Non-Pharm | 2024 Total Tox

Non-Pharm | 2024 Total Tox

Includes a Live Web Event on 11/15/2024 at 8:50 AM (EST)

  • Register
    • Non-member - Tier I - $225
    • Non-member - Tier II - $225
    • Non-member - Tier III - $150
    • Non-member - Tier IV - $100
    • Member - Tier I - $200
    • Member - Tier II - $200
    • Member - Tier III - $125
    • Member - Tier IV - $75

#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.

Andrea Carlson, MD

Emergency Medicine Physician

Advocate Christ Medical Center

Dr. Andrea Carlson is an attending physician in Emergency Medicine at Advocate Christ Medical Center in Oak Lawn, IL, where she has served the patients of Chicago's South Side for 25 years.  She is also the Director of Medical Toxicology, and the Associate Program Director of the Advocate Christ Emergency Medicine Residency.  Her primary academic interests lie in toxicology education and critical care toxicology.

Shaun D. Carstairs, MD, FACMT

Medical Toxicologist

98point6, Inc.

Dr. Carstairs earned his undergraduate degree from the California Institute of Technology in Pasadena, CA and received his medical degree from the Uniformed Services University of the Health Sciences (USU), the nation's military medical school.  He completed a residency in emergency medicine at the Naval Medical Center in San Diego and a fellowship in medical toxicology at the University of California, San Diego.  He served more than 25 years on active duty in the U.S. Navy, which included a combat deployment to Iraq and shipboard deployment as the leader of a mobile trauma team for the Navy’s Pacific Fleet. He retired from the Navy as a Captain in 2019. He currently serves as a faculty member in the Department of Emergency Medicine & Division of Medical Toxicology at the University of California, San Diego (UCSD). In addition to his role at UCSD, he holds an appointment as Professor of Military & Emergency Medicine at USU.

Bram Dolcourt, MD

Clinical Assistant Professor Department of Emergency Medicine

Wayne State University

Bram Dolcourt is Assistant Professor of Emergency Medicine at Wayne State University and serves as Associate Residency Director for Emergency Medicine at Sinai Grace Hospital in Detroit. Dr. Dolcourt is a Clinical Consultant to the Michigan Poison and Drug Information Center. Dr Dolcourt complete Medical School at New York Medical College and residency at Henry Ford Hospital. Dr. Dolcourt then went on to complete fellowship in Medical Toxicology at the Children’s Hospital of Michigan. Dr. Dolcourt’s interests include inpatient addiction medicine and heavy metal exposures.

Ashley Haynes, MD, FACEP

Medical Toxicologist, Addiction Medicine Specialist

Veterans Health Administration

Dr. Haynes completed training in a combined emergency medicine-internal medicine program in 2014, and a toxicology fellowship at UTSW in 2016. She has been treating substance use disorders as part of her practice since that time and is board certified in addition medicine. She currently works for the VA at the Robert J Dole Veterans Medical Center in Wichita, KS, treating patients in a residential treatment center, as well as clinic, and performing bedside consults.

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

Dr Fiona Garlich Horner is the Head of Medical Toxicology at Los Angeles County + University of Southern California (LAC+USC) Medical Center, and an Assistant Professor of Clinical Emergency Medicine at the University of Southern California Keck School of Medicine. She is a graduate of Oregon Health Sciences University School of Medicine in Portland, Oregon, and completed her residency in Emergency Medicine at Hennepin County Medical Center in Minneapolis, Minnesota. After completing a fellowship in Medical Toxicology at New York University and the New York City Poison Control Center, she served as an attending emergency physician and medical toxicologist with the Poison and Drug Information Service (PADIS) in Calgary, Alberta, Canada. 

Dr. Garlich is now an attending emergency physician and medical toxicologist at LAC+USC Medical Center in Los Angeles, California, one of the largest and busiest public hospitals in the United States. She is the director of the inpatient toxicology consultation service and the resident toxicology rotation, as well as the chair of the hospital’s medication safety committee. Her primary academic interests lie in toxicology education and advancing the care of vulnerable and incarcerated populations.

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

Dr. King is an Emergency medicine physician, Medical Toxicologist and Addiction Medicine specialist at the Detroit Medical Center and Wayne State University. He works as an emergency physician at Sinai Grace and Detroit Receiving Hospitals. He additionally works at the Tolan Park Research Center where he sees patients with substance use disorders. He is the interim director of the Michigan Poison and Drug Information Center and the Fellowship Director of the Medical Toxicology Fellowship. He is excited to be an organizer and presenter at the Total Tox Course!

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

I am a currently Adjunct Clinical Professor on the Division of Environmental and Occupational Health Sciences and the Occupational and Environmental Medicine Service of UI Health at the University of Illinois at Chicago and Professor of Medicine at Rosalind Franklin University of Medicine & Science in North Chicago, Ill.

In 1980, I received my medical degree from the Chicago Medical School.  I then completed a combined residency in Internal Medicine and Emergency Medicine at Northwestern University (1984) followed by a three-year preceptorship/fellowship training in Medical Toxicology at Cook County Hospital and University of Illinois Hospital in Chicago, Illinois. I am Board Certified in Internal Medicine, Emergency Medicine, Medical Toxicology and Addiction Medicine. 

I served as the Associate Director of the Emergency Department at Rush Presbyterian-St. Luke’s Medical Center in Chicago from 1998-2001.  During this time, I was also the Medical Director of the Rush Poison Control Center and served as Medical Director of the United States Drug Testing Laboratory (from 1991 -1996).  I was also the Medical Director of PROSAR (located in St. Paul, MN); a national call center devoted to industrial exposures and product safety issues, up until December 2013.

I have presented over 200 research abstracts at national meetings (primarily to the North American Congress of Clinical Toxicology) and have published over 200 articles in peer-reviewed medical journals.  I am the co-editor of the Poisoning and Toxicology Handbook (now in its fourth edition), published by CRC Press, and the American Medical Association Handbook of First Aid and Emergency Care, and published by Random House (New York).  I am also the co-editor with Dr. Robin McFee for the Toxico-terrorism book (McGraw Hill) and the Handbook of Nuclear, Biological and Chemical Agent Exposure (CRC Press) both published in 2007.  I was also the co-editor of the American Medical Association Complete Medical Encyclopedia, published by Random House in 2003.  I am presently the Editor-in-Chief of the primary care journal, Disease-a-Month, published by Elsevier.  I was on the Illinois State Board of Health from 2016 – 2019.

Michael Levine, MD, FACMT

Co-Division Chief of Medical Toxicology

University of California, Los Angeles

Michael Levine is a Los Angeles native, who completed his emergency medicine residency at the Harvard Affiliated Emergency Medicine program, based out of Brigham and Women’s Hospital and Massachusetts General Hospital. After residency, he completed his medical toxicology fellowship at Banner Good Samaritan Medical Center in Phoenix, AZ. After staying as faculty for a year in Phoenix, he moved back to Los Angeles, where he joined the faculty at USC. He is currently the division chief of medical toxicology. He is actively involved in patient care, research, and serves on numerous hospital and university committees. He is an active member of American College of Emergency Physicians, the American College of Medical Toxicology, and is a member of the Toxicology Investigator's Consortium.

Howard McKinney, PharmD, DABAT, FAACT

Secretary-Treasurer

American Board of Applied Toxicology & North American Society of Toxinology

Dr McKinney graduated in 1971 from the University of California San Diego, Revelle College with a Bachelor of Arts degree (BA), Biology major, Spanish Literature minor. 

In 1978 he graduated from UCSF School of Pharmacy with a Doctor of Pharmacy degree (PharmD), and was recruited to be a founding staff member of the San Francisco Poison Center, where he worked until 1992.

In 1992 he passed the Boards to become a Diplomate of the American Board of Applied Toxicology DABAT), and was hired as a Clinical Pharmacist in Critical Care at Univ Calif Davis Medical Center in Sacramento California (UCDMC).

In 2018 he was approved as a Fellow of the American Academy of Clinical Toxicology (FAACT), and retired from UCDMC. He continues his work as Secretary-Treasurer of ABAT and NAST (North American Society of Toxincology), as well as his love of herpetology, hiking, photography, videography and music.

Anthony Pizon, MD, FACMT

Chief of Medical Toxicology Division, Professor of Emergency Medicine

University of Pittsburgh

Dr. Anthony (Tony) Pizon received his medical degree from the University of Toledo School of Medicine in 2001.  He then completed his Emergency Medicine Residency at the University of Pittsburgh Medical Center in 2004 and his Medical Toxicology Fellowship at Banner Good Samaritan Medical Center in Phoenix, Arizona in 2006. Dr. Pizon is currently a Professor in the Department of Emergency Medicine, Division of Medical Toxicology at the University of Pittsburgh, School of Medicine. He serves as Chief of the Division of Medical Toxicology and Director of the Medical Toxicology Fellowship at UPMC. He is also Assistant Medical Director of both the Pittsburgh and West Virginia Poison Centers. Yet, most importantly, he is blessed with amazing wife, Caryn, and four wonderful children (Benjamin, Elizabeth, Gabriela, and Seraphina).

Evan Schwarz, MD, FACMT

Associate Professor of Emergency Medicine

University of California, Los Angeles

Dr. Schwarz attended medical school at the University of Texas Medical Branch in Galveston, Texas, before completing a residency in Emergency Medicine at the Washington University School of Medicine in Saint Louis, Missouri.  After residency, he completed a fellowship in Medical Toxicology at the University of Texas Southwestern School of Medicine in Dallas, Texas, before returning to Missouri where he was an Advisory Dean and the Medical Toxicology Division Chief and Fellowship Director at Washington University. In 2023, he took a position in the Department of Emergency Medicine at the University of California Los Angeles. He is also a member of the Board of Directors for ACMT.

Donna Seger, MD, FAACT, FACMT

Professor Emeritus

Department of Medicine, Vanderbilt University Medical Center

Donna Seger, MD, retired in December 2021 after working for 33 years at Vanderbilt University Medical Center and the Tennessee Poison Center (TPC). Dr. Seger began her career at VUMC in 1988 in the Department of Emergency Medicine, becoming professor of Clinical Medicine and Emergency Medicine. She served as medical and executive director of the Tennessee Poison Center from 1990-2021. Seger received her undergraduate and medical degrees from University of North Dakota, Grand Forks. She completed her residency in emergency medicine and a fellowship in toxicology at the University of Cincinnati. Seger taught toxicology courses at Vanderbilt and developed consulting services and toxicology rotations for emergency medicine and pediatric residents and fellows and pediatric emergency medicine fellows. She was the first female president of the American Academy of Clinical Toxicology (AACT) and received its Career Achievement Award and Distinguished Service Award for her achievements in the field of toxicology. While retired from active clinical practice, she plans to remain active in the toxicology community.

Stephen Wood, MS, ACNP-BC, FEWM

Acute Care Nurse Practitioner & Director of Advanced Practice Providers

St. Elizabeth’s Medical Center

Stephen P. Wood is an acute care nurse practitioner and director of advanced practice providers in the division of pulmonary and critical care medicine at St. Elizabeth’s Medical Center. Prior to this he spent 11 years practicing as a nurse practitioner in emergency medicine. His roots are in EMS and he has over 30 years of field experience, including 10 as a flight paramedic. He is an instructor in the School of Nursing at Northeastern University in the graduate nursing program and is a graduate scholar of the Harvard Macy Institute program for Healthcare Educators. He is a former fellow in Bioethics at the Center for Bioethics at Harvard Medical School and a current visiting researcher at the Petrie-Flom Center at the Harvard Law School Petrie-Flom Center for Health Policy.  He holds a Master of Science in Nursing as well as a Master of Science in Toxicology. He is the Director of Field Operations for World Extreme Medicine USA and host of the WEM podcast.

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


     Member Tier I: Full, Affiliate, International, Emeritus


     $200


     Member Tier II: Fellows


     $200


     Member Tier III: Residents, International - Developing Country


     $125


     Member IV: Medical Students


     $75

Non-Member Rates


     Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"


     $225


     Non-member Tier II: Fellows, SPIs, Nurses, etc.


     $225


     Non-member Tier III: Educators & Emergency Responders


     $150


     Non-member IV: Residents & Students


     $100


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

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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)
This content will not be available until 11/11/2024 at 9:00 AM (EST)