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ACMT's TOTAL TOX COURSE: Cutting-Edge Toxicology for Emergency Providers  

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* ACMT’s Total Tox Course includes all topics in the 2016 Model of the Clinical Practice of Emergency Medicine Category 17, Toxicologic Disorders, as well as items from other categories with toxicologic overlap. Numeric locations with the 2016 Model for the topics are listed for the learner’s reference.

Day 1: Wednesday, September 5, 2018 

8:00-8:10 AM Welcome & Introductions
8:10-9:10 AM
From Toxidromes to Activated Charcoal: A Rational Approach For Managing the Poisoned Patient 
1.3.57 (Toxidromes) 1.3.38 (Poisoning) 19.4.11.1 (Decontamination)
9:10-9:55 AM
Over-the-Counter Poisons #1: Acetaminophen
17.1.2.1 (Acetaminophen)
9:55-10:40 AM
Over-the-Counter Poisons #2: NSAIDS and ASA
17.1.2.2 (Nonsteroidal anti-inflammatories) 17.1.2.4 (Salicylates)
10:40-11:00 AM Break
11:00-11:30 AM Case Review & Roundtable Discussion
11:30-12:00 PM 
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber? 
17.1.10 (Carbon monoxide)
12:00-1:30 PM Lunch Break
1:30-2:00 PM
The Ins and Outs of Ups and Downs #1: Tricyclic Antidepressants & Antipsychotics 
17.1.6 (Antidepressants) 17.1.9 (Antipsychotics)
2:00-2:30 PM
The Ins and Outs of Ups and Downs #2: SSRIs and Lithium
17.1.18 (Lithium) 17.1.6.2 (Selective serotonin reuptake inhibitors)
2:30-3:00 PM
Ethanol Intoxication: Too Much of a Good Thing
17.1.1.1 (Ethanol) and 14.1.1 (Alcohol use disorder)
3:00-3:30 PM
Ethanol Withdrawal: When the Good Times End
14.1.5 (Withdrawal syndromes)
3:30-3:50 PM  Break
3:50-4:30 PM
When It’s Not Ethanol: Demystifying Toxic Alcohols
17.1.1.2 (Ethylene glycol) 17.1.1.3 (Isopropyl) 17.1.1.4 (Methanol)
4:30-5:00 PM 
Heavy Metals In The ED: Lead, Arsenic & Mercury 
17.1.14 (Heavy metals)
5:00-5:30 PM
Antimicrobials & Antivirals: When the Cure Becomes Toxic
17.1.8 (Antimicrobials) 4.7.3 (Stevens-Johnson syndrome) and 4.7.4 (Toxic epidermal necrolysis)

Day 2: Thursday, September 6, 2018 

8:00-8:10 AM Day 1 Review
8:10-8:30 AM
Local Anesthetic Toxicity: When To Be Concerned
17.1.19 (Local anesthetics)
8:30-9:00 AM
Beta Blockers and Calcium Channel Blockers: When the Antagonists Become Antagonistic
17.1.11.3 (Beta blockers) 17.1.11.4 (Calcium channel blockers)
9:00-9:30 AM
Antiarrhythmics and Antihypertensives: When You Can't Control the Rhythm
17.1.11.1 (Antiarrhythmics) 17.1.11.2 (Antihypertensives)
9:30-10:10 AM
The Crashing Tox Patient: Novel Treatment Options
1.1 (Abnormal Vital Signs) 1.3.1 (Altered mental status)
10:10-10:30 AM Break
10:30-11:00 AM
Out of Balance: Toxicity of Endocrine Agents
17.1.17 (Hypoglycemics/Insulin)
11:00-11:30 AM
A Lick, A Taste, A Swallow #1: Dangers In Your Garage
17.1.15 (Herbicides, insecticides, and rodenticides) 17.1.16 (Household/Industrial chemicals) 17.1.16.1 and 2.2.2.3
(Caustic agents) 17.1.16.2 (Hydrocarbons) 16.5.2 (Toxic effects of gases, fumes, vapors)
11:30 AM-12:00 PM
A Lick, A Taste, A Swallow #2: Dangers In Your Cabinet
17.1.16 (Household/Industrial chemicals) 17.1.23 (Nutritional Supplements)
12:00-1:30 PM  Lunch Break 
1:30-2:10 PM
Don't Touch That! Marine, Arthropod & Reptile Envenomations
17.1.20 (Marine toxins) 6.1.1 (Arthropods) 6.1.3 (Marine organisms) 6.1.4 (Reptiles) 18.1.3.2 (Bite wounds)
2:10-2:50 PM 
Don't Eat That! Plants, Mushrooms & Nutritional Supplements 
17.1.22 (Mushrooms/Poisonous plants) 17.1.23 (Nutritional supplements)
2:50-3:10 PM   Break 
3:10-3:50 PM 
Anticonvulsants: When the Level Makes You Unsteady
17.1.5 (Anticonvulsants)
3:50-4:30 PM  
Anticoagulants and Antithrombotics: When You Can't Control the Bleeding
17.1.4 (Anticoagulants/Antithrombotics) 
4:30-5:00 PM  
Over-the-Counter Poisons #3: Antihistamines & Antitussives 
17.1.3 (Anticholinergics) 17.1.7 (Antiemetics)
5:00-5:30 PM 
The Hot Patient: NMS, SS, Malignant Hyperthermia
1.3.57 (Toxidromes) 1.1.2 (Fever)

Day 3: Friday, September 7, 2018 

8:00-8:10 AM Day 2 Review
8:10-8:40 AM
Chasing the Dragon: The New Dangers of Opioid Abuse
17.1.2.3 (Opioids) 17.1.25 (Sedatives/Hypnotics) 14.1.3 (Prescription drug use) 
8:40-9:10 AM
Taming the Dragon: Management Options for Opioid Use Disorder
14.1.2 (Illicit drug use) 14.1.3 (Prescription drug use) 14.1.5 (Withdrawal syndromes)
9:10-10:10 AM
What's New In Your Neighborhood? Drugs of Abuse
17.1.24 (Recreational drugs) 17.1.25 (Sedatives/Hypnotics) 17.1.26 (Stimulants/Sympathomimetics)
10:10-10:30 AM Break
10:30-11:10 AM
Cold Turkey: Management Options for Drug Withdrawal
14.1 (Substance Use Disorders) 14.5.1.2 (Drug psychoses) 14.1.5 (Withdrawal syndromes)
11:10-11:40 AM
Drug Screen Pitfalls
17.1.24 (Recreational drugs) 17.1.25 (Sedatives/Hypnotics) 17.1.26 (Stimulants/Sympathomimetics)
14.1 Substance Use Disorders  
11:40 AM-1:00 PM Lunch Break
1:00-1:30 PM 
The Blue Patient: Methemoglobinemia
17.1.21 and 8.5.3 (Methemglobinemia)
1:30-2:00 PM
I Can't Breath! Pulmonary Irritants & Simple Asphyxiants
17.1.16.3 (Inhaled irritants)16.4.6 (Environmental/Industrial exposure)
2:00-2:40 PM
Chemical Suicide & Mitochondrial Asphyxiants
17.1.13 (Cyanides, hydrogen sulfide)
2:40-3:00 PM  Break
3:00-3:45 PM
Disaster Preparedness #1: Radiation Events 
6.7 (Radiation Emergencies) 19.4.11.1 (Decontamination)
3:45-4:15 PM
Disaster Preparedness #2: Organophosphates & Nerve Agents
17.1.12 (Cholinergics) 19.4.11.1 (Decontamination)
4:15-5:00 PM
Disaster Preparedness #3: Other Chemical & Biologic Terrorism 
17.1.15 (Herbicides, insecticides and rodenticides) 10.2 (Biological Warfare Agents) 16.5.2
(Toxic effects of gases, fumes, vapors) 18.1.10.2 (Corneal Burns) 18.1.3.3.2 (Chemical Burns) 19.4.11.1 (Decontamination)
  
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