Exhibit 3

Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 1 of 40
Page 1 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF FLORIDA

CIVIL DIVISION

DEVIN FILIPPELLI as 

Personal Representative of the 

ESTATE OF KRYSTAL TALAVERA, CASE NO.: 9:22-cv-81731 

on behalf of the Estate and her Survivors, 

Plaintiff,

v. 

GROW, LLC (d/b/a KD INCORPORATED 

and THE KRATOM DISTRO); and SEAN 

MICHAEL HARDER, individually. 

Defendants.

/

EXPERT REPORT OF JOSEF THUNDIYIL, M.D.

REGARDING KRYSTAL TALAVERA

I. ASSIGNMENT AND RESERVATION

I have been asked to provide expert opinions, on behalf of Plaintiff the ESTATE 

OF KRYSTAL TALAVERA, regarding the wrongful death of Krystal Talavera. This 

report opines on Ms. Talavera’s death and the cause of her death, including the 

impact of causative nature of Defendants GROW, LLC’s and SEAN MICHAEL 

HARDER’s kratom products.

I reserve the right to rephrase or alter my opinions as additional information 

is received. At the time of drafting this report, I did not have the ability to review any 

deposition testimony of any witness. Deposition testimony of treating physicians,

including Palm Beach County Medical Examiner Dr. Terrill Tops, Defendants, and 

other witnesses will be relevant to this report and my opinions. As such, I reserve the 

right to supplement this report when further data, documents, or information 

becomes available and/or to correct it if errors are discovered. Further, at trial, I may 

use visual aids or demonstrative exhibits, such as diagrams, images, slides, or charts 

that illustrate and/or explain my opinions.

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Page 2 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

II. QUALIFICATIONS

I am a licensed medical doctor practicing in the state of Florida with Board 

Certifications in Emergency Medicine, Medical Toxicology, and Occupational and 

Environmental Medicine. I have over 20 years of clinical experience with 

independent practice. For the purposes of this case, I present myself as an expert in 

both acute management of medical conditions (Emergency Medicine) and the effects 

of chemicals and substances on the human health (Medical Toxicology). As an 

emergency physician, I treat patients with substance abuse, alcohol abuse, and 

altered mentation on a regular basis. As a toxicologist, I regularly evaluate and treat 

patients who suffer from the effects of the interplay of substances. 

I am currently the Residency Program Director at the Department of 

Emergency Medicine of the Orlando Regional Medical Center, where I also serve as 

a member of the Medical Toxicology Core Faculty. I am the Chairman of the 

Hospital’s Institutional Review Board. In addition to my duties at the Orlando 

Regional Medical Center, I also serve as a Professor of Emergency Medicine at the 

University of Central Florida, College of Medicine; as an Assistant Clinical Professor 

of Medical Toxicology at the Florida Poison Control Center at the University of 

Florida in Jacksonville, Florida; and as an Assistant Clinical Professor at Florida 

State University’s College of Medicine. I am currently Co-chair of the Orange County 

Opioid Task Force and was previously Chair of the State of Florida Opioid Task Force. 

I am currently on the Board of Directors for the Florida College of Emergency 

Physicians. 

After earning my medical degree from Northwestern University Medical 

School in Chicago, Illinois, I completed my internship and residency at the Orlando 

Regional Medical Center in Orlando, Florida. I then continued my specialty training 

with fellowships in medical toxicology and occupational and environmental medicine 

from the University of California, San Francisco. I received a Master’s Degree in 

Public Health from the University of California, Berkeley. I am currently licensed to 

practice medicine in Florida. I am a current Fellow of the American College of 

Emergency Medicine and American College of Medical Toxicology. I have attached, 

as Exhibit “A,” a copy of my Curriculum Vitae which fully outlines my clinical, 

research, and publication history and experience.

My experience and background have allowed me to gain extensive insight as 

to the clinical outcomes associated with overdose deaths, including the substance at 

issue here, kratom (mitragynine speciosa) and the marketing of those products.

To the best of my knowledge, I have never been disqualified as an expert

witness, nor had my opinions stricken.

DocuSign Envelope ID: BAF7AA8E-6546-408F-8F0E-A4638B3E9674 Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 3 of 40
Page 3 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

III. REVIEW AND SYNOPSIS OF OPINIONS

a. I agree with the Medical Examiner Report of Associate Medical

Examiner Terrill Tops, M.D., and the following findings: i) “Cause of

Death: Acute mitragynine intoxication;” ii) “Manner of Death:

Accident;” and iii) “Opinion: The decedent died from an acute

mitragynine intoxication. At high concentrations, mitragynine

produces opioid-like effects; such as, respiratory failure. The manner

of death is ‘Accident.’”

b. Defendants failed to warn Krystal Talavera of the risks associated

with consumption of kratom.

c. Krystal Talavera did not cause her own death.

IV. BACKGROUND MATERIALS REVIEWED AND/OR RELIED

UPON

a. Plaintiff’s Amended Complaint for Wrongful Death and Demand for

Jury Trial.

b. State of Florida, Bureau of Vital Statistics, Certification of Death,

issued April 28, 2022.

c. Palm Beach County Medical Examiner Report (Case No. M21-01109)

and accompanying photos.

d. Palm Beach County Coroner Forensic Investigator Report (Case No.

M21-01109).

e. AXIS Forensic Toxicology testing report (Laboratory Case No.

3225238).

f. Bethesda Health East hospital chart for admission of Krystal

Talavera on 06/20/2021.

g. Palm Beach County Fire Rescue report (Incident: PBC21068676).

h. Palm Beach County Sheriff’s Office Incident Details (Report No.

21077836).

i. Palm Beach County Sheriff’s Office Offense Report and

accompanying photos (Case No. 21077836).

j. Audio of Palm Beach County 911 call regarding Case No. 21077836.

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Page 4 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

k. Audio of Palm Beach County Sheriff’s interviews of: Biagio

Vultaggio, Devein Filippelli, and Teresa Hagerty regarding Case No.

21077836.

l. Photos of the kratom packages found in Krystal Talavera’s

possession.

m. Excerpts of the Kratom Distro website.

n. Food and Drug Administration (FDA) Import Alert 54-15.

o. Toxicology Report for Estate of Caleb Sturgis, et al. v. Social Herbal

Remedies, LLC by Michael J. Whitekus, Ph.D., DABT.

p. U.S. Dept. of Health and Human Services, Food and Drug

Administration, and Center for Drug Evaluation and Research,

Assessment of Abuse Potential of Drugs – Guidance for Industry,

January 2017.

q. Aggarwal, Geeta, et al., Death from Kratom toxicity and the possible

role of intralipid, Journal of the Intensive Care Society, Vol. 19(1) 61-

63 (2018).

r. Chang Chien, George C., DO, et al., Is Kratom the New ‘Legal High’

on the Block?: The Case of an Emerging Opioid Receptor Agonist with

Substance Abuse Potential, Pain Physician Journal, 20:E195-E198

(2017).

s. Giroir, Brett. P., MD et al., November 28, 2018, comment on October

17, 2017, letter “Basis for the recommendations to control

mitragynine and 7-hydroxymitragynine in Schedule 1 of the

Controlled Substances Act.”

t. Henningfield, Jack E., et al., The abuse potential of kratom according

the 8 factors of the controlled substances act: implications for

regulation and research, Psychopharmacology, 235:573-589 (2018).

u. Henningfield, Jack E., et al., Risk of death associated with kratom

use compared to opioids, Preventive Medicine, 128:105851 (2019).

v. Hill, Rob, et al., The respiratory depressant effects of mitragynine are

limited by its conversion to 7-OH mitragynine, Br. J. Pharmacol.,

179:3875-3885 (2022).

DocuSign Envelope ID: BAF7AA8E-6546-408F-8F0E-A4638B3E9674 Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 5 of 40
Page 5 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

w. Papsun, Donna M., The Trouble with Kratom: Analytical and

Interpretative Issues Involving Mitragynine, Journal of Analytical

Toxicology, 1-15 (2019).

x. Wilson, Lisa L., et al., Lyophilized Kratom Tea as a Therapeutic

Option for Opioid Dependence, Drug and Alcohol Dependence, Vol.

216, 108310 (2020).

y. Kamble, Shyam H., et al., Exploration of cytochrome P450 inhibition

mediated drug-drug interaction potential of kratom alkaloids,

Toxicology Letters, 319, 148-154 (2019).

z. Kamble, Shyam H., et al., Metabolism of a Kratom Alkaloid

Metabolite in Human Plasma Increases Its Opioid Potency and

Efficacy, ACS Pharmacol. Transl. Sci., 6:1063-1068 (2020).

aa. Muller, Elisabeth, et al., Kratom instrumentalization for severe pain 

self-treatment resulting in addition – A case report of acute and 

chronic subjective effects, Heliyon (2020).

bb.Singh, Darsahn, et al., Current and Future Potential Impact of 

COVID-19 on Kratom (Mitragyna speciosa Korth.) Supply and Use, 

Frontiers in Psychiatry, Vol. 11, Art. 574483 (2020)

cc. Mohammad Farris Iman Leong Bin Abdullah and Darshan Singh,

Assessment of Cardiovascular Functioning Among Regular Kratom

(Mitragyna speciosa Korth) Users: A Case Series, Frontiers in

Pharamacology, Vol. 12, Art. 723567 (2021).

dd.Mohammad Farris Iman Leong Bin Abdullah and Darshan Singh,

The Adverse Cardiovascular Effects and Cardiotoxicity of Kratom

(Mitragyna speciosa Korth.): A Comprehensive Review, Frontiers in

Pharmacology, Vol. 12, Art. 726003 (2021).

ee. Damodaran, Thenmoly, et al., Comparative Toxicity Assessment of 

Kratom Decoction, Mitragynine and Speciociliatine Versus Morphine 

on Zebrafish (Danio rerio) Embryos, Frontiers in Pharmacology, Vol. 

12, Art. 714918 (2021).

ff. Henningfield, Jack E., et al., Kratom Abuse Potential 2021: An 

Updated Eight Factor Analysis, Frontiers in Pharmacology, Vol. 12, 

Art. 775073 (2022)

gg. McCurdy, Christopher R., Kratom: What science is discovery about 

the risks and benefits of a controversial herb, The Conversation, Jan. 

22, 2021.

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Page 6 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

hh.Prevete, Elisabeth, et al., A systematic review of (pre)clinical studies 

on the therapeutic potential and safety profile of kratom in humans, 

Hum Psychoparmacol Clin Exp., e2805 (2021).

ii. Buckhalter, Shoshana, The Antidepressant-Like and Analgesic

Effects of Kratom Alkaloids are accompanied by Changes in Low

Frequency Oscillations but not ∆FosB Accumulation, Frontiers in

Pharmacology, Vol. 12, Art. 696461 (2021).

jj. Henningfield, Jack E., et al., Respiratory effects of oral mitragynine 

and oxycodone in a rodent model, Psychopharmacology, 239:3793-

3804 (2022).

kk.Stanciu, Cornel, et al., Kratom as an opioid alternative: harm, or 

harm reduction? A systematic review of literature, The American 

Journal of Drug and Alcohol Abuse (2022).

ll. Swogger, Marc T., et al., Understanding Kratom Use: A Guide for

Healthcare Providers, Frontiers in Pharmacology, Vol. 13, Art.

801855 (2022).

mm. World Health Organization, Pre-Review Report: Kratom

(Mytragyna speciosa), mitragynine, and 7-hydroxymitragynine,

Expert Committee on Drug Dependence, Forty-fourth Meeting,

Geneva, 11-15 October 2021.

Any of the above noted material may be used as exhibits to summarize or 

support my opinions herein.

V. OPINIONS AND BASIS THEREOF

These opinions are given to a reasonable degree of medical certainty.

a. Krystal Talavera’s cause of death is: acute mitragynine

intoxication.

Kratom is the common term for Mitragyna speciosa, a tree that is native to 

Southeast Asia. In traditional preparations, kratom leaves are used in tea as an 

herbal medicine for various medical conditions including pain and increased 

energy. In the United States, the commercially sold kratom often takes the form 

of processed powders and extracts. Both the effect and toxicity of kratom are dose 

related.

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Page 7 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

Kratom is considered a drug of concern by the US Drug Enforcement 

Administration, and the FDA has issued an Import Alert identifying kratom as a

New Dietary Ingredient (NDI) for which a reasonable expectation of safety has not 

been established. 

Kratom leaves produce over 25 alkaloid compounds. The most prominent 

psychoactive components are: (1) mitragynine (MTG); and (2) 7-

hydroxymitragynine (7HMG). Both MTG and 7HMG are partial agonists at the 

mu-opioid receptor, with 7HMG considered nine times more active than MTG. Most of 

the clinical effects of mitragynine are related to the mu-opioid receptor activity, 

although mitragynine has been reported to bind to other receptors including 

adrenergic, serotonin and dopamine receptors. Kratom action on opioid receptors 

is similar to other opiates. 

Regular consumption of kratom is associated with tolerance and 

dependency, requiring ingestion of higher doses to achieve similar analgesic 

effect. At higher doses, kratom has a sedative effect and is associated with 

respiratory depression. Kratom related deaths involve autopsy findings 

consistent with opioid toxicity, intractable seizures, or cardiorespiratory arrest. 

Often, when an individual dies from elevated opiate levels, the cause is 

properly attributed to a chronic dependency leading to escalated doses that 

exceed therapeutic levels. The same process occurs with kratom, with the 

important exception that those selling the kratom frequently do not provide 

warnings or safe instructions for use and dosing. 

Kratom’s adverse effects include severe dependence negatively 

affecting physical well-being and opioid-like withdrawal symptoms requiring 

medical intervention after addiction to kratom. 

A case report of an individual using kratom for chronic pain documented a 

pattern of daily kratom consumption in which tolerance development for 

analgesic effects was overcome by an increase in daily consumption. 

Ultimately, the high kratom dosing provided less relief and started to induce 

fatigue and drowsiness and rather prevented the patient from work and an 

active lifestyle. The patient ultimately required professional help for kratom 

withdrawal. 

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Page 8 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

On the morning of June 20, 2021, Krystal Talavera (DOB: 08/10/1981) was 

discovered by her partner, Biagio Vultaggio, face down and unresponsive on the 

living room floor. Nearby, Defendants’ kratom products were discovered. 

Paramedics were called. EMS records note Ms. Talavera was in Asystole, and 

resuscitation was attempted via chest compressions and use of automated 

mechanical compressions. EMS presumed a cardiac event and transported Ms. 

Talavera to Bethesda Health East. Records from Bethesda Health East note 

continued efforts at resuscitation, including multiple rounds of CPR and ACLS 

medication administration. However, Ms. Talavera remained without any pulse, 

any cardiac activity, or spontaneous respirations or movements, and she was 

therefore pronounced dead. The investigation of law enforcement did not find signs 

of foul play or suicide. 

The foregoing context supports the conclusion that Krystal Talavera died 

from a kratom overdose. 

My review of the medical and death records stated above indicates medical 

conditions including hypertensive cardiovascular disease (nephrosclerosis), 

hepatomegaly, and gastritis. These conditions may have been co-morbidities for 

Krystal Talavera but were not the primary cause of death. The primary cause of 

death was acute mitragynine intoxication with a quantified result of 1594 ng/mL, 

which is within fatal range. 

The toxicology results from Axis Labs directly support kratom toxicity as a 

cause of death. The blood level of mitragynine was 1594 ng/mL, consistent with a 

lethal level of mitragynine. The toxicology results also show that caffeine, cotinine, 

and naloxone were positive. These findings are expected in individuals who have 

ingested coffee and consume nicotine products (giving rise to cotinine). The 

naloxone was administered by first aid responders according to EMS records. 

The toxicology results confirm that the cause of death was directly related 

to kratom. I conclude from both the historical context and the toxicology results 

that kratom was the cause of death. This conclusion is being made with a 

reasonable degree of medical certainty. 

b. Defendants failed to warn Krystal Talavera of the risks

associated with consumption of kratom.

On its face, Defendants’ kratom packaging was completely bereft of any 

instructions for use. There were no warnings regarding drug-drug interaction, 

interaction with underlying medical conditions, dependence, or potential for 

overdose. Therefore, Defendants did not provide warnings or instructions for use 

with the kratom consumed by Ms. Talavera.

c. Krystal Talavera did not cause her own death.

DocuSign Envelope ID: BAF7AA8E-6546-408F-8F0E-A4638B3E9674 Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 9 of 40
Page 9 of 9 Report of Josef G. Thundiyil, MD, 

MPH, FAAEM, FACEP, FACMT

Patient: Krystal Talavera

Krystal Talavera’s death was caused by Defendants’ kratom, and there is no 

indication that Ms. Talavera’s death was caused by misuse or any fault of Ms. 

Talavera. 

VI. BIAS, COMPENSATION, AND PAST EXPERT TESTIMONY

I have no conflict of interest that would result in bias. I am being 

reimbursed through Plaintiff’s counsel for the work that I am providing as an 

expert on an hourly basis. I am not employed by any company that dispenses or 

promotes the use of kratom. I never met Krystal Talavera, nor do I know the 

Talavera family. 

My hourly rate for review and testimony is $550 per hour in this case, 

including but not limited to: research, record review, report writing, testimony, 

preparation, telephone consultation, independent medical examination, or any 

other work. 

During the previous four years, I have testified as an expert at trial or by 

deposition as shown on Exhibit “B” attached hereto.

________________________________________ Dated 

Josef G. Thundiyil, MD, MPH, FAAEM, 

FACEP, FACMT 

DocuSign Envelope ID: BAF7AA8E-6546-408F-8F0E-A4638B3E9674

2/22/2023 | 11:11 PM EST

Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 10 of 40
Updated 01/12/2023

Page 1

Josef G. Thundiyil, MD, MPH, FAAEM, FACEP, FACMT

Curriculum Vitae

Program Director

Orlando Regional Medical Center

Department of Emergency Medicine

University of Central Florida College of Medicine

Professor, Emergency Medicine

Florida State University College of Medicine

Clinical Assistant Professor, Emergency Medicine

University of Florida College of Medicine

Clinical Assistant Professor, Emergency Medicine

Attending Physician in Emergency Medicine, Medical Toxicology, and 

Occupational/Environmental Medicine

Personal:

Home Address: Orlando, FL

Business Address: 86 W. Underwood, Suite 200

Orlando, FL 32806

(407) 237-6329

Email: josef.thundiyil@orlandohealth.com

Place of Birth: Chicago, Illinois

Citizenship: United States of America

Education:

Undergraduate: NORTHWESTERN UNIVERSITY

Honors Program in Medical Education

Evanston, Illinois

Bachelor of Arts in Sociology, 1994

Medical School: NORTHWESTERN UNIVERSITY MEDICAL SCHOOL

Chicago, Illinois

Doctor of Medicine, 1998

Residency: EMERGENCY MEDICINE RESIDENCY

Orlando Regional Medical Center

July 1998 – June 2001

Master’s Degree MASTERS OF PUBLIC HEALTH

University of California, Berkeley 

Berkeley, California

May 2005

Exhibit "A"

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Page 2

Fellowships MEDICAL TOXICOLOGY

University of California, San Francisco

California Poison Control System, San Francisco Division

July 2003 - July 2006

OCCUPATIONAL AND ENVIRONMENTAL MEDICINE

University of California, San Francisco

July 2004 - June 2006

Work Experience: Program Director

Department of Emergency Medicine

Orlando Regional Medical Center

Orlando, FL

March 2017 - present

Associate Program Director

Department of Emergency Medicine

Orlando Regional Medical Center

Orlando, FL

July 2011 - March 2017

Assistant Program Director

Department of Emergency Medicine

Orlando Regional Medical Center

Orlando, FL

October 2008 - June 2011

Visiting Team Medical Liaison

National Football League

2018 - present

Professor of Emergency Medicine

University of Central Florida College of Medicine

July 2017 - present

Associate Professor of Emergency Medicine

University of Central Florida College of Medicine

July 2011 – July 2017

Assistant Clinical Professor, Medical Toxicology

Florida Poison Control Center

University of Florida, Shands, Jacksonville

September 2008 - present

Medical Toxicology Core Faculty

Department of Emergency Medicine

Orlando Regional Medical Center

September 2006 - present

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Page 3

Clinical Assistant Professor of Emergency Medicine

Florida State University College of Medicine

University of Florida College of Medicine

September 2006 – present

Clinical Assistant Professor of Emergency Medicine

University of Central Florida College of Medicine

September 2006 – 2011

Attending Emergency Department Physician

Sutter Delta Medical Center

Antioch, CA

September 2003 - May 2005

Attending Emergency Department Physician

Mt. Diablo Medical Center

Concord, CA

September 2003 - June 2006

Attending Emergency Department Physician

St. Luke’s Hospital

Urban Community Hospital with annual volume near 30,000

San Francisco, CA

February 2003 - June 2006

Attending Emergency Department Physician

Flight Doctor for Whangarei Helicopter Rescue Team

Whangarei Base Receiving Hospital and Trauma Center

Rural Trauma Center 

Whangarei, New Zealand

July 2002 – January 2003

Medical Director Orange County EMS System

Provided online and off-line medical direction for nearly 2,000 paramedics 

and 11 Fire and EMS Agencies

Orlando, FL

July 2001 - June 2002

Attending Emergency Department Physician

Lakeland Regional Medical Center

Lakeland, FL

Adult and Pediatric Emergency Department Shifts 

Level II Trauma Center with over 100,000 annual patient visits

2nd busiest ED in Florida

July 2001 – June 2002

Assistant Medical Director for Paramedic Education Program

Assistant Professor Valencia Community College

Valencia Community College

Orlando, Florida

July 2000 – July 2001

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Occupational Health Physician

Orlando Regional Medical Center

Worked in primary care setting for occupational injuries

1999 – 2001

Crisis Intervention for the Mentally Ill

Janet Wattles Center, State of Illinois Mental Health Facility

1993 – 1994 

Other Affiliations: Assistant Faculty, Medical Toxicology

Florida Poison Control Center

University of Florida, Shands

Jacksonville, FL

September 2008 - present

Assistant Faculty, Pharmacy Residency

Orlando Regional Medical Center

Orlando, FL

September 2006 - present

Assistant Faculty, Pediatric Emergency Medicine Fellowship

Orlando Regional Medical Center

Orlando, FL

September 2008 - present 

EMS Faculty

Orange County EMS / EMS Fellowship

Orange County, FL

Toxicology Consultant

Orange County EMS

Orange County, FL

Accreditations:

LICENSURE: Florida Board of Medicine

BOARD CERTIFICATIONS: 

Diplomate: United States Medical Licensing Exam, 1999

Diplomate: American Board of Emergency Medicine

November 21, 2002; Recertified 2012, 2022

Diplomate: ABEM- Medical Toxicology

December 2006; Recertified 2016

Diplomate: American Board of Preventive Medicine

Occupational/Environmental Medicine

December 2007 – January 31, 2018

Certifications: National Association of EMS Medical Directors, January 2002

Counter Narcotics Tactical Operations Medical Support, 

September 2000

Advanced Traumatic Life Support Certified

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Affiliations: American College of Emergency Physicians

American Academy of Emergency Medicine

American College of Medical Toxicology

American College of Occupational and Environmental Medicine

Council of Emergency Medicine Residency Directors

Society for Academic Emergency Medicine

American Academy of Clinical Toxicology

Awards: Recipient of Occupational Physician Scholarship Fund

2004-2005 & 2005-2006

 Fellow of American Academy of Emergency Medicine

 

Fellow of the American College of Emergency Physicians

October 2009

Fellow of the American College of Medical Toxicology, 2011

Practice of Medicine Preceptor Excellence Award 2012

University of Central Florida College of Medicine

For Demonstrating Excellence in Teaching

Teacher of the Year 2012 - 2013

Department of Emergency Medicine

Orlando Regional Medical Center

Focused Individualized Research Experience (FIRE) 

University of Central Florida College of Medicine

Mentor to 2013 2nd and 3rd place award winners

Teacher of the Year 2013 - 2014

Department of Emergency Medicine

Orlando Regional Medical Center

Spirit of Winnie Award 2014

For embracing culture of caring, willingness to make sacrifices, service to 

others, honesty, positive attitude, and commitment to highest quality of 

care

Council of Emergency Medicine Residency Directors Award 2014

For commitment to excellence in education and nurturing the future of 

Emergency Medicine through fostering the highest standards in resident 

education. For 5 years of dedicated service as an Associate Program 

Director

Teacher of the Year 2014 - 2015

Department of Emergency Medicine

Orlando Regional Medical Center

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Teacher of the Year 2015 - 2016

Department of Emergency Medicine

Orlando Regional Medical Center

Certificate of Appreciation

The AACN Metropolitan Orlando Chapter

For presentation on April 11, 2017

Class of 2018 Dr. Salvatore Silvestri Award

The Florida State University COM Orlando Regional Campus

May 2, 2018

Leadership/ Community Activities:

COMMITTEES: Board of Directors

Florida College of Emergency Physicians

August 2022- present

Opioid Settlement Funds Advisory Committee (2022)

Unintentional Overdose Mortality Review (UOMR)

University of Central Florida

April 2021 - present

State Opioid Working Group

Appointed by Attorney General Moody 

January 2019

Liaison

ACMT to CORD

March 2018 - present

CME Committee

Orlando Health

March 2017 - July 2018 

Reaccreditation Subcommittee

July 2018 – present

Co-Chair, Healthcare Subcommittee

Orange County Heroin Task Force

September 2015 – February 2016

Chairman, Institutional Review Board

Orlando Health

July 2015 – present

Co-Chair. Healthcare Subcommittee of Orange County Heroin Task Force. 

September 2015 - present

Orange County Heroin Task Force

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Orange County Government. 

September 2015 - February 2016

Curriculum Development, Medical Toxicology Subsection

Florida College of Emergency Medicine

Board Review Course

June 2015

Emergency Medicine Core Content Reviewer and Development

Section 17, Medical Toxicology

June 2015

Co-Chair, Education Committee

Florida College of Emergency Physicians

July 2015 - present

Institutional Review Board, Vice Chair

Orlando Health

October 2011 - July 2015

Institutional Review Board, Member

Orlando Health

March 2011 - present

 Clinical Competency Committee, Member 

Department of Emergency Medicine

Orlando Regional Medical Center

June 2008 – present

Chairman, Clinical Competency Committee 

Department of Emergency Medicine

Orlando Regional Medical Center

June 2008 – March 2017

Medication Use Subcommittee

Orlando Regional Medical Center

September 2007 - present

Pharmaceuticals and Therapeutics Committee

Orlando Regional Medical Center

January 2007 – present

Publication Committee 

Editor, American College of Medical Toxicology (ACMT) Newsletter

American College of Medical Toxicology

November 2006 - present

Chairman, Clinical Care Committee

Department of Emergency Medicine

Orlando Regional Medical Center

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Joint resident/attending committee designed to improve patient care/ED 

flow

2000 – 2001

VOLUNTEER Physician Volunteer at Coalition for the Homeless

Orlando, FL 

1999 - 2000 

Volunteer at inner city schools 

Discussed preventive health issues for adolescents

Los Angeles, CA

September 2000

Orange County Public Schools

Blankner Middle School Athletic Physicals 

2017, 2018

Electric Daisy Carnival

Medical Volunteer

2017 to present

INTERNATIONAL: Regional Director Africa Subcommittee

American College of Medical Toxicology

January 2009 - 2011

Organizer, American College of Medical Toxicology (ACMT) Symposium

7th Toxicology Conference in the Developing World

Sun City, South Africa

2009

Consultant, Intergovernmental Forum on Chemical Safety

World Health Organization

Geneva, Switzerland

July 2006

Content Reviewer. WHO Training Package for the Health Sector. World 

Health Organization. “Children and Chemicals.” July 2006. Created by 

Jenny Pronczuk, MD. 

Attending Physician, Whangarei Hospital, New Zealand,

July 2002-January 2003 

Emergency Flight Physician, Whangarei Base Hospital, New

Zealand, August 2002- December 2002 

Medical Mission Trip, Dominican Republic, August 1999

Emergency Medicine Physician, November 1999

Melbourne, Australia, Royal Melbourne Hospital 

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Medical Volunteer Work

Shongwe Hospital, South Africa 

April 1998

Research and Publications:

Posters: O’Brien, JF, Thundiyil JG., Modica RF. The Utility of Upright Versus 

Lateral Decubitus Positioning in Lumbar Puncture: A Prospective Study. 

Abstract Published in Icelandic Journal of Emergency Medicine, June 2002

Silvestri S., Ralls GR., Rothrock SG, Thundiyil JG. The Effect of a 

Protocol to Limit the Number of Intubation Attempts on Intubation 

Success Rate by Paramedics. Abstract Published in Prehospital Emergency Care, 

January 2003

Thundiyil JG, Murphy NG, Tan J, Olson KR. Scombroid Induced 

Myocardial Ischemia. Poster presented at North American Congress of 

Clinical Toxicology, Seattle, WA. September 2004

Thundiyil JG, Anderson IB, Stuart P, Olson KR. Lamotrigine Induced 

Seizures. Poster presented at North American Congress of Clinical 

Toxicology, Seattle, WA. September 2004

Hayashi SA, Thundiyil JG, Flori H, Kearney TE. Acute Iron Toxicity 

from Accidental Intravenous Administration of an Oral Iron Preparation. 

Poster presented at North American Congress of Clinical Toxicology, 

Seattle, WA. September 2004

Thundiyil, JG, Kearney TE, Olson KR. The Evolving Epidemiology of 

Drug-Induced Seizures Reported to a Poison Control System. Poster 

presented at North American Congress of Clinical Toxicology, Seattle, WA. 

September 2004

Thundiyil, JG, Kalantri SP, Leeman E, et al. Arsenic Poisoning in 

Bangladesh: A Public Health Disaster. Poster presented at UC Berkeley 

Environmental Public Health Symposium, Berkeley, CA. May 2005

Thundiyil JG, Yuan Y, Smith AH, Steinmaus C. Seasonal Variation of 

Arsenic Concentration in Wells in Nevada. American College of 

Occupational and Environmental Medicine, Los Angeles, CA. May 2006

Thundiyil JG, Modica R, Silvestri S, Papa L. Are USMLE Scores 

Predictive of ABEM In-Training Exam Scores for Emergency Medicine 

Residents? Poster presentation at the 2007 Society for Academic 

Emergency Medicine Annual Meeting, Chicago, IL. May 16 – 19, 2007 

Thundiyil JG, Christiano-Smith D, Greenberger S, Modica RF, Posey L. 

Dietary Knowledge and Practices in a Pediatric Emergency Department 

Population. Presented at 4th Mediterranean Emergency Medicine 

Congress. Sorrento, Italy. September 2007

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Thundiyil JG, O’Brien JF, Papa L. Utility of Upright Versus Lateral 

Decubitus Positioning for Lumbar Puncture. Presentation at American 

College of Emergency Physicians Scientific Assembly, Seattle WA. October 

8-11, 2007

Thundiyil JG, O’Brien JF, Papa L, Silvestri S, Wu T, Leech S, Cassidy D, 

Modica RF. Predictors of Failing to Match in an Emergency Medicine 

Residency. Poster presentation at Society for Academic Emergency 

Medicine Annual Meeting Washington DC. May 2008

Thundiyil JG, Rosenberg M, Greenberger S, Rawal A, Latimer J. 

Comparison of Broselow Versus Physician Estimate of Pediatric Weights. 

Poster presentation at Society for Academic Emergency Medicine Annual 

Meeting, Washington DC. May 2008

Thundiyil JG, Rowley, Papa L, Olson KR, Kearney T. Risk Factors for 

Complications of Drug-induced Seizures. Poster presentation at Society for 

Academic Emergency Medicine Annual Meeting, Washington DC. May 

2008

Thundiyil JG, Christiano-Smith D, Greenberger S, Latimer J, Modica RF. 

Risk Factors for Pediatric Obesity in an Urban Pediatric Emergency 

Department. Poster presentation at American College of Emergency 

Physicians Scientific Assembly, Chicago, IL. October 2008

Rosenberg M, Thundiyil JG, Greenberger S, Rawal A, Latimer J. Is 

Physician Adjustment Of The Broselow Tape Measurement An Accurate 

Estimate of Pediatric Patients Weights? Poster presentation Society for 

Academic Emergency Medicine Annual Meeting, New Orleans, LA. May 

2009

Thundiyil JG, Papa L, Freeman N, Brennan D. The Impact of FireRelated Air Pollution on ED Admissions. Poster presentation Society for 

Academic Emergency Medicine Annual Meeting, New Orleans, LA. May 

2009

Brennan D, Thundiyil JG, Ladde J, Silvestri S. Resident Evaluation -

Subjective Versus Objective Measures. Poster presentation Society for 

Academic Emergency Medicine Annual Meeting, New Orleans, LA. May 

2009

Thundiyil JG, Flach E, Negusse J, Silvestri S. Utility of the Standardized 

Letter of Recommendation (SLOR) to Predict Matching in an Emergency 

Medicine Residency. Poster presentation Society for Academic Emergency 

Medicine Annual Meeting, New Orleans, LA. May 2009

Silvestri S, Van Dillen C, Ralls G, Brennan D, Thundiyil JG, Ladde J, Papa 

L. A Systems-based Approach to Increasing the Availability and Quality of 

Emergency Medicine Resident-Teaching Physician Patient Encounters 

While Experiencing ED Crowding. Poster presentation American College 

of Emergency Physicians Scientific Assembly, Boston, MA, October 2009

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Ramirez J, Thundiyil JG, et al. MRI Utilization Trends in a Large Tertiary 

Care Pediatric ED. Poster presentation at American College of Emergency 

Physicians, Las Vegas, NV, October 2010

Blue R, Whittle J, Thundiyil JG, et al. Prevalence of MRSA in Out-ofHospital Healthcare Providers. Poster presentation at American College of 

Emergency Physicians, Las Vegas, NV, October 2010

Semmons R, Whittle J, Thundiyil JG, et al. Methicillin Resistant 

Staphylococcus Aureus in Ambulances. Poster presentation at American 

College of Emergency Physicians, Las Vegas, NV, October 2010

Rosenberg M, Thundiyil JG, et al. Does Physician Estimates of Pediatric 

Patients Weights Lead to Inaccurate Medication Dosages? Poster 

presentation at American College of Emergency Physicians, Las Vegas, NV, 

October 2010

Weber K, Denney C, Thundiyil JG, Giordano P. Prevalence and 

Prediction of Deterioration after Drowning in the Emergency Department. 

Poster presentation at American College of Emergency Physicians, Las 

Vegas, NV, October 2010

Semmons R, Thundiyil JG, Giordano P, Ladde J, Weber K, Whittle J et al. 

Does Sampling Of Additional Sites Increase Sensitivity When Screening 

For MRSA In Emergency Department Healthcare Workers? Poster 

presentation at Society for Academic Emergency Medicine Annual Meeting,

Boston, MA, June 2011

Wood A., Polozola A., Schauben J, Thundiyil JG, Kunisaki, Sollee D, 

Lewis-Younger C. Review of Eastern Coral Snake (Micrurus fulvius fulvius) 

Exposures in Florida: 1998-2010. Clinical Toxicology 2012; 50(7): 646-647

Ladde J, Alofs E, Thundiyil JG, et al. Does an Educational Video Improve

the Knowledge of Pediatric Asthma Patients Visiting a Level 1 Pediatric 

Trauma Center Emergency Department? Poster Presentation, Society for 

Academic Emergency Medicine Annual Meeting, Atlanta. GA. May 2013. 

Acad Emerg Med 2013: 20(5); S165

Doyle S, Caddell E, Thundiyil JG. Correlation Between Opiate Prescribing 

Rates and State Medicaid Costs. Poster Presentation, Society for Academic 

Emergency Medicine Annual Meeting, Atlanta GA. May 2013. Acad Emerg 

Med 2013: 20(5); S174

Hollingworth D, Papa L, Giordano P, Thundiyil JG. Do Do-NotResuscitate Orders Affect Treatment and Interventions Performed by 

Emergency Physicians? Poster Presentation, Society for Academic 

Emergency Medicine Annual Meeting, Atlanta, GA. May 2013. Acad Emerg 

Med. 2013: 20(5); S246

Hollingworth D, Thundiyil JG, Giordano P, Papa L. Is There Agreement 

Between Emergency Physicians’ and Patients’ Interpretation of a DNR 

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Order? Poster Presentation, Society for Academic Emergency Medicine 

Annual Meeting, Atlanta, GA. May 2013. Acad Emerg Med 2013: 20(5); S274

Weber K, Giordano P, Sanders M, Sawyer S, Thundiyil JG et al. Chief 

Complaints of Patients Testing Positive in an Emergency Department HIV 

Screening Program. Poster Presentation, Society for Academic Emergency 

Medicine Annual Meeting, Atlanta, GA. May 2013. Acad Emerg Med. 2013: 

20(5); S277

Rodriguez A, Queen R, Silvestri S, Ladde J, Thundiyil JG, Cassidy DD. 

Introducing Resident Quality Officers: A Unique Niche for Emergency 

Medicine. Poster presentation at Council of Emergency Medicine 

Residency Directors (CORD) Academic Assembly. Ft. Lauderdale, FL. 

April 27 – 29, 2017

Queen R, Rodriguez A, Silvestri S, Ladde J, Thundiyil JG, Cassidy D, Papa 

L. Resident Quality Officers: A Unique Niche for Emergency Medicine. 

Poster presentation at Florida College of Emergency Physicians Annual 

Symposium by the Sea. Boca Raton, FL. August 3 – 6, 2017

Cozart A, Thundiyil J. Do Transcutaneous Carbon Dioxide and Oxygen 

Measurements Predict Severity of Illness in an Emergency Department 

Population? 10th Annual FIRE Research Conference. Orlando, FL. 

February 21, 2019 

Ladde J, Chin K, Feffer C, Barfield T, Kepple K, Miller S, Hunter C, 

Thundiyil J, Papa L. End Tidal Carbon Dioxide Measured Prospectively 

at ED Triage Performs Better Than Standard Triage Vital Signs in 

Predicting In-Hospital Mortality and ICU Admission. Poster presentation 

at Society for Academic Emergency Medicine Southeastern Regional 

Meeting. February 22, 2019

Randall T, Herb B, Thundiyil J, Brennan D, Ladde J, Hunter C. The 

Impact Of Quality Initiatives On Resident Productivity and Satisfaction In 

The Emergency Department. Poster presentation at Orlando Health 

Quality Retreat. March 8, 2019 

Brennan D, Thundiyil J, Evans A, Weber K. Comparison of Resident 

Productivity from 2007 to 2018 Within an Emergency Medicine Residency 

Training Program. Poster presentation at Society for Academic Emergency 

Medicine Southeastern Regional Meeting. February 22, 2019

Brennan D, Evans E Thundiyil J. Comparison of Resident Productivity 

from 2007 to 2018 Within an Emergency Medicine Residency Training 

Program. Poster presentation at Orlando Health Quality Retreat. March 8, 

2019

Joiner D, Koplon J, Thundiyil J, Ladde J, Papa L, Hunter C, Ralls G. 

Analyzing Patients Admitted From The Emergency Department Requiring 

Transfer To The Intensive Care Unit Within 24 Hours. Poster presentation 

at Orlando Health Quality Retreat. March 8, 2019 

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Heine E, Shaughnessy A, Bailey D, Clemmons M, Thundiyil J, Ladde J. 

Assessing Quality In Education: Trends In Self-Learning And Correlation 

To In-Training Examination. Poster presentation at Orlando Health 

Quality Retreat. March 8, 2019 

Munizza O, Weatherford T, Akujuobi I, Thundiyil J, Ladde J. Does A 

Curricular Innovation Designed To Highlight “Great Saves” Improve 

Resident Wellness? Poster presentation at Orlando Health Quality Retreat. 

March 8, 2019 

Kepple K, Heine E, Williams A, Thundiyil J. Educational Impact of

Interactive Snake Envenomation Session on Learning and Retention in

Emergency Medicine Residents. Poster presentation at Orlando Health 

Quality Retreat. March 8, 2019

 

Barneck M, Papa L, Cozart A, Lentine K, Ladde J, Nguyen L Mayfield J, 

Thundiyil J. The Utility of Transcutaneous Carbon Dioxide and Oxygen 

Measurements to Predict Severity of Illness in the ED. Poster presentation 

at Orlando Health Quality Retreat. March 8, 2019 

Ladde JG, Chin K, Feffer C, Barfield T, Kepple K, Miller S, Hunter C, 

Thundiyil J, Papa L. End Tidal Carbon Dioxide Measured Prospectively 

at ED Triage Performs Better Than Standard Triage Vital Signs in

Predicting In-Hospital Mortality and ICU Admission. Poster presentation 

at Orlando Health Quality Retreat. March 8, 2019

Akujuobi I, Thundiyil J, Hunter CL, Ladde J. Does an Educational 

Interactive Airway Lab Change Residents Choice of Airway and Comfort 

Level? Poster presentation at Council of Emergency Medicine Residency 

Directors (CORD). Seattle, WA. April 1, 2019

Heine E, Shaughnessy A, Bailey D, Clemmons M, Thundiyil J, Hunter C, 

Ladde J. Trends in Individualized Interactive Instruction Utilization and 

Correlation to In-training Examination. Poster presentation at Council of 

Emergency Medicine Residency Directors (CORD). Seattle, WA. April 1, 

2019

Cook L, Papa L, Ramirez J, Garfunkel A, Thundiyil J, Ladde J, Mittal M, 

Zonfrillo M. Differences in Serum Biomarkers in Youth After Concussion. 

Poster presentation at American Medical Society for Sports Medicine 

Conference (AMSSM). Houston, TX April 12-17, 2019

Barneck M, Evans A, Brennan D, Thundiyil J, Weber K. Comparison of 

Resident Productivity from 2007 to 2018 Within an Emergency Medicine 

Residency Training Program. Poster presentation at Florida College of 

Emergency Physicians Annual Symposium by the Sea. Boca Raton, FL. 

August 2 – 4, 2019

Barneck M, Papa L, Cozart A, Lentine K, Ladde J, Nguyen L, Mayfield J, 

Thundiyil J. Correlation of End Tidal Carbon Dioxide with 

Transcutaneous Carbon Dioxide in ED Patients. Poster presentation at 

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Florida College of Emergency Physicians Annual Symposium by the Sea. 

Boca Raton, FL. August 2 – 4, 2019

Barneck M, Papa L, Cozart A, Lentine K, , Ladde J, Nguyen L, Mayfield J, 

Thundiyil J. The Utility of Transcutaneous Carbon Dioxide and Oxygen 

Measurements to Predict Severity of Illness in the ED. Poster presentation 

at Florida College of Emergency Physicians Annual Symposium by the Sea. 

Boca Raton, FL. August 2 – 4, 2019

Bergeron B, Munizza O, Weatherford T, Akujuobi I, Thundiyil J, Ladde J. 

Does a Curricular Innovation Designed to Highlight “Great Saves” 

Improve Resident Wellness? Poster presentation at Florida College of 

Emergency Physicians Annual Symposium by the Sea. Boca Raton, FL. 

August 2 – 4, 2019

Black G, Heine E, Shaughnessy A, Bailey D, Clemmons M, Thundiyil J, 

Ladde J. Trends in Individualized Interactive Instruction Utilization and 

Correlation to In-training Examination. Poster presentation at Florida 

College of Emergency Physicians Annual Symposium by the Sea. Boca 

Raton, FL. August 2 – 4, 2019

Kepple K, Ladde J, Chin K, Feffer C, Barfield T, Miller S, Hunter C, 

Thundiyil J, Papa L. End Tidal Carbon Dioxide Measured Prospectively 

At ED Triage Performs Better Than Standard Triage Vital Signs In 

Predicting In-Hospital Mortality And ICU Admission. Poster presentation 

at Florida College of Emergency Physicians Annual Symposium by the Sea. 

Boca Raton, FL. August 2 – 4, 2019

Kittredge J, Joiner D, Koplon J, Thundiyil J, Ladde J, Hunter C, Papa L, 

Ralls G. Analyzing Patients Admitted from the Emergency Department 

Requiring Transfer to the Intensive Care Unit Within 24 Hours. Poster 

presentation at Florida College of Emergency Physicians Annual 

Symposium by the Sea. Boca Raton, FL. August 2 – 4, 2019

Mullins K, Akujuobi I, Thundiyil J, Hunter C, Ladde J. Does an 

Educational Interactive Airway Lab Change Residents Choice of Airway 

and Comfort Level? Poster presentation at Florida College of Emergency 

Physicians Annual Symposium by the Sea. Boca Raton, FL. August 2 – 4, 

2019

Ladde J, Thundiyil J, Stutsman M, Little I, Papa L. Does a Change in 

End-tidal Carbon Dioxide Level Predict High Altitude Mountain Sickness?

Poster presentation at Florida College of Emergency Physicians Annual 

Symposium by the Sea. Boca Raton, FL. August 2 – 4, 2019

Cook L, Ramirez J, Garfunkel A, Thundiyil J, Ladde J, Mittal M, Zonfrillo 

M. Differences in Serum Biomarkers in Youth After Concussion. Poster 

presentation at Florida College of Emergency Physicians Annual 

Symposium by the Sea. Boca Raton, FL. August 2 – 4, 2019

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Thundiyil J, Koplon J, Barneck M. A Case Series of ED Admitted 

Patients Requiring Transfer to the ICU Within 24 Hours. ePoster at SAEM 

Southeastern Regional Meeting. Greenville, SC. February 21 – 22, 2020 

Stutsman M, Little I, Williams A, Thundiyil J, Ladde J, Papa L. End Tidal 

Carbon Dioxide Predicts Acute Mountain Sickness Better Than Altitude. 

Lightning Oral accepted at 2020 Society for Academic Emergency Medicine 

Annual Meeting (conference cancelled due to COVID). Acad Emerg Med; 

27(Suppl 1): S203 (Abstract 504) May 2020 PMID 32394596

Thundiyil J, Ladde J, Hunter C, Hill A, Papa L. Emergency Medicine 

Resident Appreciation of Teaching Faculty Increases with Each PostGraduate Year. ePoster accepted at 2020 Society for Academic Emergency 

Medicine Annual Meeting (conference cancelled due to COVID). Acad 

Emerg Med; 27(Suppl 1): S261 (Abstract 675) May 2020 PMID 32394596

Barneck M, Cozart A, Nguyen L, Thundiyil J, Mayfield J, Lentine K, 

Ladde J, Papa L. The Accuracy of Transcutaneous and End Tidal Carbon 

Dioxide Measurements Obtained in the Emergency Department when 

Compared to Arterial Blood Gas Carbon Dioxide Measurements. Lightning 

oral presentation at SAEM Midwest Regional Meeting (Virtual Conference). 

September 23, 2020

Barneck M, Cozart A, Nguyen L, Thundiyil J, Mayfield J, Lentine K, 

Ladde J, Papa L. Transcutaneous carbon dioxide in conjunction with End 

Tidal carbon dioxide may differentiate pulmonary related diseases from 

undifferentiated chest pain in ED patients. Lightning oral presentation at 

SAEM Midwest Regional Meeting (Virtual Conference). September 23, 

2020 

Marcom M, Miller S, Thundiyil J, Ladde J, Hunter C, Papa L. The Effects 

of COVID-19 Pandemic on the Post Graduate Plans of Emergency 

Medicine Residents. Moderated Poster at Council of Emergency Medicine 

Residency Directors (CORD) Academic Assembly. San Diego, CA. March 

26 – 30, 2022

Papa L, Rosenthal K, Cook L, Caire M, Thundiyil JG, Ladde JG, Garfinkel 

A, Braga CF, Tan CN, Ameli NJ, Lopez MA, Haeussler CA, Mendez 

Giordano D, Giordano PA, Ramirez J, Mittal MK, Zonfrillo MR. 

Concussion Severity and Functional Outcome Using Biomarkers in 

Children and Youth involved in Organized Sports, Recreational Activities 

and Non-Sport Related Incidents. Brain Injury 2022 (E-Pub July 30, 2022) 

PMID: 35904331

Oral: Schaefer M, Thundiyil JG, Cook MD, Holmes JF, Offerman SR. Wound 

Botulism in Parenteral Drug Abusers: Time to Antitoxin Administration

Correlates with Intensive Care Unit Length of Stay. Oral Presentation at 

North American Congress of Clinical Toxicology, New Orleans, LA. 

October 24, 2007

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Thundiyil JG, O’Brien JF, Papa L, Silvestri S, Wu T, Leech S, Cassidy D. 

Correlation of Standardized Letter of Recommendation (SLOR) Elements 

with Emergency Residency Matching. Oral Presentation at Society for 

Academic Emergency Medicine Annual Meeting, Washington DC. May 

2008

Whittle J, Thundiyil JG, Giordano P, Silvestri S, et al. Prevalence of 

MRSA in the EMS Population. Oral Presentation at Society for Academic 

Emergency Medicine Annual Meeting, Phoenix, AZ, June 2010

Semmons R, Weber K, Giordano P, Thundiyil JG, et al. Low Incidence of 

MRSA Colonization Among House Officers. Lightning Oral Presentation, 

Society for Academic Emergency Medicine Annual Meeting, Chicago, IL, 

May 2012

Wood A., Polozola A., Schauben J, Thundiyil JG, Kunisaki, Sollee D, 

Lewis-Younger C. Review of Eastern Coral Snake (Micrurus fulvius fulvius) 

Exposures in Florida: 1998-2010. Oral P Presentation, North American 

Congress of Clinical Toxicology, Las Vegas, NV. October 2012

Caddell E, Doyle S, Thundiyil JG. Association Between Opioid 

Prescribing in Florida and Statewide Morbidity and Mortality. Lightning 

Oral Presentation, Society for Academic Emergency Medicine Annual 

Meeting, Atlanta, GA. May 2013. Acad Emerg Med. 2013: 20(5); S330

Thundiyil JG, Doyle S, Caddell E. The Association Between Statewide 

Opiate Prescribing Patterns and Drug-specific Mortality Rates over a 10-

year Period. Lightning Oral Presentation, Society for Academic Emergency 

Medicine Annual Meeting, Atlanta, GA. May 2013. Acad Emerg Med. 2013: 

20(5); S332

Gookin G, Thundiyil JG. The Impact of the Bugaboo Wildfires on 

Regional Emergency Department and Inpatient Visits. Lightning Oral 

Presentation, Society for Academic Emergency Medicine Annual Meeting, 

Atlanta, GA. May 2013. Acad Emerg Med. 2013: 20(5); S333

Thundiyil JG et al. POSED Study Group. Risk Factors Associated with 

Opioid Analgesic Prescribing in a Cross Section of 19 US Emergency 

Departments. Oral Presentation. American College of Medical Toxicology 

Annual Scientific Meeting, Clearwater, FL. March 27 – 29, 2015

Kim T, Gissendaner J, Mapp A, Brennan D, Thundiyil J, Evans A, Cherico 

A, Fredette J. Emergency Medicine Resident Productivity Over the Couse 

of Residency Training. Lightning Oral presentation at Society for 

Academic Emergency Medicine (SAEM) Annual Meeting. Las Vegas, NV. 

May 13 – 17, 2019 Acad Emerg Med 26 (Suppl 1):S131 (Abstract 332); May 

2019 PMID 31009163

Randall TJ, Herb B, Thundiyil J, Brennan D, Hunter C, Ladde JG. The 

Impact of Quality Initiatives on Resident Productivity and Satisfaction in 

the Emergency Department. Lightning Oral presentation at Society for 

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Academic Emergency Medicine (SAEM) Annual Meeting. Las Vegas, NV. 

May 13 – 17, 2019 Acad Emerg Med 26 (Suppl 1):S103 (Abstract 249); May 

2019 PMID 31009163

Ladde JG, Chin K, Feffer C, Barfield T, Kepple K, Miller S, Hunter C, 

Thundiyil J, Papa L. End Tidal Carbon Dioxide Outperforms Standard 

Triage Vital Signs in Predicting Mortality and ICU Admission. Lightning 

Oral presentation at Society for Academic Emergency Medicine (SAEM) 

Annual Meeting. Las Vegas, NV. May 13 – 17, 2019 Acad Emerg Med 26 

(Suppl 1):S51 (Abstract 99); May 2019 PMID 31009163

Little I, Thundiyil J, Ladde J, Stutsman M, Papa L. Does a Change in 

End-tidal Carbon Dioxide Level Predict High Altitude Mountain Sickness? 

Oral presentation at Society for Academic Emergency Medicine (SAEM) 

Annual Meeting. Las Vegas, NV. May 13 – 17, 2019 Acad Emerg Med 26 

(Suppl 1):S79 (Abstract 178); May 2019 PMID 31009163

Barneck M, Cozart A, Nguyen L, Thundiyil J, Mayfield J, Lentine K, 

Ladde J, Papa L. Correlation of End Tidal Carbon Dioxide with 

Transcutaneous Carbon Dioxide in ED Patients. Poster presentation at 

Society for Academic Emergency Medicine (SAEM) Annual Meeting. Las 

Vegas, NV. May 13 – 17, 2019 Acad Emerg Med 26 (Suppl 1):S277 (Abstract 

758); May 2019 PMID 31009163

Miller S, Ladde J, Thundiyil J, Papa L. Association Between Red Blood 

Cell Transfusions, Mortality and Abbreviated Injury Scale in Patients with 

Trauma. Poster presentation at 2021 Society for Academic Emergency 

Medicine Annual Meeting (Virtual) 

Acad Emerg Med; 28 (Suppl.1): S336-337 (Abstract 708); May 2021 

doi.org/10.1111/acem.14249 PMID: 33945187 

Weatherford T, Thundiyil J. Use of Lactate as a Predictor of Pediatric 

Submersion Injury Severity. Poster presentation at 2021 Society for 

Academic Emergency Medicine Annual Meeting (Virtual) May 11 – 14, 

2021 Acad Emerg Med; 28 (Suppl.1): S65; May 2021 

doi.org/10.1111/acem.14249 PMID: 33945187 

Baba T, Nguyen L, Jamasbi A, Weatherford T, Davison J, Papa L,

Thundiyil JG. B-Lines on Point-of-Care Chest Ultrasound are Associated 

with Clinical Outcomes in Pediatric Submersion Patients. Lightning Oral 

presentation at Society for Academic Emergency (SAEM) Medicine Annual 

Meeting. New Orleans, LA. May 10 – 13, 2022 Acad Emerg Med; 29

(Suppl.1): S63; May 2022 doi/10.1111/acem.14031 PMID: 35578990

Chapters/Publications: Thundiyil JG. Lithium Toxicity. Call Us. The Official Newsletter of the

California Poison Control System. Volume 1(6), November 2003 

http://www.calpoison.org

Silvestri S, Ralls GR, Krauss B, Thundiyil JG, et al. The Effectiveness of 

Out-of-Hospital Use of Continuous End-Tidal Carbon Dioxide Monitoring 

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on the Rate of Unrecognized Misplaced Intubation Within a Regional 

Emergency Medical Services System. Ann Emerg Med 2005; 45(5): 497-502. 

PMID: 15855946

Thundiyil JG, Olson KR. Lithium Toxicity. In: Hadaad and Winchester’s. 

Clinical Management of Poisoning and Drug Overdose, 4th ed. Shannon M, 

Borron S and Burns M, eds. Philadelphia, PA: W.B. Saunders Company. 

June 2007. 

Thundiyil JG, Beauchamp JK, Olson KR. Approach to Poisoning and 

Overdose. In Wachter LM, Goldman L and Hollander H, eds. Hospital 

Medicine. Philadelphia, PA: Lippincott Williams and Wilkins, 2005

Thundiyil JG. Sulfonylurea Toxicity. Call Us. The Official Newsletter of 

the California Poison Control System. http://www.calpoison.org

Thundiyil JG, Ralls G, Silvestri S. Orange County EMS Hazardous 

Materials Protocols. 2005

Thundiyil, JG. Halons and Freons. In Olson KR ed., Poisoning &Drug 

Overdose, 5th edition. San Francisco, CA: McGraw-Hill Co., 2007

Thundiyil, JG. Trichloroethane, Trichloroethylene, and 

Perchloroethylene. In Olson KR ed., Poisoning &Drug Overdose, 5th

edition. San Francisco, CA: McGraw-Hill Co., 2007

Thundiyil JG, Anderson IB, Stuart P, Olson KR. Lamotrigine-induced 

Seizures in a Child: A Case Report and Review of the Literature. Clinical 

Toxicology. 2007; 45(2): 169-172. PMID: 17364635

Thundiyil, JG, Kearney TE, Olson KR. Evolving Epidemiology of DrugInduced Seizures Reported to a Poison Control Center System. Journal of 

Medical Toxicology 2007 Mar; 3(1): 15-19. PMID: 18072153

Thundiyil JG, Solomon GM, Miller MD,. Transgenerational Exposures: 

Persistent Chemical Pollutants in the Environment and Breast Milk. 

Pediatric Clinics of North America. 2007; 54(1): 81-101. PMID: 17306685

Thundiyil JG, Yuan Y, Smith AH, Steinmaus C. Seasonal Variation of 

Arsenic Concentration in Wells in Nevada. Environmental Research. 2007 Jul; 

104(3): 367-373. PMID: 17459366

Giordano PA, Lyon C, Wu T, Thundiyil JG, Weber K, Falk J. Board 

Review Questions in Emergency Medicine. Resident & Staff Physician 

53(5), May 2007

Thundiyil J, Ladde J, Leech S, Weber K, Giordano P. Board Review 

Questions: Emergency Medicine. Resident and Staff Physician.

www.residentandstaff.com/issues/articles/EMreview2008.asp

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Thundiyil JG, Stober J, Besbelli N, Pronczuk J. Acute Pesticide Poisoning: 

a Proposed Classification Tool. Bulletin of the World Health Organization. 2008 

Mar 86(3): 205-209. PMID: 18368207

Thundiyil JG, Modica R, Silvestri S, Papa L. Are USMLE Scores 

Predictive of ABEM In-Training Exam Scores for Emergency Medicine 

Residents? J Emerg Med; 2010 Jan;38(1):65-9. PMID: 18950974

Modica RF, Thundiyil JG, Chou C, Diab M, Von Scheven E. Teaching 

Musculoskeletal Physical Diagnosis Using a Web-Based Tutorial and 

Pathophysiology-Focused Cases. Med Educ Online. 2009 14(13). PMID: 

2016527

Offerman SR, Schaefer M, Thundiyil JG, Cook MD, Holmes JF. Wound 

Botulism in Injection Drug Users: Time to Antitoxin Correlates with 

Intensive Care Unit Length of Stay. West J Emerg Med. 2009 Nov; 

10(4):251-6. PMID: 20046244

Thundiyil, JG, Christiano-Smith D, Greenberger S, Cramm K, Latimer J, 

Modica R. Trimming the Fat: Identification of Risk Factors Associated 

with Obesity in a Pediatric Emergency Department. Pediatric Emergency Care

2010 Oct; 26(10): 709-715. PMID: 20881910

Thundiyil JG, Porter JA, Williams J. Drug and Toxin-induced Seizures. 

Emergency Medicine Reports 2010 Mar; 31(6): 1-16

Balmes J, Harber J, Talmadge K, Thundiyil JG, Harber P, Seward J, et al. 

Low Prevalence of Chronic Beryllium Disease Among Workers at a 

Nuclear Weapons Research and Development Facility. Journal of 

Occupational Environmental Medicine 2010 Jun; 52(6): 647-652. PMID: 

20523233

Thundiyil JG, Rowley F, Papa L, Kearney T, Olson K. Risk factors for 

Complications in Drug-induced Seizures. Journal of Medical Toxicology. 2011 

Mar; 7(1): 16-23. PMID: 20661684

Semmons R, Thundiyil JG. Hallucinogens. Chapter in Kazzi and Shih et al 

(eds). The AAEM/RSA Toxicology Handbook, Second Edition. United 

Press; 2011

Ladde J, Thundiyil JG. Irritant Gases. Chapter in Kazzi and Shih et al 

(eds). The AAEM/RSA Toxicology Handbook, Second Edition. United 

Press; 2011

Rosenberg M, Greenberger S, Rawal A, Latimer J, Thundiyil JG. 

Comparison of Broselow Tape Measurements versus Physician Estimations 

of Pediatric Weights. American Journal of Emergency Medicine 2011 Jun; 

29(5):482-488. PMID: 20825816

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Anderson J, Thundiyil JG, Stolbach A. Clearing the Air: A Review on the 

Effects of Particulate Matter Air Pollution on Human Health. Journal of 

Medical Toxicology 2012 Jun; 8(2): 166-175. PMID: 22194192

Wood A, Schauben J, Thundiyil JG, Kunisaki T, Sollee D, Lewis-Younger 

C, Bernstein J, Weisman R. Review of Eastern Coral Snake (Micrurus 

fulvius fulvius) Exposures Managed by the Florida Poison Information 

Center Network: 1998-2010. Clinical Toxicology 2013 Sep; 51(8): 783-788. 

PMID: 23962099

Hoppe JA, Nelson, LS, Perrone J, Weiner SG, Thundiyil JG, et al. Opioid 

Prescribing in a Cross Section of US Emergency Departments. Ann Emerg

Med 2015 Sep; 66(3):253-259. PMID: 25952503

Thundiyil JG. Why Antibiotics, Blood Thinners & Diabetes Medication 

May Lead to a Trip to the ER. Orlando Health Blog. May 25, 2017

Hunter CL, Thundiyil JG, Ladde J, Stone A, Miller S, Rodriguez A, Smith 

H, Stalbaum T, Ralls G, Silvestri S. Emergency Care at a Music Festival: A 

First Person Report. Emerg Med June2017;248-257. 

Thundiyil JG. Summer Safety Tips: 5 Ways to Make Sure You Stay Out of 

the ER. Orlando Health Blog. August 15, 2017

Thundiyil JG. Emergency Medicine Residency Program Director 

Response to the Pulse Nightclub Shooting Incident. In: Orlando Health 

Disaster Response. Online Book Chapter. April 2018.

Thundiyil J. Attorney General’s Opioid Working Group. Florida’s Opioid 

Epidemic: Recommendations & Best Practices. March 1, 2019

Thundiyil JG, Sisk ML. How Delaying Care Can Increase Your Risks. 

Orlando Health Blog. April 27, 2020

Barneck M, Papa L, Cozart Z, Lentine K, Ladde J, Nguyen L, Mayfield J, 

Thundiyil J. The Utility of Transcutaneous Carbon Dioxide 

Measurements in the Emergency Department: A Prospective Cohort Study. 

J Am Coll Emerg Physicians Open 2021 Jul 17;2(4):e12513.

doi: 10.1002/emp2.12513. eCollection 2021 Aug.

PMID 34296208

Fredette J, Kim T, McHugh D, Gissendaner J, Cherico A, Mapp A, 

Brennan D, Thundiyil J, Nomura J. A Descriptive Analysis of 

Emergency Medicine Resident Productivity Over the Course of Training. 

AEM Educ Train 2021;5(Suppl 1):S44-48 PMID 34616972

Papa L, Ladde J, O’Brien JF, Thundiyil J, Tesar J, Leech SJ, Cassidy DD, 

Roa J, Hunter C, Miller S, Baker S, Parrish GA, Davison J, Van Dillen C, 

Ralls GA, Briscoe J, Falk J, Weber K, Giordano PA. Evaluation of Glial 

and Neuronal Blood Biomarkers Compared with Clinical Decision Rules in 

Assessing the Need for Computed Tomography in Patients with Mild 

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Traumatic Brain Injury. JAMA Network Open 2022;5(3):e221302 

doi:10.1001/jamanetworkopen.2022.1302. PMID: 35285924

Papa L, Rosenthal K, Cook L, Caire M, Thundiyil JG, Ladde JG, Garfinkel 

A, Braga CF, Tan CN, Ameli NJ, Lopez MA, Haeussler CA, Mendez 

Giordano D, Giordano PA, Ramirez J, Mitta MK, Zonfrillo MR. 

Concussion Severity And Functional Outcome Using Biomarkers In 

Children And Youth Involved In Organized Sports, Recreational Activities 

And Non-Sport Related Incidents. Accepted in Brain Injury July 22, 2022; 

Published online: July 29, 2022. PMID: 35904331

Thundiyil JG. Allergies? Here’s How to Use an EpiPen. Orlando Health 

Blog. November 1, 2022

Thundiyil JG, O’Brien JF, Tymkowicz AE, Papa L. Is Lateral Decubitus 

or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching 

Hospital? Journal of Emergency Medicine, 

https://doi.org/10.1016/j.jemermed.2022.09.002 PMID: 36639325

Invited Presentations: Thundiyil JG. Course faculty and speaker for TraumEd. Assessment of 

the Patient with Altered Mental Status. Whangarei, New Zealand. Hosted 

by Whangarei Hospital. September 28th, 2002

Thundiyil JG. Course faculty and speaker for Hot Topics in Toxicology. 

Hosted by University of California, San Francisco. Oakland, CA. 

November 5, 2005

Thundiyil JG. Grand Rounds Presenter. Chemical Terrorism. John Muir 

Medical Center -Concord Campus. May 2006

Thundiyil JG. Course faculty and speaker for Chemical Agents of Opportunity 

for Terrorism. Terrorism by Fear and Uncertainty: Delayed Toxic 

Syndromes. American College of Medical Toxicology /EPA/ Agency for 

Toxic Substances and Disease Registry. San Francisco, CA, November

2005; March 2006

Thundiyil JG. Common Household Poisonings. Grand Rounds at Arnold 

Palmer Hospital for Children, Orlando, FL. January 2011

Thundiyil JG. Synthetic Cocaine - Bath Salts. Media interview for WKMG 

Orlando Channel 6. January 2011

Thundiyil JG. Synthetic Cocaine- Bath Salts video interview. CNN; 

January 27, 2011

Thundiyil JG. Moderator/Speaker Toxicology Subspecialty Section. 

Antidotes. American Academy of Emergency Medicine Annual Scientific 

Assembly, Orlando, FL. February 2010

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Thundiyil JG. Health Effects from Radiation Release of Japanese Tsunami 

Damaged Nuclear Power Plants. Fox35 Orlando News Interview; March 

12, 2011

Thundiyil JG. Long Term Radiation Effects. Fox35 Orlando News 

Interview. March 13, 2011

Thundiyil JG. Radiation Sickness Treatment. Fox 35 Orlando News 

Interview. March 14, 2011

Thundiyil JG. Course Organizer. Oil and Water: The Role of Toxicology 

in Disaster Response. Co-Sponsored by American College of Medical 

Toxicology and Agency for Toxic Substances and Disease Registry.

Clearwater Beach, FL. March 17, 2011

Thundiyil JG. Toxicity of Air Pollution: Particulate Matter and Public 

Health. American College of Medical Toxicology Spring Conference. Tots, 

Teens, and Toxicology. Clearwater Beach, FL. March 18, 2011 

Thundiyil JG. Synthetic Bath Salts. WFTV/ABC. April 21, 2011

Thundiyil JG. Rising Blood-Alcohol Levels in Drivers. Orlando Sentinel. 

May 27, 2011

Thundiyil JG. Interaction of Alcohol and Medications. WKMG Orlando 

Channel 6. August 31, 2011

Thundiyil JG. Narcotic Abuse in Orlando. WFTV Orlando Channel 9. 

December 6, 2011

Thundiyil JG. Media Release with Mayor Teresa Jacobs and Florida 

Hospital regarding prescription drug policy for Orlando hospitals. January 

18, 2012. 

Thundiyil JG. Real Time Feedback: Coaching Residents to Their Personal 

Best. Council of Emergency Medicine Residency Directors Academic 

Assembly, Atlanta GA. April 1 - 4, 2012

Thundiyil JG. Moderator for Council of Emergency Medicine Residency 

Directors Academic Assembly Research Poster Symposium. Atlanta, GA. 

April 1 – 4, 2012

Thundiyil JG. Course Faculty and Speaker. Prehospital Toxicology: Life 

Saving Tips. Pediatric Neonatal Education Program. Florida Hospital, 

Orlando, FL. April 2012.

Thundiyil JG. Bath Salts. Fox 35. June 5, 2012 

Thundiyil JG. Bath Salts. Fox35. June 14, 2012 

Thundiyil JG. Toxins in School Supplies, WKMG Orlando Channel 6, 

2012

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Thundiyil JG. Coral Snake Antivenin Set to Expire. WKMG Orlando 

Channel 6, October 4, 2012

Thundiyil JG. The Largest Mass Poisoning in the World: Arsenic Toxicity 

in Bangladesh. University of Central Florida College of Medicine Global 

Health Conference 2012-1013, Orlando, FL. 

Thundiyil JG. Informed Families. The Florida Family Partnership. Lock 

Your Meds. Webinar. Prescription for Disaster: Prescription Drug Abuse in 

Florida. January 24, 2013

Thundiyil JG. Carcinogens and Children’s Pajamas. WKMG Orlando 

Channel 6

Thundiyil JG. Carcinogens in the Household. WKMG Orlando Channel 6

Thundiyil JG. New Street Drugs: Kratom. WKMG Orlando Channel 6

Thundiyil JG. Academic Career Considerations. Emergency Medicine Life 

after Residency Workshop, Orlando, FL. September 24 – 25, 2013 

Thundiyil JG. Cocamide DEA and Potential Carcinogenic Risks. WKMG 

Orlando Channel 6

Thundiyil JG. Risk of E-cigarette Toxicity in Children. WKMG Orlando 

Channel 6. March 31, 2014

Thundiyil JG. Academic Career Considerations. Emergency Medicine Life 

after Residency Workshop, Orlando, FL. September 30 – October 1, 2014

Thundiyil JG. Trichloroacetic Acid in Chemical Skin Peels. WKMG 

Orlando Channel 6. November 10, 2014

Thundiyil JG. Any Given Sunday. Orlando Sentinel Online. November 

18, 2014

Thundiyil JG. Prescription Drug Monitoring Programs - Big Brother or 

Guiding Light. Panel Discussant. American College of Medical Toxicology 

Annual Scientific Meeting, Clearwater, FL. March 27 – 29, 2015

Thundiyil JG. Food Toxicology: Genetically Modified Foods and Human 

Health. American College of Medical Toxicology Annual Scientific 

Meeting, Clearwater, FL. March 27 – 29, 2015

Thundiyil JG. Clinical Toxicology Workshop. 53rd Annual Weil Critical 

Care and Emergency Medicine Conference. Las Vegas, NV. April 2015

Thundiyil JG. Emerging Street Drugs. 53rd Annual Weil /UC San Diego 

Symposium on Critical Care and Emergency Medicine. Las Vegas, NV. 

April 8 – 12, 2015

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Thundiyil JG. Drug Induced Seizures. 53rd Annual Weil /UC San Diego 

Symposium on Critical Care and Emergency Medicine. Las Vegas, NV. 

April 8 – 12, 2015

Thundiyil JG. Approach to the Poisoned Patient. 53rd Annual Weil /UC 

San Diego Symposium on Critical Care and Emergency Medicine. Las 

Vegas, NV. April 8 – 12, 2015

Thundiyil JG. Dangers of Synthetic Hallucinogens. Orlando Sentinel. 

April 2015

Thundiyil JG. Flakka in Florida. WDBO Radio. June 19, 2015

Thundiyil JG. Flakka in Florida. WFTV Orlando Channel 9. July 2015

Thundiyil JG. Summer Injury Prevention. Orlando Sentinel. July 2015

Thundiyil JG. Promising Practices in the Fight Against Heroin. Orange 

County Heroin Task Force. Presenter to Community Members, 

Government, Law Enforcement, and Mayor. Orlando, FL. October 2015

Thundiyil JG. Heroin’s Local Impact. Orange County Drug Abuse 

Summit. Winnie Palmer Hospital for Women and Babies, Orlando, FL. 

October 29, 2015

Thundiyil JG, Ladde J. Real Time Feedback: Coaching Your Students to 

Their Best. University of Central Florida College of Medicine, Faculty 

Development. Orlando, FL. June 29, 2016

Thundiyil JG. New Street Drugs of Abuse. Emergency Medicine 

Learning and Resource Center ClinCon Conference, Orlando, FL. July 14, 

2016

Thundiyil JG. Toxicology: What you Need to Know for the Boards. 

Florida College of Emergency Physicians Written Board Review Course. 

Orlando, FL. August 25, 2016

Thundiyil JG. The New Heroin Epidemic. Emergency Medicine 

Learning and Resource Center Street Drug Webinar Series. Orlando, FL. 

September 22, 2016

Thundiyil JG. Street Drugs: The Good, the Bad and the Dangerous. 

Metro Orlando AACN Chapter (MOC). Orlando, FL. April 11, 2017

Thundiyil JG. A Brown Recluse Spider Bite Left a Hole in Singer Meghan 

Linsey’s Face. Interview in SELF Magazine April 17, 2017

Thundiyil JG. Emerging Street Drugs and the Opioid Epidemic - The 

Good, The Bad, The Dangerous. Medical Leadership Conference. 

Orlando, FL. May 11, 2017

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Thundiyil JG. Opioid Addiction...What Can We Do About It? Panel 

Discussion. Tiger Bay Country Club / The Country Club of Orlando. 

Orlando, FL. May 23, 2017

Thundiyil JG. Street Drugs – A Best Practices Review. Emergency 

Medicine Learning and Resource Center ClinCon Conference, Orlando, FL. 

July 13, 2017

Thundiyil JG. Central Florida Spotlight: The Opioid Crisis. WFTV 

Orlando Channel 9. July 23, 2017

Thundiyil JG. Toxicology – What You Need to Know for the Boards. 

Emergency Medicine Learning and Resource Center Written Board Review 

Course. Orlando, FL. August 22, 2017

Thundiyil JG. Opioid and Heroin Addiction Task Force Meeting. 

Seminole County Office of Emergency Management (EOC). Sanford, FL. 

August 25, 2017

Thundiyil JG. Prescribing Opioids Safely. University of Central Florida 

College of Medicine. Lake Nona, FL. October 20, 2017

Thundiyil JG. #OrlandoUnited: Coordinating Medical Response to the 

Pulse Nightclub Shooting. WACEP 2018 Spring Symposium. Madison, 

WI. March 15, 2018

Thundiyil JG. Lessons Learned from Tragedy: Mass Shooting Events and 

the Learning Environment. Panel Discussion. Council of Emergency 

Medicine Residency Directors (CORD). San Antonio, TX. April 22, 2018

Thundiyil JG. Opioid Epidemic: ER Dr. Perspective. The Philips 

Phile/WTKS. May 2, 2018.

Thundiyil JG, Falk JL, Wohl A. Safe Opioid Prescribing for Acute Pain. 

Mandatory education for HB21: the Controlled Substances Bill. Emergency 

Medicine Learning & Resource Center. / Florida Board of Pharmacy. June 

14, 2018. 

Thundiyil JG. Firework Eye Injury? Here's What to Do. Orlando Sentinel. 

July 3, 2018.

Thundiyil JG. Prescribing Opioids Safely. 9th Annual Orthopedic 

Educational Summit. Orlando, FL. July 14, 2018

Thundiyil JG. Prescribing Opioids Safely. 2018 SCP Medical Leadership 

Conference. Orlando, FL. August 30, 2018

Thundiyil JG. Opioid Crisis. Moira's Mixed Company, News Radio 93.1 

WFLA. September 21, 2018

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Thundiyil JG. Effective Management of Opioid Abuse. Street Drugs in 

the Sunshine State Webinar Series. Emergency Medicine Learning & 

Resource Center. September 28, 2018 

Thundiyil JG. Street Drugs. South Seminole Hospital Grand Rounds. 

Longwood, FL. October 24, 2018

Ladde J, Thundiyil J. Giving Real-Time Feedback to Students: Coaching 

Your Students to Their Persona Best. Council of Emergency Medicine 

Residency Directors (CORD). Seattle, WA. April 1, 2019

Thundiyil J. Orlando Doctor Weighs in on US Vaping-Related Deaths. 

WKMG Orlando Channel 6. September 26, 2019

Thundiyil J. Vaping-related Illnesses pop up in Central Florida. Treating it 

is ‘Like weathering a hurricane,’ doctor says. Orlando Sentinel. October 8, 

2019 

Thundiyil J. It Impacts Us All – A Documentary on Opioids. October 

2019. 

Thundiyil JG. Tobacco Use in Florida Schools Doubles; What’s Being 

Done to Snuff Out the Trend. WFTV Orlando Channel 9. February 12, 

2020

Thundiyil JG, Bridges J. CVS Opioid Education – Tour and Training 

Event for CVS Representatives and Orlando Health Foundation. Orlando, 

FL. February 17, 2020

Thundiyil JG, Bridges J. Buprenorphine and the Controversies of MAT in 

the Opioid Epidemic. Street Drugs in the Sunshine State Webinar Series. 

Emergency Medicine Learning & Resource Center. February 24, 2020 

Thundiyil JG. Novel Synthetic Drugs & Buprenorphine. South Seminole 

Hospital Grand Rounds. Longwood, FL. March 4, 2020

Thundiyil JG. The COVID-19 Pandemic: Implications On Occupational 

Health. Webinar for Workers Compensation and Occupational Health Group 

by Hurley Rogner Workers Compensation Firm. April 3, 2020

Thundiyil JG. Florida ER Visits Plummet, Virus Scares Patients From 

Care. Interviewed by US & World News, San Francisco Chronicle. May 

12, 2020 

Thundiyil JG. Ask a Doctor: Heat Precautions. WKMG Orlando 

Channel 6. June 30, 2020

Thundiyil JG. CDC Says States No Longer Have To Track Lung-Related 

Injuries Caused By E-Cigarettes. WFTV Orlando Channel 9. July 15, 2020

Thundiyil J. Buprenorphine and Medication-Assisted Treatment. 

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AnchERs Podcast. September 1, 2020

Thundiyil J. Opioids. Bayfront Health St. Petersburg – Orlando Health. 

December 17, 2020

Thundiyil J. Staying Safe in the Heat. WFTV Orlando Channel 9. May 

28, 2021

Thundiyil J. Managing Opioid Addiction: The Epidemic Within our 

Pandemic. Medical Leadership Conference 2021. August 31, 2021

Thundiyil J. Managing Opioid Addiction Podcast. October 7, 2021

Thundiyil J. Clearing the Smoke on Self Medication: Medical Marijuana, 

CBD, and Kratom. Medical Leadership Conference 2022. Orlando, FL. 

May 4, 2022

Thundiyil J. Identifying Fellowship and Academic Opportunities. Life 

After Residency. Orlando, FL May 5, 2022

Thundiyil JG. Orlando Health Doctor Sees Explosion of Diversity in 

Health Care. WKMG Orlando Channel 6. May 31, 2022

Lectures: Preventing Medical Errors: Adverse Drug Events

Carbon Monoxide: The Silent Killer

State of the Art Approach to the Poisoned Patient

Common Household Poisonings: 

What every Parent and Pediatrician Should Know

Drug Induced Seizures: 

Pearls for Prevention of Morbidity and Mortality

Pitfalls in the Management of Cardiovascular Drug Toxicity

Disaster Preparedness: Chemical Terrorism

Pearls in Interpreting EKG’s: A Toxicologists Viewpoint

Optimal Study Design for Epidemiologic Studies

Recent Advances in the Treatment of Toxic Alcohol Poisoning

Acetaminophen Toxicity- the Unsuspected Killer

Great Saves: Toxicology Case Conference

#Orlando United: Coordinating Medical Response to the Pulse Nightclub 

Shooting.

Prescribing Opioids Safely

Clinical Trials/ Grants Health Equity Advisory Committee for Florida Blue Health Equity 

Grant

BCBS Opioid Grant

BCBS DEI Grant

Florida College of Emergency Physicians Matching Grant –EMS: Street 

Drugs in the Sunshine State. 2018 - 2021

CVS Health Opioid Education Grant 2020

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Florida College of Emergency Physicians Matching Grant –EMS: Street 

Drugs Webinar Series. 2016 - 2018

Subinvestigator. NIH-Sponsored Biomarkers of Mild and Moderate

Traumatic Brain Injury Study. 2010

Investigator. A prospective, multi-center observational study involving 

patients hospitalized with complicated skin and soft tissue infections 

(cSSTI) for IV antibiotic therapy. The cSSTI Registry. Protocol CEFTOSSK-4001. Ortho-McNeil Janssen Scientific Affairs,LLC. 2009

Medical Monitor. BANDIT Trial: Biomarkers of Brain Injury: Magnitude, 

Secondary Insults, and Outcome. Department of Defense Funded. 2008-9

Investigator. Beriplex Trial: An open-label, randomized, multicenter, Phase 

IIIb study to assess the efficacy, safety, and tolerance of Beriplex® P/N 

compared with plasma for rapid reversal of coagulopathy induced by 

coumarin derivatives in subjects with acute major bleeding. 2009

Investigator. Multicenter, Prospective, Randomized Controlled Study to 

Show Equivalence of DERMABOND PROTAPE TO DERMABOND 

HVD for Closure of Simple, Thoroughly Cleansed, Trauma-Induced

Wounds in the Emergency Department. 2008

Investigator. SCRAPE trial: A randomized, double-blind, multicenter, 

placebo-controlled, Phase III superiority study to assess the safety and 

efficacy of topical retapamulin ointment 1%, versus placebo ointment 

applied twice daily for 5 days in the treatment of adult and pediatric subjects 

with secondarily infected traumatic lesions. 2008

Investigator. Cerexa Trial:A Phase 3, Multi-Center, Randomized, DoubleBlind, Comparative Study to Evaluate the Safety and Efficacy of Ceftaroline 

versus Ceftriaxone, with Adjunctive Clarithromycin,in the Treatment of 

Adult Subjects with Community-Acquired Pneumonia. 2006

Subinvestigator, Protocol A1464-017 “A Randomized, Double-Blind, 

Multicenter, Comparative Phase III Study of 5-day oral BMS- 284756 vs 

oral Clarithromycin in the treatment of Mild to Moderate Communityacquired Pneumonia. 2001.

Subinvestigator. A Multicenter, Randomized, Double Blind Study Comparing 

the Clinical Effect of Intravenous Montelukast with Placebo in Patients 

with Acute Asthma (MK-0476). Protocol No 214-00. 2001.

Subinvestigator. A phase 3, multicenter, randomized, double-blind, controlled 

study to evaluate the efficacy and safety of peramivir administered 

intravenously in addition to standard of care compared to standard of care 

alone in subjects who are hospitalized due to influenza. Protocol No. 

BCX1812-301. BioCryst Pharmaceuticals, Inc.

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Updated 01/12/2023

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Subinvestigator. A Phase 3, multicenter, randomized, double-blind, placebocontrolled study to evaluate the efficacy and safety of intravenous 

peramivier in subjects with uncomplicated influenza. The RELIEF study. 

Protocol No. BCX1812-304. BioCryst Pharmaceuticals, Inc.

Subinvestigator. Complicated Skin Structure Infection Study. A Multicenter, 

Double-Blind Randomized Study to Evaluate the Efficacy and Safety of 

Single Dose IV Oritavancin versus IV Vancomycin for the Treatment of 

Patients with Acute Bacterial Skin and Skin Structure Infection (SOLO I). 

Protocol No. TMC-ORI-10-01. U.S. IND No. 51292. EudraCT No. 2010-

021424-94. November 2010.

Subinvestigator. 3M Study-05-011427. A Multi-Center, Prospective, 

Randomized Trial Comparing the Peripheral I.V. Catheter Complication 

Rates of Two Different Catheter-Stabilization Systems. June 2011.

Peer Reviewer Journal of Medical Toxicology

Resident and Staff Physician,

Pediatric Neurology

Pharmacology and Therapeutics

Human and Experimental Toxicology

Critical Care Medicine

Society for Academic Emergency Medicine Annual Meeting Abstract 

Reviewer – Council of Emergency Medicine Residency Directors 

Subgroup. 2010

Invited Moderator for Council of Emergency Medicine Residency 

Directors Moderated Poster Symposium, Orlando, FL. SAEM. March 2010

Council of Emergency Medicine Residency Directors. Reviewer for 

abstracts for Annual Meeting, 2012

Interests/Hobbies: EMS, International Medicine, Toxicology, Public Health

Hiking, Traveling, Surfing 

References: Jay L. Falk, M.D, FACEP

Academic Chairman

Department of Emergency Medicine

Orlando Regional Medical Center

(407) 237-6329

Jay Ladde, MD, FACEP

Sr. Associate Program Director 

Department of Emergency Medicine

Orlando Regional Medical Center

(407) 237-6329

DocuSign Envelope ID: BAF7AA8E-6546-408F-8F0E-A4638B3E9674 Case 9:22-cv-81731-DMM Document 43-3 Entered on FLSD Docket 04/07/2023 Page 39 of 40
Date Case Court Case No 

2019 Absher v. SE Leasing St. Petersburg OJCC No.: 18-023129SLR 

2019 Beddia v. Claires Concrete Orlando District OJCC No.: 18-018522 

2019 Suastegui v. Howard Port St. Lucie OJCC No.: 18-028649KFO 

2020 Greer v. Ivey

Orlando Division

US Middle District, CaseNo.: 6:15-cv-00677-CEM-

GJK

2020

Regional

Higginbotham v. Lawnwood Port St. LucieCaseNo.:19-CA-

000210AXXXAHC

2020 Alfaro v. SE Personnel Leasing Orlando OJCC No.: 19-024231TAH 

2020 Garcia v. Green Mountain Orlando OJCC No.: 19-016950TWS 

2020 Emma v. St. Lucie Port St. LucieCaseNo.: 

56201CA000152AXXXHC

2021 Benefiel v. Wright Hardware Clinton County IndianaCase No.: 12C01-1601-CT-

000055

2021 Hasaballa v. South Bay Lube, 

Inc

Orlando Case No.: 20-023027NPP 

2021 Martin v. SMG Worldwide 

Entertainment Louisiana

Parish of Orleans State of Case No.: 2017-00823 

2021 White v. Boeing Pensacola District OJCC No.: CAS: 20-026721JW 

2021 Enright v. Brevard County 

School

Sebastian District OJCC Case No.: 21-

003015RLD

2021 Emma Fabian v. St. Lucie 

Hospital

19

th

Judicial Circuit Court Case No.: 19CA000152XXXHC 

2022 Edwards v. Brevard Sherriff

Orlando Division

Middle District of Florida Case No.: 6:21-cv-00428-JA-

GJK

2022 Joseph W. Fontenot v. Union

Tank Car Company

13

th

Judicial District

Court Evangeline Parish,

Louisiana

Case No.: 78472-B 

2022 Ernestine Perdue v. Altapointe

Health System

Circuit Court Mobile

County Alabama

Case No.: 02-CV-2019-901399

00

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