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SUD & Emergency Preparedness | 2024 Total Tox
Includes a Live Web Event on 11/08/2024 at 8:50 AM (EST)
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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
Join us for the next live, virtual session of the Total Tox Course, Substance Use Disorder & Emergency Preparedness.
The first half of this session will cover substance use topics like opioid addiction, cannabis toxicity, and new substances. Experts will also discuss drug screen issues, pulmonary irritants, and the effects of mitochondrial asphyxiants on first responders to chemical suicides. The session will conclude with a focus on disaster preparedness, including radiation types and symptom management, nerve agents, and a brief history of bioterrorism and identification of agents. Interactive case panels with expert speakers will focus on substance use disorder and disaster preparedness.
Learner Objectives
After attending the event, participants should be able to:
- Discuss psychoactive substances as well as the diagnosis and treatment approaches for substance use disorders.
- Describe medication-assisted treatments for opioid use disorder, focusing on buprenorphine, methadone, and naltrexone.
- Explain medical management principles for CBRNE and other hazmat situations
Questions?
Please write to ACMT at events@acmt.net
Preliminary Agenda | Session 2 - November 8, 2024
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:45 AM ET
The New Dangers of Opioid Addiction
Lewis Nelson, MD, FACEP Chair of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
Dr. Nelson will describe opioid use disorder and explain how to initiate treatment for opioid use disorders. He will also highlight harm reduction efforts that can reduce the adverse consequences of opioid use.
9:45 - 10:15 AM ET
Management Options for Opioid Use Disorder
Rachel Wightman, MD, FACMT Assistant Professor of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, RI
Dr. Wightman will review the misuse, abuse, & criteria for diagnosing opioid use disorder. She will identify psychosocial treatments for opioid use disorder and describe the medication-assisted treatments for Buprenorphine, Methadone, and Naltrexone.
10:15 - 10:45 AM ET
Cannabis & Cannabis Toxicity
Mark Neavyn, MD, FACMT Medical Director & Emergency Medicine Physician, Northern New England Poison Center & Maine Medical Center, Portland, ME
Dr. Neavyn will examine the symptoms of cannabis toxicity and describe the treatment approach to cannabis toxicity.
10:45 - 11:00 AM ET | Break (15 min)
11:00 - 11:15 AM ET
What's New in Your Neighborhood?
Stephanie Weiss, MD, PhD Staff Clinician, Translational Addiction Medicine Branch, National Institute on Drug Abuse, Baltimore, MD
Dr. Weiss will discuss the epidemiology of new fentalogues and explain how to initiate treatment for fentanyl-related overdose.
11:15 - 12:00 PM ET
Case Review
Several speakers from previous lectures return to review clinical cases
12:00 - 12:30 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, FACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZ
Dr. Wax will Identify toxicology tests available in the ED. He will discuss which tests should be requested in specific situations and describe how test ordering changes treatment outcomes.
12:30 - 1:00 PM ET | Break (30 min)
1:00 - 1:45 PM ET
Pulmonary Irritants & Simple Asphyxiants
Charles McKay, MD, FACMT Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CT
Dr. McKay will discuss the role of water solubility in the clinical presentation of pulmonary irritants and describe the clinical presentation of pulmonary irritants.
1:45 - 2:15 PM ET
Chemical Suicide & Mitochondrial Asphyxiants
Paul M. Wax, MD, FACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZ
Dr. Wax will return to examine the sources and uses of chemical asphyxiants, their basic mechanisms of toxicity, and their clinical presentations. He will identify the differences between simple asphyxiants and chemical asphyxiants and compare therapies used to treat asphyxiant poisoning.
2:15 - 2:45 PM ET
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber
Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT Medical Director, National Capital Poison Center & MedStar Georgetown University Hospital, Washington, DC
Dr. Johnson-Arbor will identify different types of radiation, describe the consequences of exposure to radiation, and discuss the diagnosis and management of radiation casualties and radiation mass casualty events.
2:45 - 3:15 PM ET
Disaster Preparedness #1: Radiation Events
Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT Deputy Commander, Department of Emergency Medicine, US Army Institute of Surgical Research, Houston, TX
Dr. Maddry will discuss the diagnosis and management of radiation casualties and radiation mass casualty events. He will also identify different types of radiation and describe the consequences of exposure to radiation.
3:15 - 3:30 PM ET | Break (15 min)
3:30 - 4:00 PM ET
Disaster Preparedness #2: Organophosphates & New Agents
Christina Hantsch, MD, FACEP, FACMT, FAACT Emergency Physician and Medical Toxicologist, Loyola University Chicago Stritch School of Medicine Maywood, IL
Dr. Hantsch will discuss management options for patients with organophosphate insecticide or nerve agent toxicity and explain cholinergic toxidrome. She will list specific organophosphate insecticides and chemical weapon nerve agents.
4:00 - 4:45 PM ET
Disaster Preparedness #3: Other Chemical & Biological Terrorism
Aaron Frey, DO Emergency Medicine Attending Physician and Medical Toxicology Fellow, Richmond Emergency Physicians, Inc. & University of Virginia, Richmond, VA
Dr. Frey will examine the diagnosis and management of casualties resulting from terrorism and mass casualty events and discuss the history of bioterrorism as a tool for warfare. He will explain and evaluate the agents used in bioterrorist events.
4:45 - 5:30 PM ET
Case Review
Several speakers from previous lectures return to review clinical cases.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_6e8780851a780c7aa34f925c36f0d402.jpeg)
Aaron Frey, DO
Core Faculty & Medical Toxicologist
WellSpan Health at York Hospital
Dr Aaron Frey is an emergency medicine physician and medical toxicologist. He studied government and international studies at Campbell University in North Carolina and Spanish at Middlebury College in Vermont. He worked as a firefighter, emergency medical technician, and search and rescue diver during his undergraduate career. The experiences he had in those roles are what influenced him to become a physician. His particular interests include hazardous materials and chemical, biological, radiological, and nuclear (CBRN) weapons, remote, austere, and wilderness medicine, and damage control resuscitation. He currently practices emergency medicine and toxicology at the Wellspan York Hospital in York, PA and holds an academic appointment of assistant professor of emergency medicine and medical toxicology at Drexel University College of Medicine.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_a66549d47b5b79ff0b6c39b387907b9a.jpg)
Christina Hantsch, MD, FACEP, FAACT, FACMT
Emergency Physician and Medical Toxicologist
Dr. Hantsch is a graduate of the Honors Program in Medical Education at Northwestern University. She completed an emergency medicine residency, including a year as chief resident, at the Medical College of Wisconsin and then continued her training in a medical toxicology fellowship at Vanderbilt University. After her fellowship, she spent nearly 22 years at Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center. There, she established an inpatient toxicology clinical service and clinical rotations for graduate medical trainees and students in multiple fields. With an interest in medication management and safety, she joined the hospital Pharmacy and Therapeutics Committee, serving as member for 6 years before being appointed chair and leading the committee for another 6 years. Dr. Hantsch earned the academic rank of Professor of Emergency Medicine, was Director of the Division of Toxicology, and Director of Academic Affairs in the Department of Emergency Medicine. As a clinical faculty member, she was appointed to the Stritch Committee on Academic Rank and Tenure, serving for 7 years including 2 as a subcommittee chair leading revision of the clinician educator track guidelines. In 2018, she was the founding Program Director of the Loyola emergency medicine residency. Dr. Hantsch served for more than 8 years as Medical Director of the Illinois Poison Center. In addition, she is a regular organizer and contributor to many local, regional, and national/international continuing education programs. After leaving academics, she worked for the U.S. FDA in pharmacovigilance for a year. As of 2022, she is board certified in addiction medicine in addition to emergency medicine and medical toxicology. Dr. Hantsch was elected to the ACMT Board of Directors in 2021, is a member of the Education Committee, and chair of the Practice Committee.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_32a84f912af622f2145d2b038523acfc.jpg)
Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT
Medical Director
National Capital Poison Center & MedStar Georgetown University Hospital
Dr. Kelly Johnson-Arbor is a physician who is triple board-certified in Emergency Medicine, Medical Toxicology, and Undersea and Hyperbaric Medicine. She completed her undergraduate education at Harvard College and earned her medical degree from Loyola University Stritch School of Medicine. She completed a residency in Emergency Medicine at the University of Rochester, followed by a fellowship in Medical Toxicology at the University of Connecticut. She currently serves as the co-medical director of National Capital Poison Center and the medical director of hyperbaric medicine at MedStar Georgetown University Hospital. She is an Assistant Professor of Plastic Surgery and Emergency Medicine at the Georgetown University School of Medicine and serves as an associate faculty member of the MedStar Institute for Quality and Safety.
Dr. Johnson-Arbor has been in practice as a medical toxicology physician for more than 15 years. She has extensive experience in the diagnosis, treatment, and prevention of various types of toxic exposures affecting both adults and children. She has served as a toxicology consultant for multiple Poison Control Centers in the United States, and currently treats toxicology patients at MedStar Georgetown University Hospital. She has a special interest in the management of heavy metal toxicity and carbon monoxide poisoning. An avid researcher and writer, Dr. Johnson-Arbor has published numerous articles in peer-reviewed medical journals including New England Journal of Medicine, JAMA Internal Medicine, and Annals of Emergency Medicine. She enjoys teaching toxicology principles to the public as well as medical professionals.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_9e5327c6ff1b5cb2ca999c43b5304fac.jpg)
Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT
Deputy Commander
Department of Emergency Medicine, US Army Institute of Surgical Research
Lt Col Maddry earned his Bachelor’s Degree from the US Air Force Academy in 2001 as a Distinguished Graduate. His first assignment was as Officer in Charge of Bioenvironmental Engineering at Minot Air Force Base, North Dakota. During his tenure, he led his unit’s response to the largest anhydrous ammonia spill in U.S. history. He then attended medical school at the Uniformed Services University, earning Alpha Omega Alpha membership honors. He completed his emergency medicine residency at SAUSHEC and his medical toxicology fellowship at the Rocky Mountain Poison and Drug Center in Denver, Colorado.
Following fellowship, Lt Col Maddry returned to Brooke Army Medical Center as an emergency physician and medical toxicologist. He served as Chief of the BAMC Simulation Center from 2014 to 2015. Subsequently, he served as Director of the US Air Force En route Care Research Center (ECRC) from 2015 to 2020. In this position, he oversaw 20 personnel and a $14.8 million research portfolio. He is an author of over 100 peer reviewed publications and 150 research presentations and has been awarded over $28 million in research grants. The Society of Academic Emergency Medicine recognized Dr. Maddry’s research as one of the best publications of 2014. Lt Col Maddry was awarded the Defense Health Board Early Career Investigator Award, the 2017 USAF Outstanding Achievement in Clinical Research award and the 2018 Military Health System Research Symposium Small Team Research Accomplishment Award for Excellence.
Lt Col Joseph Maddry is currently the Deputy Commander of the US Army Institute of Surgical Research, overseeing over 700 personnel focused on optimizing combat casualty care. Dr. Maddry also serves as Director of Medical Toxicology at Brooke Army Medical Center and as the Director of the Clinical Resuscitation, Emergency Sciences, Toxicology, and Triage (CREST2) Research Program. He leads the development of the next generation of military researchers by serving as the Director of the SAUSHEC Military Emergency Medicine Research Fellowship and as Director of the Clinician Scientist Investigator Opportunity Network (CSION).
He is an Associate Professor of Emergency Medicine with the Uniformed Services University and has academic appointments at the University of Texas Health, Texas A&M, and the University of Colorado Denver. Lt Col Maddry has served in Afghanistan, Iraq, Haiti, Japan and Burkina Faso.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_fd5dfb0858f55926c4b024deace1c698.jpg)
Charles McKay, MD, FACMT
Associate Medical Director
CT Poison Control Center, University of Connecticut School of Medicine
Dr. McKay was trained in Anatomic and Surgical Pathology, Internal Medicine, Emergency Medicine, Medical Toxicology and was a Medical Director of Occupational Health and Medical Review Officer for a hospital system during more than 30 years of clinical practice, during which he provided toxicology consultation at 3 hospitals, directed a medical toxicology fellowship training program, and provided medical oversight of a regional poison control center. He provides medical legal consultation across the country on toxicology-related issues, and has testified in nearly 100 cases, many related to questions of alcohol- and -drug-induced impairment.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_424ddfb760b4ec94e42774cefd722469.jpg)
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.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_027c51427c2bf1228835172888c0a7a1.jpg)
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.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_9d7928a74a024e1e6591eedfa6b68771.jpg)
Moderator: Lewis Nelson, MD, MBA, FACMT, FASAM
Chair of Emergency Medicine
Rutgers New Jersey Medical School
Lewis S. Nelson, MD is Professor and Chair of the Department of Emergency Medicine at Rutgers New Jersey Medical School, Chief of Service for the Emergency Department at University Hospital of Newark, and Senior Consultant to the New Jersey Poison Information & Education System. Dr. Nelson is board certified in emergency medicine, medical toxicology, and addiction medicine. His areas of specific interest include preventing and managing the consequences of opioid and other substance use, multimodal pain management strategies, health policy, and medication safety.
Dr. Nelson has served as President of American College of Medical Toxicology and on the Board of Directors of both the American Board of Emergency Medicine and the Accreditation Council for Continuing Medical Education. He is currently the president of Association of Academic Chairs in Emergency Medicine. He is a long time consultant for several governmental agencies including the Centers for Disease Control and Prevention, the Department of Homeland Security, and the Food and Drug Administration. He is an editor of the textbook “Goldfrank’s Toxicologic Emergencies.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_40ccc74ae45e70e7c901559ddaffbc1b.png)
Paul M. Wax, MD, FACMT
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.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_68c8efe154fc44dfb2889b28e221d28d.png)
Stephanie Weiss, MD, PhD
Staff Clinician, Translational Addiction Medicine Branch
National Institute on Drug Abuse
Dr. Stephanie Weiss is the Staff Research Physician serving the Translational Addiction Medicine Branch of the National Institute on Drug Abuse’s Intramural Research Program. After earning a Ph.D. in pharmaceutical chemistry, Dr. Weiss received her medical degree in 2011. She is board certified in emergency medicine, addiction medicine, and medical toxicology and was selected to participate in the Boston University Research in Addiction Medicine Scholars Program prior to joining NIDA. Dr. Weiss is responsible for providing optimal, safe, and ethical care to study participants and clinical support toward the TAMB mission conducting inpatient and outpatient proof-of-concept human laboratory studies. Her research interests include novel psychoactive substances, medication misuse, and improving interpretation of urine drug testing.
![Speaker image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_54bcce1e17357e400ce6dd125147e443.jpg)
Rachel Wightman, MD, FACMT
Assistant Professor of Emergency Medicine
The Warren Alpert Medical School of Brown University
Dr. Wightman is an Assistant Professor of Emergency Medicine at Alpert Medical School of Brown University. She is a triple board-certified practicing physician in medical toxicology, addiction medicine, and emergency medicine. She serves as Director of Toxicology Education for Brown Emergency Medicine and as faculty in the Addiction Medicine Fellowship at Rhode Island Hospital. She completed medical toxicology fellowship and emergency medicine residency at New York University School of Medicine/ Bellevue Hospital Center.
Dr. Wightman’s primary clinical expertise is in the evaluation and management of drug toxicity syndromes in complex medical patients and enhancing medication safety for high-risk drugs. Her research is focused on evaluation and tracking of emerging drug trends, cannabis hyperemesis syndrome, and medications for treatment of opioid use disorder.
Registration Rates
Registration includes:
- Access to the live virtual event on November 8, 2024
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 8.0 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Assistant (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Are you a member of any of the following organizations? AAEM, AAENP, APAMT, APC, EAPCCT, SOT, MENATOX
You may be eligible for a registration discount! Please email us at events@acmt.net to find out more.
Member Rates
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!
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 November 1, 2024.
- 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 80% 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
![image image](https://d6bd6cda343ed5c1ff64-9ee27b926fe8aca5576f68e9178b9a28.ssl.cf2.rackcdn.com/acmt_c27f851640c30b31abad950be5decb0f.jpg)
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)