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Nicholas E. Nacca, M.D.

Nicholas E. Nacca, M.D.

Emergency Medicine

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UR Medicine Faculty The University of Rochester Medical Faculty Group (URMFG) consists of over 900 specialist and primary care providers spanning 19 departments. URMFG is certified by the National Committee for Quality Assurance.
Accountable Health Partner Accountable Health Partners (AHP) is a network of over 2,000 community and UR medical faculty and a dozen leading hospitals throughout the region. AHP offers a full range of care.
Accepting New Patients

Contact

Appointment (585) 275-5730

About Me

Dr. Nacca was born Rochester NY. He completed his undergraduate work at University of Rochester with a Bachelor of Science in Neuroscience. He completed medical school, Emergency Medicine residency training, and Medical Toxicology fellowship at SUNY Upstate Medical University and the Upstate Poiso...
Dr. Nacca was born Rochester NY. He completed his undergraduate work at University of Rochester with a Bachelor of Science in Neuroscience. He completed medical school, Emergency Medicine residency training, and Medical Toxicology fellowship at SUNY Upstate Medical University and the Upstate Poison Control Center. He currently works as an Emergency Physician and Medical Toxicologist at University of Rochester Medical Center where he serves as the Director of Medical Toxicology. The Medical Toxicology consult service at URMC provides 24/7 call coverage for Strong Memorial Hospital and affiliates, fielding both inpatient and outpatient consultations for management of both intentional and unintentional ingestions, overdoses, and environmental exposures. Dr. Nacca’s focus is on Medical Toxicology and Emergency Medicine education, with interest in novel psychoactive substances and adulterated drugs of abuse.

Certified Specialties

Addiction Medicine - American Board of Preventive Medicine

Emergency Medicine - American Board of Emergency Medicine

Medical Toxicology - American Board of Emergency Medicine

Faculty Appointments

Associate Professor - Department of Emergency Medicine (SMD)

Credentials

Residency & Fellowship

Fellowship, Medical Toxicology, SUNY Upstate Medical University. 2013 - 2015

Residency, Emergency Medicine, SUNY Upstate Medical University. 2011 - 2013

Internship, Emergency Medicine, SUNY Upstate Medical University. 2010 - 2011

Education

MD | SUNY Upstate College of Health Professions. 2010

Publications

Journal Articles

Profound Hyperthermia Associated With Fentanyl and Cocaine Use With Suspected Synephrine Adulteration.

Choe AJ, Ellison R, Ramaswamy SR, Schult RF, Gerona R, Nacca N

The Journal of emergency medicine.. 2023 February 64 (2):259-262. Epub 02/11/2023.

Reduced plasma phosphatidylethanolamines in e-cigarette, or vaping, product use-associated lung injury (EVALI).

McGraw MD, Croft DP, Nacca NE, Rahman I

Pediatric pulmonology.. 2022 May 57 (5):1350-1354. Epub 03/09/2022.

Evaluation of high-dose insulin/euglycemia therapy for suspected ?-blocker or calcium channel blocker overdose following guideline implementation.

Schult RF, Nacca N, Grannell TL, Jorgensen RM, Acquisto NM

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.. 2022 March 2179 (7):547-555. Epub 1900 01 01.

Amphetamine and Clonidine Toxicity Resulting in Posterior Reversible Encephalopathy Syndrome.

Minhaj FS, Schult RF, Dvorak P, Nacca N

Pediatric emergency care.. 2021 December 137 (12):e1721-e1723. Epub 1900 01 01.

Ocular Flutter in Acute Doxylamine Intoxication.

Li DZ, Williams ZR, Nacca N, Lizarraga KJ

Neurology. Clinical practice.. 2021 October 11 (5):e740-e741. Epub 1900 01 01.

Weight loss in adolescents presenting with EVALI.

Nacca N, McGraw MD, Croft DP, Kalininskiy A

Pediatric pulmonology.. 2021 August 56 (8):2785-2786. Epub 06/08/2021.

E-cigarette exposures, respiratory tract infections, and impaired innate immunity: a narrative review.

Kalininskiy A, Kittel J, Nacca NE, Misra RS, Croft DP, McGraw MD

Pediatric medicine.. 2021 February 4 Epub 02/28/2021.

Leadership Roles in Opioid Stewardship and the Treatment of Patients with Opioid Use Disorder Among Medical Toxicologists.

Carpenter JE, Murray BP, Mazer-Amirshahi M, Laes JR, Nacca N, Nelson LS, Perrone J, Schwarz ES, Wiegand TJ, Wax PM

Journal of medical toxicology : official journal of the American College of Medical Toxicology.. 2020 April 16 (2):204-211. Epub 12/20/2019.

Kratom Adulterated with Phenylethylamine and Associated Intracerebral Hemorrhage: Linking Toxicologists and Public Health Officials to Identify Dangerous Adulterants.

Nacca N, Schult RF, Li L, Spink DC, Ginsberg G, Navarette K, Marraffa J

Journal of medical toxicology : official journal of the American College of Medical Toxicology.. 2020 January 16 (1):71-74. Epub 11/11/2019.

E-cigarette, or vaping, product use associated lung injury (EVALI): case series and diagnostic approach.

Croft DP, McGraw MD, Navarette KA, Marraffa J, Ginsberg G, Nacca NE, Bach CT, Kalininskiy A

The Lancet. Respiratory medicine.. 2019 December 7 (12):1017-1026. Epub 11/08/2019.

Nacca et al. In Reply to McCann et al.

Nacca N, Schult R

The Journal of emergency medicine.. 2019 September 57 (3):397-398. Epub 1900 01 01.

Coma, Seizures, Atrioventricular Block, and Hypoglycemia in an ADB-FUBINACA Body-Packer.

Nacca N, Schult R, Loflin R, Weltler A, Gorodetsky R, Kacinko S, Moran J, Krotulski A, Wiegand T

The Journal of emergency medicine.. 2018 December 55 (6):788-791. Epub 10/05/2018.

Mucosal Injury From Calcium Oxalate Crystals Resembling Anaphylaxis and Angioedema.

Ceretto V, Nacca N

The Journal of emergency medicine.. 2018 November 55 (5):666-669. Epub 09/24/2018.

Can elevated lactate and LDH produce a false positive enzymatic ethanol result in live patients presenting to the emergency department?

Nacca N, Hodgman MJ, Lao K, Elkins M, Holland MG

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2018 March 56 (3):189-192. Epub 08/16/2017.

In response to: "Loperamide metabolite-induced cardiomyopathy and QTc prolongation".

Eggleston W, Marraffa JM, Nacca N

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2017 November 55 (9):1023. Epub 06/15/2017.

Pediatric death after unintentional exposure to liquid nicotine for an electronic cigarette.

Eggleston W, Nacca N, Stork CM, Marraffa JM

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2016 November 54 (9):890-891. Epub 07/07/2016.

Systematic review of clinical adverse events reported after acute intravenous lipid emulsion administration.

Hayes BD, Gosselin S, Calello DP, Nacca N, Rollins CJ, Abourbih D, Morris M, Nesbitt-Miller A, Morais JA, Lavergne V,

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2016 June 54 (5):365-404. Epub 04/01/2016.

Loperamide toxicokinetics: serum concentrations in the overdose setting.

Eggleston W, Nacca N, Marraffa JM

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2015 June 53 (5):495-6. Epub 03/30/2015.

Serotonin syndrome following metaxalone overdose and therapeutic use of a selective serotonin reuptake inhibitor.

Martini DI, Nacca N, Haswell D, Cobb T, Hodgman M

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2015 March 53 (3):185-7. Epub 02/11/2015.

Randomized trial of a novel ACLS teaching tool: does it improve student performance?

Nacca N, Holliday J, Ko PY

The western journal of emergency medicine.. 2014 November 15 (7):913-8. Epub 10/09/2014.

Are those premature ventricular complexes?!

Thiara R, Nacca N, Szombathy T

The American journal of emergency medicine.. 2014 April 32 (4):396.e1-2. Epub 11/08/2013.

To close or not to close.

Nacca NE, Barros R, Kloss BT, Cantor RM

The Journal of emergency medicine.. 2014 March 46 (3):e79-81. Epub 12/05/2013.

The synthetic cannabinoid withdrawal syndrome.

Nacca N, Vatti D, Sullivan R, Sud P, Su M, Marraffa J

Journal of addiction medicine.. 2013 7 (4):296-8. Epub 1900 01 01.

Severe amiodarone induced pulmonary toxicity.

Nacca N, Bhamidipati CM, Yuhico LS, Pinnamaneni S, Szombathy T

Journal of thoracic disease.. 2012 December 4 (6):667-70. Epub 1900 01 01.

Nausea, vomiting, and diarrhea in a 9-year-old girl.

Nacca NE, Asaly M, Mackey J, Cantor R

Pediatric emergency care.. 2011 October 27 (10):954-6. Epub 1900 01 01.

Fractured penis in a patient taking sildenafil and warfarin.

Nacca NE, Kloss BT

International journal of emergency medicine.. 2010 October 163 (4):515. Epub 10/16/2010.

View from the door: Making pediatric transport decisions based on first impressions.

Mierek C, Nacca N, Scott JM, Wojcik SM, D'Agostino J, Dougher K, Gill H, Maheux S, Grant WD, Rodriguez E

JEMS : a journal of emergency medical services.. 2010 July 35 (7):68-9, 71, 73, 75, 77, 79, 81. Epub 1900 01 01.

Hematocolpos secondary to imperforate hymen.

Kloss BT, Nacca NE, Cantor RM

International journal of emergency medicine.. 2010 May 63 (4):481-2. Epub 05/06/2010.

Mass-gathering medical care: retrospective analysis of patient presentations over five years at a multi-day mass gathering.

Grant WD, Nacca NE, Prince LA, Scott JM

Prehospital and disaster medicine.. 2010 25 (2):183-7. Epub 1900 01 01.

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