Substance Use, Toxicology Pitfalls & Alcohols | 2026 Total Tox
Includes a Live Web Event on 12/11/2026 at 8:40 AM (EST)
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Register
- Non-member - Tier I - $300
- Non-member - Tier II - $150
- Non-member - Tier III - $125
- Non-member - Tier IV - $100
- Member - Tier I - $275
- Member - Tier II - $125
- Member - Tier III - $100
- Member - Tier IV - $75
#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!
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.
Mark Neavyn, MD, FACMT
Medical Director & Emergency Medicine Physician
Northern New England Poison Center & Maine Medical Center
Mark Neavyn, M.D. joined Maine Medical Center as the Medical Director for the Northern New England Poison Center in 2020. After earning his Bachelor of Arts degree in biology from Augustana College, he went on to earn his medical degree at Jefferson Medical College. He then completed his residency in emergency medicine at Drexel University, followed by a fellowship in Medical Toxicology at the University of Massachusetts.
His clinical interests include treatment and stabilization of patients after poisoning, drug overdose, and environmental exposures. He is particularly interested in the public health implications of cannabis use and emerging trends in novel psychoactive substances.
In his spare time Dr. Neavyn enjoys running on the beautiful trails in and around Portland, Maine.
Courtney Temple, MD
Assistant Professor of Emergency Medicine
Oregon Health & Science University
Dr. Temple is an emergency medicine physician and medical toxicologist at Oregon Health & Science University and the Oregon Poison Center. She received her medical degree from the University of Massachusetts Medical School, completed her emergency medicine residency at the University of Massachusetts, and completed her Medical Toxicology Fellowship at Oregon Health & Science University. She is board-certified in emergency medicine and medical toxicology.
She serves as Assistant Program Director for the OHSU Medical Toxicology Fellowship and Assistant Medical Director of the Oregon Poison Center. She was the inaugural recipient of the ACMT Charles E. Becker Medal for outstanding achievement in medical toxicology. Her academic interests include emerging drugs of abuse, natural toxins, and innovative approaches to toxicology education.
Paul M. Wax, MD, DFACMT
Executive Director
American College of Medical Toxicology (ACMT)
Dr. Wax is the Executive Director of the American College of Medical Toxicology. He received his B.A from Dartmouth College, his M.D. from the Mount Sinai School of Medicine, his Emergency Medicine training at the UCLA Hospitals, and his Medical Toxicology training at Bellevue Medicine Center / New York University. He is Board-certified in both Medical Toxicology and Emergency Medicine, and is a Fellow of the American College of Medical Toxicology.
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
Member Tier I: Full, Affiliate, International, Emeritus |
$275 |
Member Tier II: Fellows |
$125 |
Member Tier III: Residents, International - Developing Country |
$100 |
Member IV: Medical Students |
$75 |
Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other" |
$300 |
Non-member Tier II: Fellows, SPIs, Nurses, etc. |
$150 |
Non-member Tier III: Educators & Emergency Responders |
$125 |
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 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!
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:
- 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.
- Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 11, 2026.
- Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
- 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.
- Complete the Event CE Survey. If you are completing CE, this survey is required.
- 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.
