  Hypertonic Sodium Bicarbonate for Taxus media-Induced Cardiac Toxicity in Swine. Acad Em Med.  2002 Mar;9(3):179-85.
 
Ruha AM, Curry SC, Beuhler M, Katz K, Brooks DE, Graeme KA, Wallace K, Gerkin R, LoVecchio F, Wax P, Selden B: Initial postmarketing experience with crotalidae polyvalent immune Fab for treatment of rattlesnake envenomation. Ann Emerg Med.  2002 Jun;39(6):609-15.
 
Brooks DE, Graeme KA, Ruha AM, Tanen DA: Respiratory compromise in patients with rattlesnake envenomation.  J Emerg Med 2002 Nov;23(4):329-32.
 
Ruha AM, Graeme KA, Field A: Late Seizure Following Ingestion of Vicks VapoRub.  Acad Em Med  2003 Jun;10(6);691. (letter)
 
Katz K, Ruha AM, Curry SC: Aniline and Methanol Toxicity Following Shoe Dye Ingestion.  J Emerg Med  2004 Nov;27(4);367-369.
 
Kashani J, Ruha AM: Methamphetamine toxicity secondary to intravaginal body stuffing. J Tox Clin Tox  2004 42(7);981-983.
 
Ruha AM: Plants, in Ling LJ, et al (ed): Toxicology Secrets. Hanley & Belfus, Inc., Philadelphia. 2001
 
Wax PM, Ruha AM: Withdrawal Syndromes, in Irwin RS, et al (ed):  Intensive Care Medicine.  Lippincott-Raven, Philadelphia. 5th edition. 2003
 
Ruha AM: Snake Bites.  Critical Decisions in Emergency Medicine.  2004 May;18(9)
 
Katz K, Ruha AM: Barbiturates, in Brent J, et al (ed): Critical Care Toxicology.  Mosby, Inc. Philadelphia. 2005
 
Curry SC, Mills KC, Ruha AM: Neurotransmitters, in Goldfrank LR, et al (ed): Goldfrank's Toxicologic Emergencies.  8th ed. New York:McGraw-Hill, 2006.
 
Riley B, Pizon A, Ruha AM, Roberts JR, Otten EJ: Snakes and Other Reptiles, in Goldfrank LR, et al (ed): Goldfrank's Toxicologic Emergencies. 8th ed. New York: McGraw-Hill, 2006.
 
Pizon A, Riley B, Ruha AM, Roberts JR, Otten EJ: Antidotes in Depth: Antvenom (Crotaline and Elapid), in Goldfrank LR, et al (ed): Goldfrank's Toxicologic Emergencies. 8th ed. New York: McGraw-Hill, 2006.

Ruha AM, Yarema MC: Pharmacologic Treatment of Acute Pediatric Methamphetamine Toxicity. Pediatr Emerg Care. 2006 Dec;22(12):782-785

Kashani JS, Ruha AM: Isolated atomoxetine overdose resulting in seizure. J Emerg Med. 2007 Feb;32(2)175-8.

Cannon R, Ruha AM: Insecticides, Herbicides and Rodenticides, in Adams J, Barton C, Collings J,
et al (ed): Adam’s Emergency Medicine. Saunders, 2008.

Cannon RD, Ruha AM, Kashani J. Acute Hypersensitivity Reactions Associated with the Administration of Crotalidae Polyvalent Immune Fab Antivenom. Ann Emerg Med. 2008 Jan 10.

Ruha AM, Curry SC, Gerkin RD, Caldwell KL, Osterloh JD, Wax PM. Urine Mercury Excretion Following DMSA Challenge in Fish Eaters. Arch Pathol Lab Med. 2009 Jan;133(1):87-92.

Ruha AM. The case report: a tool for the toxicologist. JMT 2009;5(1):1-2. (editorial)

Ruha AM, Curry SC. Recombinant Factor VIIa for Treatment of Gastrointestinal Hemorrhage following Rattlesnake Envenomation.Wilderness Environ Med. 2009;20:156-160.

Quan D, Ruha AM. Priapism Associated with Latrodectus Mactans Envenomation. Am J Em Med. 2009;27(6)

Gresham C, Levine M, Ruha AM. Case Files of the Medical Toxicology Fellowship at Banner Good Samaritan Medical Center in Phoenix, AZ: A non-warfarin anticoagulant overdose. J Med Toxicol. 2009;5(4):242-249.

Gresham C, Ruha AM. Respiratory failure following isolated ziprasidone ingestion in a toddler. J Med Toxicol. 2010 Mar;6(1):41-3.

Levine ML, Khurana A, Ruha AM. Polyuria, acidosis, and coma following massive ibuprofen ingestion. J Med Toxicol. 2010 Apr 24 (E pub prior to print)

Levine ML, Ruha AM. Images in Clinical Medicine: Rattlesnake envenomation. N Engl J Med. 2010 Jun 10;362:23

Ruha AM, Curry SC, Albrecht C, Riley B, Pizon A. Late Hematologic Toxicity Following Treatment of Rattlesnake Envenomation with Crotalidae Polyvalent Immune Fab AntivenomToxicon2011;57(1):53-59

Lavonas EJ, Ruha AM, Banner W, et al. Unified Treatment Algorithm for the Management of Crotaline Snakebite in the United States: Results of an Evidence-Informed Consensus Workshop. BMC Emergency Medicine 2011;11:2 (3 February 2011

Levine ML, Canning J, Chase R, Ruha AM. Cardiomyopathy following Latrodectus envenomation. West J Emerg Med. 2010;11(5):521-523

O 'Connor AD, Ruha AM, Levine ML. Pressure immobilization bandages not indicated in the pre-hospital management of North American snakebites. J Med Toxicol. 2011 Sept;7(3):251; E pub Jun 23 (letter)

Levine ML, Ruha AM, LoVecchio F, et al. Hypoglycemia following accidental pediatric sulfonylurea ingestions. Pediatr Emerg Care. 2011 Aug 22

Levine ML, Ruha AM, Goldstein JN. Evidence-based Emergency Medicine: systemic review abstract. Can asymptomatic patients with a supratherapeutic INR be safely treated as outpatients? Ann Emerg Med. 2011 May 31.

Levine ML, Brooks DE, Truitt C, Wolk B, Boyer E, Ruha AM. Toxicology in the ICU, Part 1: A general overview and approach to treatment. Chest. 2011 Sep;140(3):795-806.

Levine ML, Ruha AM, Graeme KA, Brooks DE, Canning J, Curry SC. Toxicology in the ICU, part 3: Natural toxins. Chest. 2011 Nov;140(5):1357-70.

Pressure Immobilization after North American Crotalinae Envenomation. Position Statement, created by Levine ML and Ruha AM and endorsed by the ACMT, AACT, AAPCC, EAPCC, IST, and APAMT. J Med Toxicol. 2011 Dec;7(4):322-3. and Clin Toxicol 2011 Nov 8 (Epub ahead of print)

Levine ML, Curry SC, Ruha AM, et al. Ethylene glycol elimination kinetics and outcomes in patients managed without hemodialysis. Ann Emerg Med. 2012 Jun;59(6):527-31. Epub 2012 Jan 5.

Levine ML, LoVecchio F, Ruha AM, Chu G, Roque P. Influence of drug use on morbidity and mortality in heat stroke. J Med Toxicol. 2012 Mar 24 (Epub ahead of print)

Levine M, Mihalic J, Ruha AM, French RE, Brooks DE. Heavy metal contaminants in yerberia shop products. J Med Toxicol. 2012 May 5. [Epub ahead of print]

O 'Connor AD, Ruha AM. Clinical Course of Bark Scorpion Envenomation Managed without Antivenom. J Med Toxicol. 2012 May 5. [Epub ahead of print]

Levine M. Ruha AM. Overdose of Atypical Antipsychotics: Clinical Presentation, Mechanisms of Toxicity and Management. CNS Drugs. 2012 Jun 5. (Epub ahead of print)

Skolnik AB, O 'Connor AD, Ruha AM, Curry SC. Recommendations regarding management of methanol toxicology. Ann Emerg Med. (in press) (letter)

Levine M. Ruha AM. Overdose of Atypical Antipsychotics: Clinical Presentation, Mechanisms of Toxicity and Management. CNS Drugs. 2012 Jul 1;26(7):601-11. Epub 2012 Jun 5.

Cohen JP, Ruha AM, Curry SC, et al. Plasma and Urine Dimercaptopropanesulfonate Concentrations After Dermal Application of TD-DMPS. J Med Toxicol. 2012 Nov 10. [Epub ahead of print]

Levine M, Froberg B, Ruha AM, Burns-Ewald M, Yen M, Claudius IA, Arthur AO, Tormoehlen L, Thomas SH. Assessing the toxicity and associated costs among pediatric patients admitted with unintentional poisonings of attention deficit-hyperactivity disorder drugs in the United States. Clinical Toxicology Mar 2013, Vol. 51, No. 3: 147–150.

Levine M, Curry SC, Padilla-Jones A, Ruha AM. Critical Care Management of Verapamil and Diltiazem Overdose With a Focus on Vasopressors: A 25 Year Experience at a Single Center. Ann Emerg Med. 2013 May 1. [Epub ahead of print]

Ruha AM: Spider Bites and Scorpion Stings, in Conn’s Current Therapy 2013. Elsevier, 2013.

Ruha, AM: Poisonous Plants and Animals. Clinical Decision Support: Critical Care Medicine, edited by Kellum JA, Fortenberry JD, Fuchs BD, Shaw A. 2013. Decision Support in Medicine, LLC. Wilmington, DE

Boyer L, Deagan J, Ruha AM, et al. Safety of intravenous equine F(ab’)2: insights following clinical trials involving 1534 recipients of scorpion antivenom. Toxicon. 2013 Aug 2. PMID:23916602

Ruha AM. Recommendations for Provoked Challenge Urine Testing. J Med Toxicol. 2013 Dec;9(4):318-25. PMID: 24113861

Ruha AM, Levine M. CNS Toxicity. Emerg Med Clin North Am. Lugassy and Smith, eds. 2014 Feb;32(1):205-21 PMID: 24275175

Levine M, Skolnik AB, Ruha AM, Bosak A, Menke N, Pizon AF. Complications following antidotal use of intravenous lipid therapy. J Med Toxicol. 2013 Dec 13 PMID:24338451

Levine M, Curry S, Ruha AM, Padilla-Jones A. In Reply. Ann Emerg Med. 2014 Jan;63(1):90-1. PMID:24355374 (letter, author reply to letter regarding publication 2013 Sep;62(3):252-8)

Ruha AM, Curry SC, Levine M. In Reply. Ann Emerg Med. 2014 Jan;63(1):93. PMID:24355377 (letter, author reply to letter regarding publication 2013 Sep;62(3):252-8)

Bosak AR, Ruha AM, Graeme KA. A case of neurotoxicity following envenomation by the Sidewinder rattlesnake, Crotalus cerastes. J Med Toxicol. 2014 Jan 11 (epub ahead of print) PMID: 24414250

Kopec K, Leikin J, Banner W, Ruha AM, Brent J. Management of cardiac dysrhythmias following hydrocarbon abuse: clinical toxicology teaching case from NACCT Acute & Intensive Care Symposium. Clin Toxicol. 2014;52(2):141-5. PMID:24476044

Levine M, Pizon AF, Ruha AM. Warfarin overdose: a 25 year experience. J Med Toxicol. 2014 Feb 1 (Epub ahead of print) PMID:24488527

Levine M, Ruha AM, Padilla-Jones A, Gerkin R, Thomas SH. Bleeding following rattlesnake envenomation in patients with pre-envenomation use of antiplatelet or anticoagulant medications. Acad Emerg Med 2014 Mar;21(3):301-307. PMID:24628755

Return to Faculty Page