#TotalTox2026

Join us for our first live, virtual session of the Total Tox Course, The Poisoned Patient & Analgesic/OTC Toxicology.

Our first session establishes a foundation in toxicology and common exposures, guiding attendees through the vital initial stages of assessing and stabilizing the poisoned patient. The day places a heavy emphasis on ubiquitous over-the-counter hazards, detailing the distinct pathophysiologies and management strategies for acetaminophen, NSAIDs, salicylates, antihistamines, and antitussives. Finally attendees will learn to navigate the toxicities of antimicrobials and endocrine agents, while identifying the hidden dangers lurking in the everyday home, including household cleaners, toys, dietary supplements, essential oils, and iron.

Learner Objectives

After attending the event, participants should be able to:

• Apply pathophysiological and clinical principles to differentiate and manage pharmaceutical, antimicrobial, and endocrine toxicities.

• Formulate evidence-based management protocols for non-pharmaceutical, household, and dietary supplement exposures.

• Collaborate on expert-led case analyses to debate management strategies and refine real-world clinical decision-making.

Questions?

Please write to ACMT at events@acmt.net

Agenda | Total Tox Day 1 - December 3, 2026

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

9:00 - 9:45 AM ET
Managing Poisonings: the ABCs 
Ann Arens, MD, Emergency Medicine Physician, Ochsner Medical Center, New Orleans, LA

Dr. Arens will kick things off by identifying the most common interventions performed in acute poisoning and discussing poisoned patients. With this groundwork she will identify what to look for in common poisonings and explain different treatment options for common toxidromes.

9:45 - 10:15 AM ET
Managing Poisonings: the 123's

More information coming soon!

10:15 - 10:45 AM ET
Over-the-Counter Poisons #1: Acetaminophen
Neeraj Chhabra, MD, MSCR, Medical Toxicologist & Emergency Medicine Physician, University of Illinois Chicago, Chicago, IL

Dr. Chhabra will discuss acetaminophen ingestions and recognizes which patients require treatment. He also explains adjunctive treatments for acetaminophen-related poisoning.

10:45 - 11:15 AM ET
Over-the-Counter Poisons #2: NSAIDS and ASA
Renee Petzel Gimbar, PharmD, Clinical Associate Professor, University of Illinois Chicago College of Pharmacy, Chicago, IL

Dr. Petzel Gimbar will explain the treatment of NSAID poisoning and the pathology of salicylate poisoning.

11:15 - 11:45 AM ET | Break (30 min)

11:45 - 12:15 PM ET
Over-the-Counter Poisons #3: Antihistamines & Antitussives
Michelle Hieger, DO, Emergency Physician and Medical Toxicologist, WellSpan Health, York, PA

Dr. Hieger will explain the major antihistamines used therapeutically. She also describes the action of antitussive medications and explain the pharmacology of antihistamines with emphasis on clinical uses, adverse drug reactions, and interactions.

12:15 - 1:00 PM ET
Case Panel on Acetaminophen

More information coming soon!

1:00 - 1:30 PM ET
Antimicrobials & Antivirals: When the Cure Becomes Toxic
Maryann Amirshahi, PharmD, MD, MPH, PhD, FACMT, Emergency Medicine Attending Physician and Associate Professor Of Emergency Medicine, MedStar Washington Hospital Center & Georgetown University Hospital, Washington, D.C.

Dr. Amirshahi will discuss the mechanism of action of the 5 major classes of antimicrobials and potential toxicities of commonly prescribed antimicrobial treatments.

1:30 - 2:00 PM ET | Break (30 min)

2:00 - 2:45 PM ET
Out of Balance: Toxicity of Endocrine Agents
Charles McKay, MD, FACMT Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CT

Dr. McKay will discuss adverse effects and management of endocrine drugs and how to identify endocrine mimics. He also explains endocrine function impact of "non-endocrine" medications

2:45 - 3:15 PM ET
The Toxic House
Ashley Haynes, MD, FACEP, Medical Toxicologist, Addiction Medicine Specialist, Veterans Health Administration, WICHITA, KS 

Dr. Haynes will discusse common household exposures and toxicities of common household cleaners and toys.

3:15 - 3:45 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

Dr. Wood will take a look into the medicine cabinet and describes risks associated with dietary supplements, essential oils, and iron.

3:45 - 4:15 PM ET

Case Panel - GLP-1s

More information coming soon!

Registration Rates

Registration includes:

• Access to the live virtual event on December 3, 2026

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

• Access to the Speaker slides

• 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

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 four days of the 2026 ACMT Total Tox Course and save $150!

Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!

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 December 3, 2026.
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 70% 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 6.75 Continuing education credit per activity. 

Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.

#TotalTox2026

Join us for the next live, virtual session of the Total Tox Course, Environmental & Disaster Preparedness.

Our third day turns the focus outward to Environmental and Disaster Preparedness, providing an essential roadmap for managing critical exposures found in nature, the home, and large-scale emergency scenarios. Attendees will develop their understanding of clinical management of marine, arthropod, and reptile envenomations alongside toxic flora and common household or garage chemical hazards. The curriculum contrasts the complex presentations of heavy metal toxicities, pulmonary irritants, and lethal asphyxiants like carbon monoxide and mitochondrial poisons, offering clear guidelines on advanced interventions such as hyperbaric oxygen and chelation therapy. Finally, dynamic expert panels and deep dives into disaster medicine will equip you with the triage strategies and treatment strategies necessary to rapidly manage casualties from radiation events, nerve agents, and chemical or biological terrorism. 

Learner Objectives

After attending the event, participants should be able to:

• Evaluate clinical presentation and management protocols for environmental, envenomation, and heavy metal toxicities.

• Formulate critical interventions for acute asphyxiant, pulmonary irritant, and chemical exposures. 

• Develop medical preparedness and response strategies for large-scale chemical, biological, and radiological disasters.

Questions?

Please write to ACMT at events@acmt.net

Agenda | Total Tox Day 3 - December 10, 2026

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

9:00 - 9:30 AM 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 kick things off by identifying common envenomations and their management options.

9:30 - 10:00 AM 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

Step outside in the garden with Dr. Garlich Horner. She will distinguish different classes of plant derived toxins and their effects on humans. She also identifies hazards of different mushrooms and clinical toxidromes associated with mushrooms.

10:00 - 10:30 AM 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

Join Dr. King in the the garage to discuss common toxins and exposures of chemicals and review the toxicity and management of chemicals and other substances typically found in the garage.

10:30 - 11:00 AM ET
Heavy Metals: 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, forms of mercury, and the role of chelation in heavy metal toxicity.

11:00 - 11:30 AM ET | Break (30 min)

11:30 - 12:00 PM ET
I Can't Breathe! 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 describe the clinical presentation and the role of water solubility in the clinical presentation of pulmonary irritants. He also identifies the primary treatment for simple asphyxiant exposure.

12:00 - 12:30 PM ET
Case Panel - It Came From Outdoors!

More information coming soon!

12:30 - 1:00 PM ET
Chemical Suicide & Mitochondrial Asphyxiants
More information coming soon!

More information coming soon!

1:00 - 1:30 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 review the common sources for carbon monoxide poisoning and discusses pharmacokinetics and pathophysiciology of carbon monoxide poisoning.

1:30 - 2:00 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.

2:00 - 2:30 PM ET | Break (30 min)

2:30 - 3:00 PM ET
Disaster Preparedness #2: Organophosphates & Nerve Agents
Christina Hantsch, MD, FACEP, DFACMT, 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.

3:00 - 3:45 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.

3:45 - 4:15 PM ET
Case Panel

More information coming soon!

Registration Rates

Registration includes:

• Access to the live virtual event on December 10, 2026

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

• Access to the Speaker slides

• 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

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 four days of the 2026 ACMT Total Tox Course and save $150!

Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!

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 December 10, 2026.
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 70% 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 6.75 Continuing education credit per activity. 

Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.

#TotalTox2026

Join us for the next live, virtual session of the Total Tox Course, Neuropsychiatric & Cardiovascular Pharmaceutical Toxicity.

Our second session will delve into toxicities from cardiovascular, neurologic, and psychiatric pharmaceuticals and provide critical insights into managing common inpatient toxicologic emergencies. Speakers will explore the pharmacology, toxicity profiles, and treatment differences among antipsychotics, anticonvulsants, antidepressants, and lithium, and learn to navigate the overlapping features of serotonin syndrome, neuroleptic malignant syndrome, and the anticholinergic toxidrome. The curriculum highlights advanced cardiovascular interventions—contrasting standard ACLS strategies with tailored strategies for drug-induced dysrhythmias, navigating high-dose insulin and the controversial management of beta-blocker and calcium channel blocker toxicity, and treating major bleeding with modern anticoagulant reversal agents.

Learner Objectives

After attending the event, participants should be able to:

• Synthesize advanced management strategies for neuro-psychiatric, anticonvulsant, and antidepressant toxicities.

• Optimize critical care interventions for drug-induced cardiovascular collapse, hematologic emergencies, and perioperative hazards.

• Analyze complex, real-world toxicology cases through multidisciplinary expert panels to refine clinical decision-making.

Questions?

Please write to ACMT at events@acmt.net

Agenda | Total Tox Day 2 - December 4, 2026

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

9:00 - 9:30 AM ET
The Ins and Outs of Ups and Downs #1: Antipsychotics 
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MN

Dr. Rasimas will kick things off by identifying the pharmacologic, toxicity, and treatment differences between Tricyclic Antidepressants and Antipsychotics. With this groundwork he will the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs and Antipsychotics.

9:30 - 10:00 AM ET
The Ins and Outs of Ups and Downs #2: Tricyclic Antidepressants
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MN

Dr. Rasimas will return to explain the unique concerns of specific antidepressants in overdose and describes the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs.

10:00 - 10:30 AM ET
The Ins and Outs of Ups and Downs #3: SSRIs and Lithium
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MN

Join Dr. Katzung as she will discuss drug discontinuation syndrome as it applies to SSRIs & atypical antidepressants. She will also compare differences in acute vs. chronic lithium toxicity.

10:30 - 11:00 AM ET
Drug-Induced Dysrhythmias: When You Can't Control the Rhythm
William "Russ" Kerns, II, MD, FACMT, FACEP, Emeritus Professor of Emergency Medicine, Carolinas Medical Center, Charlotte, NC

Dr. Kerns will identifiy optimal treatment of drug-induced dysrhythmias while describing how the optimal management of drug-induced dysrhythmias differs from AHA ACLS algorithms.

11:00 - 11:30 AM ET | Break (30 min)

11:30 - 12:00 PM ET
Beta Blockers and Calcium Channel Blockers: When the Antagonists Become Antagonistic
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MN

Dr. Katzung will explain treatment options focusing on high-dose insulin vs vasopressor controversy. She also discusses mechanisms of toxicity, clinical manifestations, and updates on optimal therapy for beta-adrenergic blocking drugs and calcium channel antagonists drugs. 

12:00 - 12:30 PM ET
Case Panel

More information coming soon!

12:30 - 1:15 PM ET

Anticoagulants and Antithrombotics: When You Can't Control the Bleeding
Nena Bowman, PharmD, DABAT, Director of Vaccine Operations, Vaccine Preventable Diseases and Immunization Program, Tennessee Department of Health, Nashville, TN

Dr. Bowman will review the mechanism of action, indications, contraindications, adverse reactions, and common drug interactions of warfarin. She also identifies appropriate uses of reversal agents for common anticoagulants and summarizes the latest data in NOAC trials.

1:15 - 1:45 PM ET
Anticonvulsants: When the Level Makes You Unsteady
Daniel J. Sessions, MD, Medical Toxicologist, Ochsner Medical Center, New Orleans, LA

Dr. Sessions will list the toxicities of common anticonvulsants, examines which laboratory testing is required for toxicity from anticonvulsant agents, and identifies treatment options for anticonvulsant toxicity.

1:45 - 2:15 PM ET | Break (30 min)

2:15 - 2:45 PM ET
Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia
Shaun D. Carstairs, MD, FACMT, Medical Toxicologist, Rady Children's Hospital, San Diego, CA

Dr. Carstairs will describe the history and pharmacology of local anesthetics and discusses the unique characteristics and common clinical use for each prototypical local anesthetic. With this information, Dr. Carstairs assesses the most commonly caused several complications of local anesthetics.

2:45 - 3:15 PM ET
Hospital Hazards #2: Methemoglobinemia
Andrea Carlson, MD, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, IL

Dr. Carlson will begin by discussing the common agents causing Methemoglobinemia and identifying mechanisms of its toxicity. After learning these components, she describes best practices in clinical management of Methemoglobinemia.

3:15 - 4:15 PM ET
Case Panel: Novel Treatments for the Crashing Patient; Hot Patient Case

More information coming soon!

Registration Rates

Registration includes:

• Access to the live virtual event on December 4, 2026

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

• Access to the Speaker slides

• 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

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 four days of the 2026 ACMT Total Tox Course and save $150!

Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!

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 December 4, 2026.
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 70% 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 6.75 Continuing education credit per activity. 

Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.

#TotalTox2026

Join us for the next live, virtual session of the Total Tox Course, Substance Use, Toxicology Pitfalls & Alcohols.

Our fourth and final session will examine Substance Use Disorders, Toxic Alcohols, and Diagnostics, exploring current trends in opioid, cannabis, and recreational nitrous oxide misuse. Speakers will outline medication-assisted treatment initiation strategies and deliver a definitive rationale for managing toxic methanol and ethylene glycol exposures with antidotes and hemodialysis. By learning how to strategically order and interpret targeted ED toxicology tests during interactive case discussions, attendees will maximize your ability to positively impact patient outcomes.

Learner Objectives

After attending the event, participants should be able to:

• Synthesize diagnostic and treatment strategies for substance use disorders, toxic alcohols, and novel recreational drug toxicities.

• Optimize toxicology testing to directly guide and alter clinical management outcomes.

• Collaborate on expert-led case analyses to debate management strategies and refine real-world clinical decision-making.

Questions?

Please write to ACMT at events@acmt.net

Agenda | Total Tox Day 4 - December 11, 2026

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

9:00 - 10:00 AM ET
Death by Design: The Pharmacology and Management of Modern Opioid Dangers

More information coming soon!

10:00 - 10:30 AM ET
Cannabis & Cannabinoid 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.

10:30 - 11:00 AM ET
What's New In Your Neighborhood?

More information coming soon!

11:00 - 11:30 AM ET | Break (30 min)

11:30 - 12:00 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, DFACMT 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.

12:00 - 12:30 PM ET
Case Review

More information coming soon!

12:30 - 1:00 PM ET
No Laughing Matter: The Clinical Reality of N₂O
Courtney Temple, MD, Assistant Professor of Emergency Medicine, Oregon Health & Science University

Dr. Temple will review the most current data identifying emerging trends in recreational nitrous oxide use and recognize its relevance in general medical practice and outlines a practical diagnostic and treatment approach to suspected nitrous oxide toxicity.

1:00 - 1:30 PM ET
The Pursuit of Wakefulness: Stimulants

More information coming soon!

1:30 - 2:00 PM ET | Break (30 min)

2:00 - 3:00 PM ET
When the Party Ends: Managing Ethanol Intoxication and Withdrawal

More information coming soon!

3:00 - 3:45 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, identifies 2 stand-in tests for MeOH and EthGly, noting limitations, and presents a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.

3:45 - 4:15 PM ET
Case Panel - Agma-tation!

More information coming soon!

Registration Rates

Registration includes:

• Access to the live virtual event on December 11, 2026

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

• Access to the Speaker slides

• 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

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 four days of the 2026 ACMT Total Tox Course and save $150!

Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!

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 December 11, 2026.
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 70% 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 6.75 Continuing education credit per activity. 

Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.