Non-Pharm | ACMT Total Tox Course

Non-Pharm | ACMT Total Tox Course

  • 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
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From American College of Medical Toxicology (ACMT), join us for an exhilarating education on Non-Pharmaceuticals! Lectures will include topics such as the toxicology of plants and mushrooms, and envenomations from reptiles, marine life, and arthropods. Experts will also discuss anesthetic toxicity, malignant hyperthermia, and methemoglobinemia, as well as provide insights into managing heavy metal poisoning and the complexities of ethanol and toxic alcohol intoxication. This activity features interactive case panels on novel treatments for critically ill patients and approaches to evaluating unknown toxicology issues, allowing you to apply your knowledge from the entire Total Tox Course.

The content of this course consists of recordings from the live, virtual Non-Pharm activity of the 2024 ACMT Total Tox Course. The content has been edited and packaged into this on-demand version featuring 13 asynchronous lectures from experts in the field of medical toxicology.

Registration for this activity includes 90 day access to the on-demand material and up to 8.00 Continuing Education credits.


Target Audience

This activity is designed for a diverse audience including physicians, pharmacists, advanced practice nurses, nurses, physician assistants, medics, EMTs, SPIs, laboratorians, poison center educators, first responders, and residents and students eager to expand their expertise.


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Continuing Education

Enduring continuing education credits for Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners is provided by AKH Inc., Advancing Knowledge in Healthcare. It is expected that learners will receive up to 8.0 credits for learning and change.

For more information, click here.


Learner Objectives

After Completing This Program You 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

View Syllabus


Questions?

Please write to ACMT at events@acmt.net


If you are interested in the other sections of this course, check out the links below!

Pharmaceuticals SUD & Emergency Preparedness

Syllabus

Total Activity Length: approximately 8 hours (452 minutes)


PRE-TEST | 15 min

12 multiple-choice questions to ascertain your baseline knowledge on the topic.


Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia | 24 min

Shaun D. Carstairs, MD, FACMT Medical Toxicologist, Rady Children's Hospital, San Diego, CA

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.


Hospital Hazards #2: Methemoglobinemia | 27 min

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.


Heavy Metals In the ED: Lead, Arsenic & Mercury | 28 min

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.


Ethanol Intoxication: Too Much Of a Good Thing | 44 min

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.


When It's Not Ethanol: Demystifying Toxic Alcohols | 41 min

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.


Ethanol Withdrawal: When the Good Times End | 31 min

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.


Don't Touch That! Marine, Arthropod & Reptile Envenomations | 36 min

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.


The Toxic Yard | 28 min

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.


The Toxic House | 29 min

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.


The Toxic Cabinet | 26 min

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.


The Toxic Garage | 34 min

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.


Case Panel - The Hot Patient | 60 min

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


Case Panel - The Unknown Tox Patient | 29 min

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


POST-TEST | 15 min

Retake the same 12 multiple-choice questions asked during the pre-test and compare your scores to assess your learning.

Nena Bowman, PharmD, DABAT

Director of Vaccine Operations

Vaccine Preventable Diseases and Immunization Program, Tennessee Department of Health

Nena Bowman received her Bachelor of Science in Biochemistry at Middle Tennessee State University in 2010 and her Doctorate of Pharmacy at Lipscomb University College of Pharmacy in 2014. Bowman completed a specialty fellowship in Toxicology with the Utah Poison Control Center at the University of Utah in Salt Lake City, Utah in 2016. She is board certified as a clinical toxicologist, Diplomate of the American Board of Applied Toxicology (DABAT). Dr. Bowman currently practices at the Tennessee Department of Health as the Director of Vaccine Operations and a Toxicologist Consult for the Emergency Preparedness Program. Bowman works closely with providers across the state to ensure proper utilization of federal vaccine program funds, and equal access to all ACIP recommended vaccines for underserved children and adults. She also teaches at Lipscomb University College of Pharmacy as an adjunct professor in toxicology and emergency preparedness curriculum. She is an Advanced Hazmat Life Support (AHLS) Provider and Instructor, and she is the immediate past president of the Nashville Area Pharmacists Association. She enjoys working in public health to educate providers, consulting on difficult toxicology situations, and problem solving to navigate unprecedented events and challenges.

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

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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.

B. Zane Horowitz, MD, FACMT

Associate Medical Director

Oregon Poison Center

Dr. B. Zane Horowitz served as the medical director of the Oregon-Alaska-Guam Poison Center for 22 years. He also served as the medical director for the Utah Poison Control Center for 7 of those years. He currently continues to teach at Oregon Health and Science University in medical toxicology, and has authored over 90 publications.

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.

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:

  • 90-day access to all course content

  • Access to the Speaker slides

  • 8.0 Continuing Education Certificate. Available credits: Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.

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 full ACMT Total Tox Course and save $100!

Purchase the package here!


Refunds and Cancellations

For information on ACMT's Cancellation and refund policy, click here.


Questions?

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

Instructions

Once you have completed your registration:

  1. Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.
  2. Complete the Pre-Test. You are not required to pass the Pre-Test, this is to test your skills before you begin the on-demand course.
  3. Watch all lectures and case panels. Learners will be required to watch at least 3/4 of the video before it will be marked as complete.
  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 CE Survey. These questions are required to claim your CE certificate.
  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 is a self-guided course 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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ACMT Total Tox Course – Non-Pharmaceuticals
On-Demand Course
Release Date: December 6, 2024
Expiration Date: December 6, 2025

CE credit provided by AKH Inc., Advancing Knowledge in Healthcare.

Criteria for Success
To obtain a certificate of completion, a score of 70% or better on the post-test is required. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your certificate.  You must participate in the entire activity to receive credit. There is no fee to participate in this activity. If you have questions about this activity, please contact AKH Inc. at events@acmt.net.

Please claim your credit by December 6, 2025

If you have questions about this CE activity, please contact AKH Inc at bethany@akhcme.com

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 8.0 Interprofessional Continuing Education (IPCE) credit for learning and change.


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In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 8.0 Interprofessional Continuing Education (IPCE) credit for learning and change. 

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Physicians
AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
Credit being awarded: 8.0 ANCC contact hours.

Nurse Practitioners

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This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT).  AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803. This activity is approved for 8.0 contact hour(s) (which includes 8.0 hour(s) of pharmacology).

Physician Associate

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AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8.0 AAPA Category 1 CME credits. Approval is valid until 12/6/2025.

PAs should only claim credit commensurate with the extent of their participation.


Pharmacists
AKH Inc., Advancing Knowledge in Healthcare designates this continuing education activity for 8.0 contact hour


Commercial Support
This activity is supported from an independent medical education grant from BTG international lnc.,

Disclosures
It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with ineligible companies whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are mitigated by AKH prior to accreditation of the activity. AKH planners and reviewers have no relevant financial relationships to disclose.

Disclosure of Unlabeled Use and Investigational Product
This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer
This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participants misunderstanding of the content. If you would like to opt out from future communications from AKH please send an email to optout@akhcme.com with your information with "Opt Out" in the subject line.

Key:

Complete
Failed
Available
Locked
Pre-Test | Activity 3
11 Questions  |  1 attempt  |  7/11 points to pass  |  Graded as Pass/Fail
11 Questions  |  1 attempt  |  7/11 points to pass  |  Graded as Pass/Fail
Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia
Recorded 11/15/2024  |  24 minutes
Recorded 11/15/2024  |  24 minutes Dr. Shaun Carstairs discusses the history and pharmacology of local anesthetics and the unique characteristics and common clinical use for each prototypical local anesthetic. He assesses the most commonly caused several complications of local anesthetics and identifies general thermoregulatory principles. He reviews the following hyperthermic syndromes & discusses treatment options: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperthermia.
Hospital Hazards #2: Methemoglobinemia
Recorded 11/15/2024  |  27 minutes
Recorded 11/15/2024  |  27 minutes Dr. Andrea Carlson discusses the common agents causing Methemoglobinemia. She identifies Methemoglobinemia mechanisms of toxicity and describes the best practices in clinical management of Methemoglobinemia.
Heavy Metals In the ED: Lead, Arsenic & Mercury
Recorded 11/15/2024  |  28 minutes
Recorded 11/15/2024  |  28 minutes Dr. Evan Schwarz reviews the signs and symptoms of lead toxicity. He discusses the role of chelation in heavy metal toxicity and compares and contrasts the toxicity caused by different forms of mercury.
Ethanol Intoxication: Too Much Of a Good Thing
Recorded 10/21/2024  |  44 minutes
Recorded 10/21/2024  |  44 minutes Dr. Anthony Pizon examines the prevalence of ethanol AUD in patients presenting to the Emergency Department. He discusses the genetic vs. environmental factors for ethanol AUD and assesses the most critical laboratory tests for symptomatic patients who have suspected ethanol intoxication.
When It's Not Ethanol: Demystifying Toxic Alcohols
Recorded 11/15/2024  |  41 minutes
Recorded 11/15/2024  |  41 minutes Dr. Bram Dolcourt describes toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures, identifies two stand-in tests for MeOH and EthGly, noting limitations, and presents a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.
Ethanol Withdrawal: When the Good Times End
Recorded 11/15/2024  |  31 minutes
Recorded 11/15/2024  |  31 minutes Dr. Jerrold Leikin discusses appropriate treatment so that complications are prevented. He examines alcohol withdrawal symptoms and describes the principles of detoxification.
Don't Touch That! Marine, Arthropod & Reptile Envenomations
Recorded 11/15/2024  |  36 minutes
Recorded 11/15/2024  |  36 minutes Dr. Michael Levine identifies various toxic envenomations and describes the characterization of Black Widow envenomation and management options. He discusses management options for pit viper envenomations.
The Toxic Yard
Recorded 11/15/2024  |  28 minutes
Recorded 11/15/2024  |  28 minutes Dr. Fiona Garlich Horner examines different classes of plant derived toxins and their effects on humans and identifies hazards of different mushrooms and clinical toxidromes associated with mushrooms.
The Toxic House
Recorded 11/15/2024  |  29 minutes
Recorded 11/15/2024  |  29 minutes Dr. Ashley Haynes discusses common household exposures and their implications and reviews toxicity of common household cleaners and toys.
The Toxic Cabinet
Recorded 11/15/2024  |  26 minutes
Recorded 11/15/2024  |  26 minutes Nurse Practitioner Stephen Wood reviews toxicity of essential oils and examines risks associated with the use of dietary supplements.
The Toxic Garage
Recorded 11/15/2024  |  34 minutes
Recorded 11/15/2024  |  34 minutes Dr. Andrew King discusses common toxins and exposures of chemicals commonly found in the garage. He reviews toxicity and management of chemicals and other substances commonly found in the garage.
Case Panel - The Hot Patient
Recorded 11/15/2024  |  60 minutes
Recorded 11/15/2024  |  60 minutes Several speakers from previous lectures return to review clinical cases on novel treatments for the Hot Patient.
Case Panel - The Unknown Tox Patient
Recorded 11/15/2024  |  29 minutes
Recorded 11/15/2024  |  29 minutes Several speakers from previous lectures return to review a case of an unknown tox patient.
Post-Test | Activity 3
11 Questions  |  Unlimited attempts  |  7/11 points to pass  |  Graded as Pass/Fail
11 Questions  |  Unlimited attempts  |  7/11 points to pass  |  Graded as Pass/Fail
Continuing Education
CE Survey
31 Questions
31 Questions Please complete this survey to access your CE certificate.
Continuing Education Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available
Total Tox Collectibles
Total Tox Collectibles - METHEMOGLOBINEMIA
Open to download resource.
Open to download resource. Watch the Methemoglobinemia Lecture to receive this card!
Total Tox Collectibles - LEAD
Open to download resource.
Open to download resource. Watch the Heavy Metals Lecture to receive this card!
Total Tox Collectibles - ETHANOL
Open to download resource.
Open to download resource. Watch the Ethanol Intoxication Lecture to receive this card!
Total Tox Collectibles - ETHYLENE GLYCOL
Open to download resource.
Open to download resource. Watch the Demystifying Toxic Alcohols Lecture to receive this card!
Total Tox Collectibles - METHANOL
Open to download resource.
Open to download resource. Watch the Demystifying Toxic Alcohol Lecture to receive this card!
Total Tox Collectibles - ALCOHOL WITHDRAWAL
Open to download resource.
Open to download resource. Watch the Ethanol Withdrawal Lecture to receive this card!
Total Tox Collectibles - LATRODECTUS MACTANS
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Open to download resource. Watch the Envenomations Lecture to receive this card!
Total Tox Collectibles - LOXOSCELES RECLUSA
Open to download resource.
Open to download resource. Watch the Envenomations Lecture to receive this card!
Total Tox Collectibles - VIPERIDAE (Pit Vipers)
Open to download resource.
Open to download resource. Watch the Envenomations Lecture to receive this card!
Total Tox Collectibles - AMANITA PHALLOIDES
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Open to download resource. Watch The Toxic Yard Lecture to receive this card!
Total Tox Collectibles - CONIUM MACULATUM (poison hemlock)
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Open to download resource. Watch The Toxic Yard Lecture to receive this card!
Total Tox Collectibles - DATURA STRAMONIUM (jimson weed)
Open to download resource.
Open to download resource. Watch The Toxic Yard Lecture to receive this card!
Total Tox Collectibles - SYMPATHOMIMETIC TOXIDROME
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Open to download resource. Watch The Toxic Cabinet Lecture to receive this card!
Total Tox Collectibles - VITAMIN A TOXICITY
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Open to download resource. Watch The Toxic Cabinet Lecture to receive this card!
Total Tox Collectibles - HYDROFLUORIC ACID (HF)
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Open to download resource. Watch The Toxic Garage Lecture to receive this card!
Total Tox Collectibles - PARAQUAT
Open to download resource.
Open to download resource. Watch The Toxic Garage Lecture to receive this card!