Total Tox Course - 3 Day Package

Total Tox Course - 3 Day Package

  • Register
    • Non-member - Tier I - $650
    • Non-member - Tier II - $650
    • Non-member - Tier III - $650
    • Non-member - Tier IV - $650
    • Member - Tier I - $500
    • Member - Tier II - $500
    • Member - Tier III - $500
    • Member - Tier IV - $500

The ACMT Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. Prominent experts in medical toxicology and emergency medicine will lead the course.

The 3-day course will focus on medical toxicology topics of interest to emergency providers, including toxicological issues of current clinical and public health importance. Attendees will be presented with state-of-the-art updates on the evaluation and initial management of poisoning and exposure to medications, drugs of abuse, chemical terrorism, and environmental toxins. 

Target Audience: Physicians, Pharmacists, Advanced Practice Nurses, Nurses, Physician Assistants, Medics, EMTs, SPIs, Laboratorians, Poison Center Educators, First Responders, Operational or Tactical Specialists, Residents and Students 

Course Objectives:

  • Develop an evidence-based approach to evaluation, diagnosis, and treatment of acutely poisoned patients.
  • Discuss cutting-edge management options, including new antidote therapies and advanced treatment modalities for critically ill poisoned patients.
  • Understand emerging trends in drugs of abuse and new approaches to the management of patients with substance use disorders.
  • Review chemical and radiological threats and approaches to CBRN victim initial management and stabilization.
  • Contains 4 Component(s) Includes a Live Web Event on 11/04/2022 at 9:45 AM (EDT)

    November 4, 2022

    The ACMT Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. Prominent experts in medical toxicology and emergency medicine will lead the course.

    Day 1 of the Total Tox Course will focus on Pharmaceuticals. After attending the event, participants should be able to:

    1. Identify the most common interventions performed in acute poisoning
    2. Know how to examine a poisoned patient and identify what to look for in common poisonings
    3. Learn different treatment options for common toxidromes
    4. Discuss acetaminophen ingestions
    5. Know which patients require treatment
    6. Learn about novel treatments for acetaminophen-related poisoning.
    7. Describe the treatment of NSAID poisoning
    8. Discuss the pathophysiology of salicylate poisoning
    9. Differentiate between treatment for NSAID and salicylate poisoning
    10. Identify major antihistamines used to treat breathing problems
    11. Describe the action of antitussive medications
    12. Describe the pharmacology of antihistaminics with emphasis on clinical uses, adverse drug reactions and interactions
    13. Explain the pharmacologic, toxicity, and treatment differences between Tricyclic Antidepressants and Antipsychotics
    14. Discuss "typical" vs. "atypical" antipsychotics
    15. Describe the overlapping features of  Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs and Antipsychotics
    16. Identify unique concerns of specific antidepressants in overdose
    17. Discuss drug discontinuation syndrome as it applies to SSRIs & atypical antidepressants
    18. Compare differences in acute vs. chronic lithium toxicity
    19. Discuss mechanisms of toxicity, clinical manifestations, and update on optimal therapy for beta-adrenergic blocking drugs and calcium channel antagonists drugs
    20. Discuss treatment options focusing on high-dose insulin vs vasopressor controversy
    21. Discuss how the optimal management of drug-induced dysrhythmias differs from AHA ACLS algorithms
    22. Discuss optimal treatment of drug-induced dysrhythmias
    23. Review the mechanism of action, indications, contraindications, adverse reactions, and common drug interactions of warfarin.
    24. Identify appropriate uses of reversal agents for common anticoagulants
    25. Review the latest data in NOAC trials
    26. Recognize management issues with overdose of endocrine drugs
    27. Recognize endocrine function impact of ‘non-endocrine’ medications
    28. Be aware of endocrine clues and mimics
    29. Know the toxicity of common anticonvulsants
    30. Identify which laboratory testing is required for toxicity from anticonvulsant agents
    31. Identify treatment options for anticonvulsant toxicity
    32. Discuss the mechanism of action of the 5 major classes of antimicrobials
    33. Assess the likelihood of a cross-reaction between penicillin and cephalosporin
    34. Describe potential toxicities of commonly prescribed antimicrobial treatments

    Agenda | Total Tox Course | Day 1 - November 4, 2022

    9:45 - 10:00 AM ET | Opening Remarks

    10:00 - 10:40 AM ET
    From Toxidromes to Activated Charcoal: A Rational Approach For Managing the Poisoned Patient

    10:40 - 11:15 AM ET
    Over-the-Counter Poisons #1: Acetaminophen

    11:15 - 11:55 AM ET
    Over-the-Counter Poisons #2: NSAIDS and ASA


    11:55 - 12:15 PM ET | Break - 20 min


    12:15 - 12:35 PM ET
    Case Review & Roundtable Discussion on Complex Acetaminophen Cases

    12:35 - 1:05 PM ET
    Over-the-Counter Poisons #3: Antihistamines & Antitussives

    1:05 - 1:45 PM ET
    The Ins and Outs of Ups and Downs #1: Tricyclic Antidepressants & Antipsychotics


    1:45 - 2:05 PM ET | Break - 20 min


    2:05 - 2:35 PM ET
    The Ins and Outs of Ups and Downs #2: SSRIs and Lithium

    2:35 - 3:05 PM ET
    Beta Blockers and Calcium Channel Blockers: When the Antagonists Become Antagonistic

    3:05 - 3:35 PM ET
    Drug-Induced Dysrhythmias: When You Can't Control the Rhythm


    3:35 - 3:55 PM ET | Break - 20 min


    3:55 - 4:30 PM ET
    Anticoagulants and Antithrombotics: When You Can't Control the Bleeding

    4:30 - 5:00 PM ET
    Out of Balance: Toxicity of Endocrine Agents

    5:00 - 5:25 PM ET
    Anticonvulsants: When the Level Makes You Unsteady

    5:25 - 6:00 PM ET
    Antimicrobials & Antivirals: When the Cure Becomes Toxic

    Maryann Amirshahi, PharmD, MD, MPH, PhD

    Emergency Medicine Attending Physician and Associate Professor Of Emergency Medicine

    MedStar Washington Hospital Center & Georgetown University Hospital

    Maryann Amirshahi completed her Bachelors in Pharmacy and PharmD degrees at the University of the Sciences in Philadelphia, followed by medical school at Temple University. She completed her emergency medicine residency at the Hospital of the University of Pennsylvania, medical toxicology fellowship at the George Washington University/National Capital Poison Center, and clinical pharmacology fellowship at Children’s National Medical Center. She also received an MPH from the George Washington University focusing on environmental and occupational health. She completed her PhD at Erasmus University, with a focus on pharmacology and public health. She is board certified in emergency medicine, medical toxicology, addiction medicine, and clinical pharmacology. She is also a registered pharmacist with over a decade of practice experience and is a Board Certified Pharmacotherapy Specialist. She is a Professor of Emergency Medicine at the Georgetown University School of Medicine in Washington, DC.

     

    Maryann practices clinically at MedStar Washington Hospital Center, where she not only treats poisoned patients on a daily basis, but also plays a major role in bringing addiction care to the emergency department setting. She also is active at the health system level with roles in medication safety, opioid stewardship, and resident education. Nationally she has served on the Board of Directors for the American College of Medical Toxicology and the American Board of Clinical Pharmacology. Maryann is a medical toxicologist at the National Capital Poison Center and also serves as a toxicology consultant for the Mid-Atlantic Center for Children’s Health and the Environment.

    Ann Arens, MD

    Associate Professor of Emergency Medicine

    University of Minnesota

    Dr. Arens is an Emergency Medicine physician at Hennepin Healthcare in Minneapolis, MN as well as an Associate Professor of Emergency Medicine at the University of Minnesota. She is also a practicing medical toxicologist at Hennepin Healthcare and an Associate Medical Director of the Minnesota Poison Control System. Dr. Arens completed her Emergency Medicine training at the Denver Health Residency in Emergency Medicine, and her medical toxicology training at the University of California – San Francisco. She was amongst the first toxicologists to identify and describe counterfeit fentanyl products, and has continued to identify outbreaks of new drugs of abuse. She has a broad range of research interests including: the identification of new drugs of abuse including novel opioids contributing to the current opioid epidemic, the use of antidotes, and advanced supportive care of the poisoned patient.

    Mary Billington, MD

    Assistant Professor and Director Of Medical Toxicology

    University of Texas Health Science Center at Houston (UTHealth Houston)

    Dr. Mary Billington is a board-certified Medical Toxicologist and Emergency Medicine physician. She completed both Emergency Medicine residency training and Medical Toxicology fellowship at Parkland Memorial Hospital/UT Southwestern in Dallas, TX. Dr. Billington initiated a Medical Toxicology service at Memorial Hermann Hospital in Houston, TX. She is very enthusiastic about medical and toxicologic education, and sincerely enjoys professional engagement in ACMT and ACEP. 

    Neeraj Chhabra, MD, MSCR

    Medical Toxicologist & Emergency Medicine Physician

    Cook County Health & NorthShore University HealthSystem

    Neeraj Chhabra, MD, MSCR is an Emergency Physician and Medical Toxicologist based in Chicago, Illinois. He provides medical toxicology consulting services for the Illinois Poison Center and Cook County Health. Dr. Chhabra completed his fellowship in medical toxicology with the Toxikon Consortium in 2017 and his master’s degree in clinical research at Rush University Graduate College in 2020. His clinical focus is on the acute management of poisonings and overdose.

    Christina Hantsch, MD, FACEP, FACMT, FAACT

    Emergency Physician and Medical Toxicologist

    Loyola University Chicago Stritch School of Medicine

    Michelle Hieger, DO

    Emergency Physician and Medical Toxicologist

    WellSpan Health & VCU Health System

    I am a board-certified Medical Toxicologist and Emergency Medicine physician. I completed my residency at Memorial Hospital in York, PA. My fellowship was completed at Virginia Commonwealth University in Richmond, VA. I currently work at WellSpan York Hospital in York, PA, as an Emergency Physician and Medical Toxicologist. I initiated the toxicology service at York Hospital. I am interested in treating the poisoned patients at bedside, and especially interested in the antidotal therapy with physostigmine and flumazenil. I enjoy professional engagement with ACMT.

    Katherine Katzung, MD, FACEP, FASAM

    Director of Addiction & Toxicology Program & Emergency Care Physician

    Abbott Northwestern Hospital & Emergency Care Consultants

    William "Russ" Kerns, II, MD, FACMT, FACEP

    Emeritus Professor of Emergency Medicine

    Carolinas Medical Center

    Dr. Kerns trained in Emergency Medicine and Medical Toxicology and served as Professor in both disciplines at Carolinas Medical Center for 33 years. Faculty roles included leadership of the Medical Toxicology Fellowship and clinical division, consultation for the Carolinas Poison Center, and research. Research interests included antidotes, envenomation, and resuscitation of cardiotoxic drugs. He also served the ACMT focusing on advancing research and education.

    Travis D. Olives, MD, MPH, MEd

    Emergency Medicine Physician & Associate Medical Director

    Hennepin HealthCare & Minnesota Poison Control System

    Renee Petzel Gimbar

    Clinical Associate Professor

    University of Illinois Chicago College of Pharmacy

    Renee Petzel Gimbar received her PharmD from the University of Illinois at Chicago College of Pharmacy and completed PGY-1 training at UIC and PGY-2 training at Rutgers University. She started emergency medicine pharmacy services at the University of Tennessee Medical Center Knoxville and Loyola University Medical Center. She was inducted as a fellow of the American Academy of Clinical Toxicology in 2019. She currently is a clinical associate professor in the department of pharmacy practice at UIC College of Pharmacy, an Emergency Medicine and Medical Toxicology Clinical Pharmacist at UI Health, and the Residency Program Director for the PGY-2 Emergency Medicine Pharmacy Residency. She has integrated herself in the emergency medicine and medical toxicology services at both Loyola and UIC, active in the acute care of patients, didactic and beside education of healthcare trainees. Dr. Petzel Gimbar has been involved in multiple research studies and publications related to emergency medicine and toxicology practice, including a current multi-year NIH study addressing emergency department hypertension in underserved patients. She has given invited lectures internationally and nationally on both emergency medicine and medical toxicology topics. At home, she attempts to manage her nine, seven, and five year olds without a toxic ingestion.

    J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACPsych

    Professor of Psychiatry & Emergency Medicine

    University of Minnesota & Penn State College of Medicine

    Dr. Rasimas attended the University of Scranton and graduated summa cum laude with degrees in biochemistry, mathematics, and philosophy. He completed the Medical Scientist Training Program at Penn State University, earning a Ph.D. in chemical biology (2002) and M.D. (2003). Upon graduation from the Penn State College of Medicine, Dr. Rasimas matriculated to psychiatry residency training at the Mayo Clinic in Rochester, Minnesota. He was a clinical fellow at the NIMH, training in consultation-liaison psychiatry, bioethics, and clinical research. Dr. Rasimas has studied psychoanalytic psychotherapy at the Minnesota Psychoanalytic Society and Institute and the Washington School of Psychiatry. He served as a C-L psychiatrist for Milton S. Hershey Medical Center and remains an Associate Professor of Psychiatry and Emergency Medicine for the Penn State College of Medicine, there. He completed the critical care based medical toxicology fellowship at Penn State, obtained board certification in addiction medicine, and then returned to NIMH to join the Undiagnosed Diseases Program and the Intramural Research Program to oversee clinical trials in mood and anxiety disorders. He is also a Fellow of the Academy of Psychosomatic Medicine and a Laughlin Fellow with membership in the American College of Psychiatrists. Dr. Rasimas is a Professor at the University of Minnesota, pursuing an academic medical career at the interface of psychosomatic medicine, medical toxicology, and psychodynamic psychotherapy with a primary clinical interest in the phenomenology of suicide. His current clinical position is the director of Consultation-Liaison Psychiatry services for the Queen Elizabeth Hospital in Charlottetown, Prince Edward Island.

    Daniel J. Sessions, MD

    Medical Toxicologist

    Ochsner Medical Center

    Dr. Sessions trained in Emergency Medicine at Brooke Army Medical Center in San Antonio. He completed a Medical Toxicology fellowship at The Rocky Mountain Poison & Drug Center at Denver Health. He practices Emergency Medicine, Medical Toxicology, and Addiction Medicine at Ochsner Medical Center in New Orleans LA. He is also faculty at the Minnesota Poison Center.

  • Contains 4 Component(s) Includes a Live Web Event on 11/11/2022 at 9:45 AM (EST)

    November 11, 2022

    The ACMT Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. Prominent experts in medical toxicology and emergency medicine will lead the course.

    Day 2 of the Total Tox Course will focus on Substance Use & Emergency Preparedness. After attending the event, participants should be able to:

    1. Describe opioid use disorder
    2. Explain how to initiate treatment for opioid use disorders
    3. Highlight harm reduction efforts that can reduce the adverse consequences of opioid use.
    4. Review misuse, abuse, & criteria for diagnosing opioid use disorder
    5. Identify psychosocial treatments for opioid use disorder
    6. Describe the medication-assisted treatments for Buprenorphine, Methadone, and Naltrexone.
    7. Recognize the symptoms of cannabis toxicity
    8. Describe the treatment approach to cannabis toxicity
    9. Identify toxicology tests available in the ED
    10. Discuss which tests should be requested in specific situations
    11. Describe how test ordering changes treatment outcome
    12. Describe the clinical presentation of pulmonary irritants
    13. Discuss the role of water solubility in the clinical presentation of pulmonary irritants
    14. Identify the primary treatment for simple asphyxiant exposure
    15. Present a rationale for observation and/or hospital admission following respiratory irritant exposure
    16. Understand the differences between simple asphyxiants and chemical asphyxiants
    17. Indicate the sources and uses of chemical asphyxiants, understand their basic mechanisms of toxicity, and describe their clinical presentations
    18. Understand therapies used to treat asphyxiant poisoning
    19. Know the common sources of Carbon Monoxide poisoning
    20. Discuss the pharmacokinetics and pathophysiciology of Carbon Monoxide Poisoning
    21. Learn about novel treatments for Carbon Monoxide poisoning, including Hyperbaric options
    22. Discuss the diagnosis and management of radiation casualties and radiation mass casualty events
    23. Identify different types of radiation
    24. Describe the consequences of exposure to radiation
    25. List specific organophosphate insecticides and chemical weapon nerve agents
    26. Discuss management options for patients with organophosphate insecticide or nerve agent toxicity
    27. Recognize cholinergic toxidrome
    28. Discuss the diagnosis and management of casualties resulting from terrorism and mass casualty events
    29. Discuss the history of bioterrorism as a tool for warfare
    30. Enumerate and identify the agents used in bioterrorist events

    Agenda | Total Tox Course | Day 2 - November 11, 2022


    9:45 - 10:00 AM ET | Opening Remarks

    10:00 - 10:45 AM ET
    Chasing the Dragon: The New Dangers of Opioid Addiction

    10:45 - 11:25 AM ET
    Taming the Dragon: Management Options for Opioid Use Disorder

    11:25 - 11:50 AM ET
    Cannabis & Cannabis Toxicity


    11:50 - 12:10 PM ET | Break (20 min)


    12:10 - 12:30 PM ET
    What's New in Your Neighborhood?

    12:30 - 1:05 PM ET
    Drug Screen Pitfalls

    1:05 - 1:35 PM ET
    Case Review & Roundtable Discussion on Drugs of Addiction


    1:35 - 1:55 PM ET | Break (20 min)


    1:55 - 2:35 PM ET
    I Can't Breath! Pulmonary Irritants & Simple Asphyxiants

    2:35 - 3:10 PM ET
    Chemical Suicide & Mitochondrial Asphyxiants

    3:10 - 3:40 PM ET
    Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber


    3:40 - 4:00 PM ET | Break (20 min)


    4:00 - 4:40 PM ET
    Disaster Preparedness #1: Radiation Events

    4:40 - 5:15 PM ET
    Disaster Preparedness #2: Organophosphates & New Agents

    5:15 - 6:00 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

    Christina Hantsch, MD, FACEP, FACMT, FAACT

    Emergency Physician and Medical Toxicologist

    Loyola University Chicago Stritch School of Medicine

    Ashley Haynes, MD, FACEP

    Medical Director

    Addiction Toxicology of Kansas

    Dr. Ashley Haynes completed her medical training at the University of Kansas, followed by a combined emergency-internal medicine training program at East Carolina University.  She completed a toxicology fellowship at University of Texas Southwestern in 2016, remaining as faculty for a few years after while engaging in a faculty development project in addiction medicine.  She moved to Kansas in 2019 and now provides bedside toxicology and addiction medicine consultations at Ascension Via Christi hospitals in Wichita and periodically provides on-call support for the Kansas Poison Control Center.  Additionally, she is a program physician for an outpatient addiction treatment center, and provides medication assisted therapy services to an inpatient residential treatment facility.

    Kelly Johnson-Arbor, MD

    Medical Director

    National Capital Poison Center & MedStar Georgetown University Hospital

    Joseph K. Maddry, Lt Col, USAF, MC, FS

    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.

    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.

    Mark Neavyn, MD

    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.

    Lewis Nelson, MD, FACEP

    Chair of Emergency Medicine

    Rutgers New Jersey Medical School

    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.

    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.

    Rachel Wightman, MD

    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.

  • Contains 2 Component(s) Includes a Live Web Event on 11/18/2022 at 9:45 AM (EST)

    November 18, 2022

    The ACMT Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. Prominent experts in medical toxicology and emergency medicine will lead the course.

    Day 3 of the Total Tox Course will focus on Non-Pharm related tox topics. After attending the event, participants should be able to:

    1. Describe the history and pharmacology of local anesthetics.
    2. Discuss the unique characteristics and common clinical use for each prototypical local anesthetic
    3. Assess the most commonly caused several complications of local anesthetics
    4. Identify general thermoregulatory principles
    5. Review the following hyperthermic syndromes & discuss treatment options: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperthermia
    6. Discuss the common agents causing Methemoglobinemia
    7. Identify Methemoglobinemia mechanisms of toxicity
    8. Describe best practices in clinical management of Methemoglobinemia
    9. Review the signs and symptoms of lead toxicity
    10. Contrast the toxicity caused by different forms of mercury
    11. Discuss the role of chelation in heavy metal toxicity
    12. Identify the prevalence of ethanol AUD in patients presenting to the Emergency Department
    13. Discuss the genetic vs. environmental factors for ethanol AUD
    14. Assess the most critical laboratory tests for symptomatic patients who have suspected ethanol intoxication
    15. Describe toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures
    16. Identify 2 stand-in tests for MeOH and EthGly, noting limitations
    17. Present a rationale for treatment with ethanol, fomepizole, and/or hemodialysis
    18. Recognize alcohol withdrawal symptoms
    19. Ensure appropriate treatment so that complications are prevented
    20. Describe the principles of detoxification
    21. Identify various toxic envenomations
    22. Describe the characterization of Black Widow envenomation and management options
    23. Describe management options for pit viper envenomations
    24. Highlight several different classes of plant derived toxins and their effects on humans
    25. Identify hazards of different mushrooms and clinical toxidromes associated with mushrooms
    26. Describe three risks associated with the use of dietary supplements
    27. Review toxicity of essential oils
    28. Discuss common household exposures and their implications
    29. Review toxicity of common household cleaners and toys

    Agenda | Total Tox Course | Day 3 - November 18, 2022


    9:45 - 10:00 AM ET
    Opening Remarks

    10:00 - 10:35 AM ET
    Hospital Hazards #1: Anesthetic Toxicity, Disinfectants & Malignant Hyperthermia

    10:35 - 11:05 AM ET
    Hospital Hazards #2: Methemoglobinemia

    11:05 - 11:35 AM ET
    Heavy Metals In the ED: Lead, Arsenic & Mercury


    11:35 - 11:55 AM ET | Break (20 min)


    11:55 - 12:35 PM ET
    Ethanol Intoxication: Too Much Of a Good Thing

    12:35 - 1:20 PM ET
    When It's Not Ethanol: Demystifying Toxic Alcohols

    1:20 - 1:50 PM ET
    Ethanol Withdrawal: When the Good Times End


    1:50 - 2:10 PM ET | Break (20 min)


    2:10 - 2:55 PM ET
    Don't Touch That! Marine, Arthropod & Reptile Envenomations

    2:55 - 3:25 PM ET
    The Toxic Yard

    3:25 - 3:55 PM ET
    The Toxic Cabinet


    3:55 - 4:15 PM ET | Break (20 min)


    4:15 - 4:45 PM ET
    The Toxic House

    4:45 - 5:15 PM ET
    The Toxic Garage

    5:15 - 6:00 PM ET
    Case Panel: Novel Treatments for the Crashing Patient; Hot Patient Case

    Andrea Carlson, MD

    Emergency Medicine Physician

    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.

    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.

    Ashley Haynes, MD, FACEP

    Medical Director

    Addiction Toxicology of Kansas

    Dr. Ashley Haynes completed her medical training at the University of Kansas, followed by a combined emergency-internal medicine training program at East Carolina University.  She completed a toxicology fellowship at University of Texas Southwestern in 2016, remaining as faculty for a few years after while engaging in a faculty development project in addiction medicine.  She moved to Kansas in 2019 and now provides bedside toxicology and addiction medicine consultations at Ascension Via Christi hospitals in Wichita and periodically provides on-call support for the Kansas Poison Control Center.  Additionally, she is a program physician for an outpatient addiction treatment center, and provides medication assisted therapy services to an inpatient residential treatment facility.

    Andrew King, MD

    Wayne State University

    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

    Associate Professor of Emergency Medicine

    University of California, Los Angeles

    Michael Levine, MD is an assistant professor of emergency medicine at the Keck School of Medicine at the University of Southern California. Following medical school, Dr. Levine completed a residency in emergency medicine at the Brigham and Women's/Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency. Following residency, Dr. Levine completed his toxicology fellowship at the Banner Good Samaritan Medical Center in Phoenix, AZ. He is actively involved in numerous research projects including both bench and clinical aspects related to toxicology. He is a member of the pharmacy and therapeutics committee and the institutional review board, and is chair of the medication safety committee. 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

    Washington University School of Medicine

    Dr. Schwarz attended medical school at the University of Texas Medical Branch in Galveston, Texas before completing a residency in Emergency Medicine at 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 is an Associate Professor of Emergency Medicine and the Medical Toxicology Section Chief. He is also involved at the medical school as one of 3 Advisory Deans in the Office of Student Affairs and has been on the Board of Directors for the Missouri College of Emergency Physicians since 2012 and is a member of the Board of Directors for ACMT.

    Stephen Wood

    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.