#ACMT2025 | Annual Scientific Meeting

April 4-6, 2025
Fairmont Hotel, Vancouver Canada

The 2025 ACMT Annual Scientific Meeting (#ACMT2025) will take place from April 4-6 at the Fairmont Hotel in Vancouver, Canada. This event offers a unique opportunity for medical toxicology specialists to gather, learn, and network. Attendees will be exposed to cutting-edge research through a variety of educational sessions, with featured tracks covering Environmental & Public Health, Research, Addiction Toxicology, Professional Development, and New Insights! The meeting will also provide rich social and networking opportunities with receptions, business meetings, and awards ceremonies. Participants will leave equipped to enhance clinical decision-making, stay updated on emerging toxins and therapies, and foster multidisciplinary collaboration in managing complex toxicology cases. Continuing Education credits for Physicians, Pharmacists, and Nurses available.

AACT Member Discount: AACT Members who are not already ACMT members, are eligible to receive a discounted registration rate. Just enter the following code at checkout to receive a $50 discount. Discount code: AACT2025

Learner Objectives

After attending the event, participants should be able to:

• Enhance clinical decision-making in the field of Medical Toxicology.
• Summarize knowledge of emerging toxins and novel therapies.
• Organize multidisciplinary collaboration in the management of complex medical toxicology cases.

Questions?

Please write to ACMT at events@acmt.net

Registration Rates

Registration includes:

• Access to the live in-person event on April 4-6, 2025

• Access to the on-demand recording for 90 days after the event

• Access to the speaker slides

• Continuing Education credits are available for purchase for an additional fee. Click here for more info.

Early-Bird Rate

Early-bird rates expire at midnight on FEBRUARY 21, 2025. Fees increase to the Regular Rate after this date, no exceptions.

Membership Discounts

ACMT Members: ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

AACT Member Discount: AACT Members who are not already ACMT members, are eligible to receive a discounted registration rate. Just enter the following code at checkout to receive a $50 discount. Discount code: AACT2025

Refunds and Cancellations

Event registration cancellations received on or before February 17, 2025 (2/17/25) will receive a full refund less a 8% processing fee. Cancellations received between February 18, 2025 and March 18, 2025 (2/18/25-3/18/25) will receive a 50% refund. Cancellations made on or after March 19, 2025 (3/19/25) will not receive a refund. All Continuing Education registrations will be refunded in full less an 8% processing fee regardless of date.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.

Pending review, limited exceptions will be made based on need and circumstance and must be submitted in writing to events@acmt.net. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Agenda

Click on the link below to access the most up-to-date agenda. All times listed in local, Pacific time.

Continuing Education

Continuing Education credit for this activity is available for an additional fee. 

Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up 15.50 credits, commensurate with their participation. 

Available Continuing Educations Credits:

• Continuing Medical Education (CME)
• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)

Purchase/Claim CE

Travel Info

ACMT is heading to Vancouver for the 2025 ACMT Annual Scientific Meeting & Symposia! If you are a US Citizen, you will need a valid passport to enter Canada. Citizens of other countries may need additional documentation, like a Visa. Not sure what documents you’ll need? No problem! Click on the button below to find out what sorts of identity documents you will need to successfully enter Canada and attend #ACMT2025.

Find Out If You Need a Visa to Travel to Canada

Visa Information

Obtaining a Visa to enter Canada is the responsibility of the participants. ACMT has registered this conference with the Immigration, Refugees and Citizenship Canada’s (IRCC) Special Events Liaison Unit (SELU) and can assist you by issuing an invitation letter, however, we are not involved in the visa issuing process, this is solely the responsibility of the competent Canadian embassy or consulate.

You must be registered participant to be considered for an invitation letter. ACMT is not allowed to issue invitation letters to anyone who has not fully paid their conference registration fee. To avoid any delays, we encourage all those who need a visa to enter Canada, to register as early as possible and apply for the visa.

Request Letter of Invitation

Hotel – Discounted Group Block

ACMT has secured a discounted rate for attendees of our 2025 ACMT Annual Scientific Meeting & Symposia. We encourage you to book your stay at the conference hotel for the best selection and price!

Fairmont Hotel Vancouver
900 West Georgia St.
Vancouver, BC VC6 2W6

Exclusive hotel rate available until March 10, 2025 or when room block is filled, whichever comes first.

Book Your Stay

First-Time Attendees will be assigned buddies!

New to ACMT and/or our conference? If you're a first-time attendee, you'll be automatically assigned a Buddy to enhance your conference experience! Your Buddy/Member will be a friendly, knowledgeable guide to show you around, introduce you to key sessions, and help you network with other attendees. They will be available to answer your questions and provide insights to ensure you feel welcomed and well-prepared. By having a Buddy, you'll gain a head start in making meaningful connections and fully benefiting from all the opportunities our conference has to offer. Don't miss this chance to start your ACMT journey with a supportive community right by your side.

Invitation to Serve as a Buddy

Are you a seasoned ACMT member who loves to share your knowledge and enthusiasm? We invite you to become a Buddy for our upcoming conference! As a Buddy, you'll have the opportunity to welcome new members, show them around, and help them navigate the event. It's an easy gig where you'll make yourself available for introductions and Q&A, ensuring that our new attendees feel at home and can make the most of their conference experience. Volunteering as a Buddy is a fantastic way to give back to the ACMT community, build new connections, and reinforce the collaborative spirit that makes our association special. Join us in creating a warm, inclusive environment where everyone can thrive.

2025 ACMT Symposium | Harm Reduction in the Management of SUD

April 3, 2025
Fairmont Hotel, Vancouver Canada

Join the American College of Medical Toxicology (ACMT) on Thursday, April 3, 2025 for the ACMT Symposium: Harm Reduction in the Management of SUD at the Fairmont Hotel in Vancouver, Canada.

Harm reduction has become a key tool in managing substance use disorders (SUD), yet remains loosely defined. It encompasses various measures, including needle exchanges, naloxone distribution, safe consumption sites, and fentanyl test strips. While needle exchange programs have proven effective in reducing infections from intravenous drug use, the impact of other harm reduction strategies is harder to quantify.

Support for harm reduction varies among professionals and the recovery community, with its success depending on when and where the tools are used, the methods chosen, and the combination with other treatments. Different settings—emergency departments, ICUs, or outpatient clinics—may require distinct approaches.

Vancouver’s pioneering leadership in harm reduction makes it an ideal location for this full-day in-person symposium, which will explore harm reduction in detail, presenting the latest evidence and examining its application in special populations, healthcare settings, and recovery stages. Topics include integrating harm reduction with SUD medications and substance use education, inpatient high-dose methadone titration, and a case-based panel discussion on “Lived Experience.” The symposium will appeal to a wide range of professionals in medicine, including those in family medicine, emergency medicine, medical toxicology, addiction medicine, and beyond.

Learner Objectives

After attending the event, participants should be able to:

• Analyze the evidence surrounding various harm reduction strategies in the management of substance use disorders, with a focus on their effectiveness across different settings and populations.
• Evaluate the role of harm reduction tools at different stages of the recovery process and identify how they can be integrated with other treatment modalities to optimize patient outcomes.
• Discuss the ethical and practical considerations of harm reduction practices, including the perspectives of healthcare providers, patients, and the broader recovery community.

Continuing Education

Continuing Medical Education (CME), Continuing Pharmacy Education (CPE) and Continuing Nursing Education (CNE) credits are available for this activity. It is expected that learners will receive up to 6.00 credits for learning and change. These credits are available for an additional fee. Click here for more info.

Questions?

Please write to ACMT at events@acmt.net

Registration Rates

Registration includes:

• Access to the live in-person event on Thursday, April 3, 2025

• Access to the on-demand recording for 90 days after the event

• Access to the speaker slides

• Continuing Education credits are available for purchase for an additional fee. Click here for more info.

Early-Bird Rate

Early-bird rates expire at midnight on FEBRUARY 21, 2025. Fees increase to the Regular Rate after this date, no exceptions.

ACMT Membership

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

Refunds and Cancellations

Event registration cancellations received on or before February 17, 2025 (2/17/25) will receive a full refund less a 8% processing fee. Cancellations received between February 18, 2025 and March 18, 2025 (2/18/25-3/18/25) will receive a 50% refund. Cancellations made on or after March 19, 2025 (3/19/25) will not receive a refund. All Continuing Education registrations will be refunded in full less an 8% processing fee regardless of date.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.

Pending review, limited exceptions will be made based on need and circumstance and must be submitted in writing to events@acmt.net. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Continuing Education

Continuing Education credit for this activity is available for an additional fee. 

Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up 6.0 credits, commensurate with their participation. 

Available Continuing Educations Credits:

• Continuing Medical Education (CME)
• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)

Purchase/Claim CE

#ACMT2025 | Occupational & Environmental Tox Boot Camp

April 3, 2025
Fairmont Hotel, Vancouver Canada

Join the American College of Medical Toxicology (ACMT) on Thursday, April 3, 2025 for the Occupational & Environmental Tox Boot Camp at the Fairmont Hotel in Vancouver, Canada. This in-person full-day symposium aims to address a crucial gap in toxicology education by focusing on occupational and environmental toxicology. Led by expert medical toxicologists who are also certified in Occupational and Environmental Medicine (OEM), the boot camp targets practicing toxicologists, recent grads, fellows-in-training, and others interested in occupational and environmental toxicology seeking to enhance their knowledge in this field. Through a comprehensive curriculum, attendees will delve into a variety of topics with emphasis on regulatory toxicology, risk assessment, pulmonary toxicology, and reproductive toxicology. Additional topics will include: irritant gasses, organic pollutants, and heavy metals. All sessions are led by specialists who are dually board-certified in both Medical Toxicology and Occupational Medicine. Continuing Education credits for Physicians, Pharmacists, and Nurses available.

Learner Objectives

After attending the event, participants should be able to:

• Define principles of regulatory toxicology. 
• Identify and manage occupational and environmental toxic exposures.
• Develop expertise in workplace safety, environmental health, and regulatory compliance.

Questions?

Please write to ACMT at events@acmt.net

Agenda | April 3, 2025

All times listed are in local, Pacific Time.

8:00 - 8:15 AM PT 

Welcome & Opening Remarks

8:15 - 8:45 AM PT

Introduction to Regulatory Toxicology

Michael Holland, MD, FACMT, FAACT, FEACCT, FACOEM, FACEP, SUNY Upstate Medical University, Syracuse, NY 

Dr. Holland will examine critical occupational health standards, including ACGIH TLVs, BEIs, NIOSH RELs, IDLH values, and OSHA PELs, focusing on their roles in safeguarding workplace safety. He will also delve into historical events, such as the Hawk’s Nest Tunnel silicosis disaster, that have significantly influenced the development of these standards. The session will conclude with practical insights on how to apply these regulatory guidelines to assess and ensure workplace safety and compliance.

8:45 - 9:15 AM PT

Introduction to Environmental Toxicology

John Downs, MD, MPH, Associate Professor, Division of Clinical Toxicology, Virginia Commonwealth University Health System, Richmond, VA

Dr. Downs will introduce key concepts in environmental toxicology. He will define and explore the roles of EPA Maximum Contaminant Levels (MCLs), Reference Doses (RfD), Reference Concentrations (RfC), Emergency Chemical Exposure Limits (ECEL), National Chemical Exposure Limits (NCEL), the Toxic Substances Control Act (TSCA), Acute Exposure Guideline Levels (AEGL), and Emergency Response Planning Guidelines (ERPG) in environmental health and safety. The lecture will also cover the impact of the Bhopal disaster on environmental toxicology regulations and analyze a recent environmental health issue in the context of regulatory limits.

9:15 - 9:45 AM PT

General Causation, Risk Assessment, and Risk Communication

David J. Vearrier, MD, MPH, Professor of Emergency Medicine, University of Mississippi Medical Center, Madison, MS

This session will cover the application of Bradford Hill criteria, dose estimation methods, and exposure limits to evaluate risk scenarios and make informed decisions on actions such as evacuation versus sheltering in place. Additionally, Dr. Vearrier will explore the distinction between carcinogenic (no threshold) and non-carcinogenic (threshold) risks and discuss strategies for effectively communicating these risk assessments to stakeholders to guide decision-making.

9:45 - 10:15 AM PT

Occupational Dermatology

Beth Baker, MD, MPH, FACOEM, FACMT, OEM Academic Director, School of Public Health, University of Minnesota, Minneapolis, MN

Dr. Baker will differentiate between irritant and allergic contact dermatitis, examining critical occupational and environmental risk factors and preventive measures. The session will also cover the systemic signs of dermal absorption and identify key toxicants responsible for systemic poisonings through skin exposure.

10:15 - 10:30 AM PT | Break (15 min)

10:30 - 11:00 AM PT

Occupational Cancer

Stephen W. Borron, MD, MPH,  Professor of Emergency Medicine and Medical Toxicology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso; Medical Toxicology Division Chief, Medical Director, West Texas Regional Poison Control Center; Director, Southwest Center for Pediatric Environmental Health, El Paso, TX

Dr. Borron will address occupational cancer and related toxicological concerns. He will distinguish between water-soluble and insoluble irritant gases, including their signs, symptoms, and diagnostic keys. Additionally, the lecture will outline effective treatment strategies for exposure to these different types of irritant gases, providing a comprehensive overview of both prevention and management approaches.

11:00 - 11:30 AM PT

Pulmonary Toxicology

Michael Holland, MD, FACMT, FAACT, FEACCT, FACOEM, FACEP, SUNY Upstate Medical University, Syracuse, NY

The session will cover the gross and microscopic anatomy of the lungs and its significance in understanding pulmonary toxicology. Dr. Holland will explain how to interpret pulmonary function test results to distinguish between obstructive and restrictive lung patterns. Additionally, this lecture will focus on recognizing and differentiating interstitial lung diseases, such as COPD, BOF, ILD, asbestosis, and silicosis, and understanding their effects on lung function.

11:30 - 12:00 PM PT

Asphyxiant Gases

John G. Benitez, MD, MPH, Retired Medical Director of Emergency Preparedness and Environmental Epidemiology , TN Dept of Health, Nashville, TN

The session will cover the differentiation between simple and toxic asphyxiants, highlighting their signs, symptoms, and keys to diagnosis. Dr. Benitez will explain appropriate treatment strategies, including antidote administration, for exposure to asphyxiant gases. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing asphyxiant gas exposures.

12:00 - 1:30 PM PT - Lunch Break (90 min)

1:30 - 2:00 PM PT

Irritant Gases

Stephen W. Borron, MD, MPH,  Professor of Emergency Medicine and Medical Toxicology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso; Medical Toxicology Division Chief, Medical Director, West Texas Regional Poison Control Center; Director, Southwest Center for Pediatric Environmental Health, El Paso, TX

The session will cover the distinction between water-soluble and insoluble irritant gases, highlighting their signs, symptoms, and keys to diagnosis. Dr. Borron will explain effective treatment strategies for exposure to both types of irritant gases. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing exposures to irritant gases.

2:00 - 2:30 PM PT

Miscellaneous Chemicals Toxicology

David J. Vearrier, MD, MPH, Professor of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS

The session will cover the toxicological properties of acids, alkalis, polymers, and solvents, highlighting their mechanisms of action and associated health effects. Dr. Vearrier will explain how to identify solvents that can induce peripheral neuropathy and understand their specific toxicological effects on the nervous system. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing exposures to miscellaneous chemicals.

2:30 - 3:00 PM PT

Persistent Organic Pollutants (POPs)

John Downs, MD, MPH, Associate Professor, Division of Clinical Toxicology, Virginia Commonwealth University Health System, Richmond, VA

Dr. Downs will explore the sources and environmental persistence of select persistent organic pollutants (POPs). He will explain the health and environmental impacts of exposure to POPs, including polychlorinated biphenyls (PCBs), organochlorine pesticides, polychlorinated dioxins, and per- and polyfluoroalkyl substances (PFAS).

3:00 - 3:30 PM PT

Metals Toxicology I: Traditional “Heavy Metals” 

Michael J. Kosnett, MD, MPH, FACMT, Associate Clinical Professor, Department of Medicine, University of Colorado School of Medicine, Denver, CO 

Dr. Kosnett will identify the traditional heavy metals of major toxicologic significance, including lead, mercury, cadmium, arsenic, and thallium. He will explain their sources and routes of exposure, providing insights into the health risks associated with these metals.

3:30 - 3:45 PM PT - Break (15 min)

3:45 - 4:15 PM PT

Reproductive Toxicology

Beth Baker, MD, MPH, FACOEM, FACMT, OEM Academic Director, School of Public Health, University of Minnesota, Minneapolis, MN

In this session, Dr. Baker will describe key reproductive toxicants, including DES, lead, methyl mercury, ethanol, pesticides, and radiation. She will explain their potential effects on parents and offspring, and provide insights into the stages of fetal development and organogenesis where these toxins are most likely to impact fetal development.

4:15 - 4:45 PM PT

Pesticides, Herbicides, and Fumigants

John G. Benitez, MD, MPH, Retired Medical Director of Emergency Preparedness and Environmental Epidemiology , TN Dept of Health, Nashville, TN

Dr. Benitez will identify and assess the health risks associated with exposure to various pesticides, herbicides, and fumigants. He will cover substances such as organophosphates (OPs), organochlorines, chlorfenopyr, glyphosate, and methyl bromide, providing insights into their health effects and exposure risks.

4:45 - 5:15 PM PT

Metals Toxicology II: Other

Michael J. Kosnett, MD, MPH, FACMT, Associate Clinical Professor, Department of Medicine, University of Colorado School of Medicine, Denver, CO 

Dr. Kosnett will recognize and explain the adverse health effects of "other" metals of toxicologic importance found in occupational, environmental, and consumer settings. He will cover metals such as beryllium, chromium, cobalt, manganese, nickel, selenium, and zinc, providing insights into their health risks and exposure routes.

Registration Rates

Registration includes:

• Access to the live in-person event on Thursday, April 3, 2025

• Access to the on-demand recording for 90 days after the event

• Access to the speaker slides

• Continuing Education credits are available for purchase for an additional fee. Click here for more info.

Early-Bird Rate

Early-bird rates expire at midnight on FEBRUARY 21, 2025. Fees increase to the Regular Rate after this date, no exceptions.

ACMT Membership

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

Refunds and Cancellations

Event registration cancellations received on or before February 17, 2025 (2/17/25) will receive a full refund less a 8% processing fee. Cancellations received between February 18, 2025 and March 18, 2025 (2/18/25-3/18/25) will receive a 50% refund. Cancellations made on or after March 19, 2025 (3/19/25) will not receive a refund. All Continuing Education registrations will be refunded in full less an 8% processing fee regardless of date.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.

Pending review, limited exceptions will be made based on need and circumstance and must be submitted in writing to events@acmt.net. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Continuing Education

Continuing Education credit for this activity is available for an additional fee. 

Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up 7.0 credits, commensurate with their participation. 

Available Continuing Educations Credits:

• Continuing Medical Education (CME)
• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)

Purchase/Claim CE

2025 AACT Symposium

April 2, 2025
Fairmont Hotel, Vancouver Canada

Join the American Academy of Clinical Toxicology on Wednesday, April 2, 2025 for the AACT Symposium. Topic to be announced soon!

AACT Member Discount AACT Members are eligible to receive the same registration rate as ACMT Members for this activity. Just enter the following code at checkout -- a $50 savings! Discount code: AACT2025

Questions?

Please write to ACMT at events@acmt.net

Registration Rates

Registration includes:

• Access to the live in-person event on Wednesday, April 2, 2025

• Access to the on-demand recording for 90 days after the event

• Access to the speaker slides

• Continuing Education credits are available for purchase for an additional fee. Click here for more info.

Early-Bird Rate

Early-bird rates expire at midnight on FEBRUARY 21, 2025. Fees increase to the Regular Rate after this date, no exceptions.

Membership Discounts

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

AACT Members are eligible to receive the same registration rate as ACMT Members for this activity. Just enter the following code at checkout -- a $50 savings! Discount code: AACT2025

Refunds and Cancellations

Event registration cancellations received on or before February 17, 2025 (2/17/25) will receive a full refund less a 8% processing fee. Cancellations received between February 18, 2025 and March 18, 2025 (2/18/25-3/18/25) will receive a 50% refund. Cancellations made on or after March 19, 2025 (3/19/25) will not receive a refund. All Continuing Education registrations will be refunded in full less an 8% processing fee regardless of date.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.

Pending review, limited exceptions will be made based on need and circumstance and must be submitted in writing to events@acmt.net. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Continuing Education

Continuing Education credit for this activity is available for an additional fee. 

Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up 5.0 credits, commensurate with their participation. 

Available Continuing Educations Credits:

• Continuing Medical Education (CME)
• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)

Purchase/Claim CE

National Case Conference

Cases to be announced.

Series Moderator: Lewis Nelson, MD, FACMT, Rutgers New Jersey Medical School, Newark, NJ

About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. NCC is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.

Camp Lejeune Water Contamination

Presenter: John Downs, MD, MPH, Associate Professor and Associate Program Director, Occupational & Environmental Medicine Residency, Uniformed Services University, Bethesda, MD

Learning Objectives

• To be announced

About The Series: ACMT's Grand Rounds offer an in-depth and interactive platform for learning and discussion about issues that impact the research and practice of medical toxicology. Experts from within and outside medical toxicology will share their knowledge and experience and highlight areas for collaboration and mutual understanding.

This webinar is for ACMT members only.

National Case Conference

Cases to be announced.

Series Moderator: Lewis Nelson, MD, FACMT, Rutgers New Jersey Medical School, Newark, NJ

About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. NCC is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.

#TotalTox2024

The last live, virtual session of the Total Tox Course will focus on Non-Pharmaceuticals.

This session will include discussions of toxicology of plants and mushrooms, and reptile, marine, and arthropod envenomations. Experts will also cover anesthetic toxicity, malignant hyperthermia, and methemoglobinemia. Gain expertise in managing heavy metal poisoning and the complexities of ethanol and toxic alcohol intoxication. Participate in interactive case panels on novel treatments for critically ill patients and evaluation of an unknown potential toxicology issue, bringing together all your knowledge from the Total Tox Course.

Learner Objectives

After attending the event, participants should be able to:

• Identify non-pharmaceutical poisons found in various locations including home, cabinet, garage, and yard.
• Discuss current and emerging management options for ethanol intoxication, withdrawal, and use disorder.
• Examine other toxicological concerns including heavy metals, methemoglobin-forming agents, toxic hyperthermia, and venomous creatures

Questions?

Please write to ACMT at events@acmt.net

Preliminary Agenda | Session 3 - November 15, 2024

8:50 - 9:00 AM ET | Opening Remarks

9:00 - 9:30 AM ET
Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia
Shaun D. Carstairs, MD, FACMT Medical Toxicologist, 98point6, Inc., Seattle, WA

Dr. Carstairs will discuss the history and pharmacology of local anesthetics and the unique characteristics and common clinical use for each prototypical local anesthetic. He will assess the most commonly caused several complications of local anesthetics and identifies general thermoregulatory principles. He will also review the following hyperthermic syndromes & discusses treatment options: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperthermia.

9:30 - 10:00 AM ET
Hospital Hazards #2: Methemoglobinemia
Andrea Carlson, MD Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, IL

Dr. Carlson will discuss the common agents causing Methemoglobinemia. She will identify methemoglobinemia mechanisms of toxicity and describe the best practices in clinical management of methemoglobinemia.

10:00 - 10:30 AM ET
Heavy Metals In the ED: Lead, Arsenic & Mercury
Evan Schwarz, MD, FACMT, FASAM, FACEP Medical Toxicology Fellowship Director, University of California, Los Angeles, Los Angeles, CA

Dr. Schwarz will review the signs and symptoms of lead toxicity. He will discuss the role of chelation in heavy metal toxicity and compare and contrast the toxicity caused by different forms of mercury.

10:30 - 10:45 AM ET | Break (15 min)

10:45 - 11:45 AM ET
Case Panel: Novel Treatments for the Crashing Patient

Several speakers from previous lectures will return to review clinical cases.

11:45 - 12:30 PM ET
Ethanol Intoxication: Too Much Of a Good Thing
Anthony Pizon, MD, FACMT Chief of Medical Toxicology Division, Professor of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA

Dr. Pizon will examine the prevalence of ethanol AUD in patients presenting to the Emergency Department. He will also discuss the genetic vs. environmental factors for ethanol AUD and assess the most critical laboratory tests for symptomatic patients who have suspected ethanol intoxication.

12:30 - 1:15 PM ET
When It's Not Ethanol: Demystifying Toxic Alcohols
Bram Dolcourt, MD Clinical Assistant Professor Department of Emergency Medicine, Wayne State University, Detroit, MI

Dr. Dolcourt will describe toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures, identify two stand-in tests for MeOH and EthGly, noting limitations, and present a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.

1:15 - 1:45 PM ET | Break (30 min)

1:45 - 2:15 PM ET
Ethanol Withdrawal: When the Good Times End
Jerrold Blair Leikin, MD, FACP, FACEP, FACMT, FAACT, FACOEM, FASAM Adjunct Clinical Professor Division of Environmental and Occupational Health Sciences & Professor of Medicine, University of Illinois Chicago and Rosalind Franklin University of Medicine & Science, North Chicago, IL

Dr. Leikin will discuss appropriate treatment so that complications are prevented. He will examine alcohol withdrawal symptoms and describe the principles of detoxification.

2:15 - 2:45 PM ET
Don't Touch That! Marine, Arthropod & Reptile Envenomations
Michael Levine, MD, FACMT Associate Professor of Emergency Medicine, University of California Los Angeles, Los Angeles, CA

Dr. Levine will identify various toxic envenomations and describe the characterization of Black Widow envenomation and management options. He will also discuss management options for pit viper envenomations.

2:45 - 3:15 PM ET
The Toxic Yard
Fiona Garlich Horner, MD Head of Toxicology & Assistant Professor of Clinical Emergency Medicine, LAC+USC Medical Center & University of Southern California Keck School of Medicine, Los Angeles, CA

Dr. Garlich Horner will examine different classes of plant derived toxins and their effects on humans and identify hazards of different mushrooms and clinical toxidromes associated with mushrooms.

3:15 - 3:45 PM ET
The Toxic House
Ashley Haynes, MD, FACEP Medical Director, Addiction Toxicology of Kansas, Wichita, KS

Dr. Haynes will discuss common household exposures and their implications and review the toxicity of common household cleaners and toys.

3:45 - 4:00 PM ET | Break (20 min)

4:00 - 4:30 PM ET
The Toxic Cabinet
Stephen Wood, MS, ACNP-BC, FEWM Acute Care Nurse Practitioner & Director of Advanced Practice Providers, St. Elizabeth’s Medical Center, Brighton, MA

Nurse Practitioner Wood will review toxicity of essential oils and examine the risks associated with the use of dietary supplements.

4:30 - 5:00 PM ET
The Toxic Garage
Andrew King, MD Associate Professor in the Department of Emergency Medicine & Medical Director, Wayne State University School of Medicine & Michigan Poison and Drug Information Center, Detroit, MI

Dr. King will discuss common toxins and exposures of chemicals commonly found in the garage. He will also review toxicity and management of chemicals and other substances commonly found in the garage.

5:00 - 5:30 PM ET
Case Panel

Several speakers from previous lectures will return to review clinical cases.

Registration Rates

Registration includes:

• Access to the live virtual event on November 15, 2024
• Access to the on-demand recording for 90 days after the event
• Access to the Speaker slides
• 8.00 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Assistant (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

Are you a member of any of the following organizations? AAEM, AAENP, APAMT, APC, EAPCCT, SOT, MENATOX
You may be eligible for a registration discount! Please email us at events@acmt.net to find out more.

Member Rates

Non-Member Rates

ACMT Membership

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

Package Rates

Sign up for the all three days of the 2024 ACMT Total Tox Course and save $100!

Purchase the package here!

Refunds and Cancellations

• Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
• Cancellations made within 14 days of the event date will not receive a refund.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment. 

Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Instructions

Once you have completed your registration:

1. Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
2. Complete the Pre-Test. For best the best learning experience, please complete this before the live event on November 1, 2024.
3. Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
4. Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 80% to pass.
5. Complete the Event CE Survey. If you are completing CE, this survey is required.
6. Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.

Full credit can only be claimed after completion of all required components.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.

Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.

If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.

Continuing Education

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 8.0 Continuing education credits. 

Available Continuing Educations Credits:

• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)
• Continuing Medical Education (CME)
• Continuing Medical Education for Physician Assistant (AAPA CME)
• Continuing Education for Nurse Practitioners (AANP CE)

Subject TBD

Tuesday, November 12, 2024
12:00-1:00 PM ET

Series Moderator: Steven E. Aks, DO, FACEP, FACMT, Toxikon Consortium

About The Series: ACMT's National Journal Club (NJC) is a bimonthly member webinar hosted by a different fellowship program each session. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.

This webinar is for ACMT members only.

#TotalTox2024

Join us for the next live, virtual session of the Total Tox Course, Substance Use Disorder & Emergency Preparedness.

The first half of this session will cover substance use topics like opioid addiction, cannabis toxicity, and new substances. Experts will also discuss drug screen issues, pulmonary irritants, and the effects of mitochondrial asphyxiants on first responders to chemical suicides. The session will conclude with a focus on disaster preparedness, including radiation types and symptom management, nerve agents, and a brief history of bioterrorism and identification of agents. Interactive case panels with expert speakers will focus on substance use disorder and disaster preparedness.

Learner Objectives

After attending the event, participants should be able to:

• Discuss psychoactive substances as well as the diagnosis and treatment approaches for substance use disorders.
• Describe medication-assisted treatments for opioid use disorder, focusing on buprenorphine, methadone, and naltrexone.
• Explain medical management principles for CBRNE and other hazmat situations

Questions?

Please write to ACMT at events@acmt.net

Preliminary Agenda | Session 2 - November 8, 2024

8:50 - 9:00 AM ET | Opening Remarks

9:00 - 9:45 AM ET
The New Dangers of Opioid Addiction
Lewis Nelson, MD, FACEP Chair of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ

Dr. Nelson will describe opioid use disorder and explain how to initiate treatment for opioid use disorders. He will also highlight harm reduction efforts that can reduce the adverse consequences of opioid use.

9:45 - 10:15 AM ET
Management Options for Opioid Use Disorder
Rachel Wightman, MD, FACMT Assistant Professor of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, RI

Dr. Wightman will review the misuse, abuse, & criteria for diagnosing opioid use disorder. She will identify psychosocial treatments for opioid use disorder and describe the medication-assisted treatments for Buprenorphine, Methadone, and Naltrexone.

10:15 - 10:45 AM ET
Cannabis & Cannabis Toxicity
Mark Neavyn, MD, FACMT Medical Director & Emergency Medicine Physician, Northern New England Poison Center & Maine Medical Center, Portland, ME

Dr. Neavyn will examine the symptoms of cannabis toxicity and describe the treatment approach to cannabis toxicity.

10:45 - 11:00 AM ET | Break (15 min)

11:00 - 11:15 AM ET
What's New in Your Neighborhood?
Stephanie Weiss, MD, PhD Staff Clinician, Translational Addiction Medicine Branch, National Institute on Drug Abuse, Baltimore, MD

Dr. Weiss will discuss the epidemiology of new fentalogues and explain how to initiate treatment for fentanyl-related overdose.

11:15 - 12:00 PM ET
Case Review

Several speakers from previous lectures return to review clinical cases

12:00 - 12:30 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, FACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZ

Dr. Wax will Identify toxicology tests available in the ED. He will discuss which tests should be requested in specific situations and describe how test ordering changes treatment outcomes.

12:30 - 1:00 PM ET | Break (30 min)

1:00 - 1:45 PM ET
Pulmonary Irritants & Simple Asphyxiants
Charles McKay, MD, FACMT Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CT

Dr. McKay will discuss the role of water solubility in the clinical presentation of pulmonary irritants and describe the clinical presentation of pulmonary irritants.

1:45 - 2:15 PM ET
Chemical Suicide & Mitochondrial Asphyxiants
Paul M. Wax, MD, FACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZ

Dr. Wax will return to examine the sources and uses of chemical asphyxiants, their basic mechanisms of toxicity, and their clinical presentations. He will identify the differences between simple asphyxiants and chemical asphyxiants and compare therapies used to treat asphyxiant poisoning.

2:15 - 2:45 PM ET
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber
Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT Medical Director, National Capital Poison Center & MedStar Georgetown University Hospital, Washington, DC

Dr. Johnson-Arbor will identify different types of radiation, describe the consequences of exposure to radiation, and discuss the diagnosis and management of radiation casualties and radiation mass casualty events.

2:45 - 3:15 PM ET
Disaster Preparedness #1: Radiation Events
Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT Deputy Commander, Department of Emergency Medicine, US Army Institute of Surgical Research, Houston, TX

Dr. Maddry will discuss the diagnosis and management of radiation casualties and radiation mass casualty events. He will also identify different types of radiation and describe the consequences of exposure to radiation.

3:15 - 3:30 PM ET | Break (15 min)

3:30 - 4:00 PM ET
Disaster Preparedness #2: Organophosphates & New Agents
Christina Hantsch, MD, FACEP, FACMT, FAACT Emergency Physician and Medical Toxicologist, Loyola University Chicago Stritch School of Medicine Maywood, IL

Dr. Hantsch will discuss management options for patients with organophosphate insecticide or nerve agent toxicity and explain cholinergic toxidrome. She will list specific organophosphate insecticides and chemical weapon nerve agents.

4:00 - 4:45 PM ET
Disaster Preparedness #3: Other Chemical & Biological Terrorism
Aaron Frey, DO Emergency Medicine Attending Physician and Medical Toxicology Fellow, Richmond Emergency Physicians, Inc. & University of Virginia, Richmond, VA

Dr. Frey will examine the diagnosis and management of casualties resulting from terrorism and mass casualty events and discuss the history of bioterrorism as a tool for warfare. He will explain and evaluate the agents used in bioterrorist events.

4:45 - 5:30 PM ET
Case Review

Several speakers from previous lectures return to review clinical cases.

Registration Rates

Registration includes:

• Access to the live virtual event on November 8, 2024
• Access to the on-demand recording for 90 days after the event
• Access to the Speaker slides
• 8.0 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Assistant (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

Are you a member of any of the following organizations? AAEM, AAENP, APAMT, APC, EAPCCT, SOT, MENATOX
You may be eligible for a registration discount! Please email us at events@acmt.net to find out more.

Member Rates

Non-Member Rates

ACMT Membership

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership

Package Rates

Sign up for the all three days of the 2024 ACMT Total Tox Course and save $100!

Purchase the package here!

Refunds and Cancellations

• Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
• Cancellations made within 14 days of the event date will not receive a refund.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment. 

Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.

Questions?

For any questions, please email us at events@acmt.net.

Instructions

Once you have completed your registration:

1. Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
2. Complete the Pre-Test. For best the best learning experience, please complete this before the live event on November 1, 2024.
3. Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
4. Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 80% to pass.
5. Complete the Event CE Survey. If you are completing CE, this survey is required.
6. Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.

Full credit can only be claimed after completion of all required components.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None. 

Format

This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.

Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.

If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.

Continuing Education

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 8.0 Continuing education credits. 

Available Continuing Educations Credits:

• Continuing Pharmacist Education (CPE)
• Continuing Nursing Education (CNE)
• Continuing Medical Education (CME)
• Continuing Medical Education for Physician Assistant (AAPA CME)
• Continuing Education for Nurse Practitioners (AANP CE)