ARCHIVES OCT 17 > 2014 Annual Scientific Meeting > 2014 ASM Syllabus > 2014 ASM Day 1 Agenda

TECHNOTOX: The Intersection of Technology & Toxicology

March 28-30, 2014, Arizona Biltmore Resort, Phoenix, AZ

Day 1 - Web-based Syllabus


Lecture slides are available as PDFs in color (1 slide per page) and black & white (3 slides per page). Only material submitted by the lecturer is available.The files contained on these pages are the intellectual property of the American College of Medical Toxicology and, RecycleACMT125wthe authors and speakers. No unauthorized download, copy or distribution of these files is permitted.

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Please note that the web-based syllabus will be updated as new or revised material is made available. When re-visiting the syllabus, please refresh your browser to ensure access to recent updates. Breakout sessions may feature handouts that will be made available during individual sessions.

Friday, March 28, 2014

General Session: Flagstaff/Mesa Ballroom in the Conference Center at the Arizona Biltmore Resort.
Poster Session & Stimulus Room: Casa Grande Ballroom, adjacent the Flagstaff/Mesa Ballroom.
Breakout Workshops & Committee Meeting: Cameron, Prescott and Sedona Rooms in the Conference Center and the Arizona History Room located on the 2nd floor, elevator main lobby.
Welcome and Introductions
Suzanne R. White, MD, MBA, FACMT, President, American College of Medical Toxicology
Louise W. Kao, MD, FACMT, Chair, 2014 Annual Scientific Meeting Planning Committee
Platform Session 1 
Moderators: Eric Lavonas, MD, FACMT; David Wood, MD, FACMT

Snake Venom Binding Activity of Expired Antivenoms
Landen L. Rentmeester, MD
University of California-San Diego, San Diego, CA

Trypsin and Rosmarinic Acid Reduce the Toxicity of Eastern Coral Snake (Micrurus fulvius) Venom in Mice
William J. Meggs, MD, FACMT
Brody School of Medicine at East Carolina University, Greenville, NC

Point of Care Testing in Setting of Nitromethane and Methanol Co-ingestion Will Not Mask True Creatinine, Anion, or Osmolar Gap
James Dazhe Cao, MD
Rocky Mountain Poison and Drug Center, Denver, CO

Internet Training Resulted in Improved Intern Performance in a Simulated Poisoned Patient as Measured by Checklist, But Not Global Assessment
Andrew I. Stolbach, MD, FACMT
Johns Hopkins University, Baltimore, MD

Advanced Management Strategies for APAP Induced Fulminant Hepatic Failure
Ram Subramanian, MD, Emory University, Atlanta, GA
Learning Objectives:
  • Describe the management of cerebral  edema in APAP induced FHF.
  • Review the management of multi organ system dysfunction in APAP induced FHF.
  • Describe the role of Extracorporeal Liver Assist Devices in APAP Induced FHF.
Casa Grande
Break - Stimulus Room 
10:00-11:30am Breakout Workshops: Attend 2/3 sessions  
Field Detection of Hazardous Substances
Mark Kirk, MD, FACMT, University of Virginia, Charlottesville, VA
Learning Objective:
  • Discuss cutting-edge technologies used in the field to detect airborne toxins.
Update on Organ Donation in Toxicology
David Wood, MD, FACMT, Guy's and St Thomas' NHS Foundation Trust, London, UK
Learning Objecitves:
  • Discuss the acceptability of using organs from poisoned patients.
  • Discuss issues around organ suitability and screening.
Declaring Brain Death in the Toxicology Patient
Laura M. Tormoehlen, MD, Indiana University, Indianapolis, IN
Learning Objective:
  • Review brain death criteria.
  • Discuss confirmatory neuroimaging in the diagnosis of brain death and the potential effects of drugs and toxins.
Break & Lunch Pick-Up  
The Air Up There: Controversies Regarding the Toxicity of Aircraft Breathing Air
Michael J. Kosnett, MD, MPH, FACMT, University of Colorado, Denver, CO
Learning Objectives:
  • Understand the basics of breathing air processing and flow aboard commercial passenger aircraft.
  • Learn the findings of investigations of health events possibly associated with travel on passenger aircraft.
  • Recognize current controversies regarding potential adverse health effects associated with aerosols in cabin air derived from aviation fluids and other aircraft components.
12:30-12:45pm Break  
Fellows-in-Training Open MIC Session, see details here
2:15-4:45pm Afternoon Break and Committee Meetings  
4:45-6:45pm Fellows-in-Training Research Forum I & II, see details here
Aztec Room & Patio
President's Reception 
Newly inducted Fellows of the College will be honored during the evening's festivities.

Speaker and Organizer Biosketches 


Dr. Michele Burns attended both Emory College and Emory School of Medicine followed by a pediatric residency at the University of Texas Southwestern. She moved to Boston in 1995 for a combined fellowship in Pediatric Emergency Medicine & Medical Toxicology at Children's Hospital Boston. Dr. Burns became the Medical Director of the Poison Control Center for Massachusetts & Rhode Island in 2000 and the Harvard Medical Toxicology Fellowship Director/Chief of the In-Patient Toxicology Program in 2001. She is an Assistant Professor of Pediatrics at Harvard Medical School. She is chair of ACMT’s Education Committee. She is involved with ToxIC (Toxicology Investigator’s Consortium) and is a reviewer for the Journal of Medical Toxicology. She obtained her MPH in Clinical Effectiveness at the Harvard School of Public Health.  


Dr. James Dazhe Cao is currently a medical toxicology fellow-in-training at the Rocky Mountain Poison and Drug Center in Denver, CO. He recently graduated from an emergency medicine residency at Carolinas Medical Center in Charlotte, NC where he served as a chief resident in his final year. He has been an active member of the Emergency Medicine Residents' Association (EMRA) and the American College of Emergency Physicians (ACEP). He currently serves on the Public Health and Injury Prevention Committee of ACEP and has been a task force member for the EMRA Legacy Initiative. His academic interests are in teaching and curriculum development. His recent research interest has been on the laboratory interference and is actively finding a research niche in medical toxicology. Dr. Cao will be starting as one of the new ACMT Board of Directors Interns for the upcoming year.


Dr. Howard A. Greller received his BA from Yale University and his MD from the New York University School of Medicine. He did his residency in Emergency Medicine at the University of Pennsylvania and completed a fellowship in Medical Toxicology at the New York University School of Medicine / New York City Poison Control Center. Dr. Greller is board certified in medical toxicology and emergency medicine. Currently, Dr. Greller is an assistant professor in the Department of Emergency Medicine at Hofstra North Shore-LIJ School of Medicine.  Dr. Greller has served as a member of the Board of Directors of both the American College of Medical Toxicology and the Medical Toxicology Foundation. He has worked closely with other committee chairs and board members to foster educational goals, such as the Innovative Teaching Award, which is an unrestricted grant for innovations in medical toxicology education. Dr. Greller’s vision is to “make ACMT, and the information possessed by medical toxicologists, more accessible in the world of medicine.”


Dr. Louise Kao received her medical degree from Rush Medical College in Chicago, where she worked as a Poison Information Specialist (PIS) at the Chicago Poison Center under the medical direction of Dr. Jerrold Leikin. Dr. Kao went on to complete residency in Emergency Medicine and a Medical Toxicology Fellowship at Indiana University/Methodist Hospital in Indianapolis. She is board certified in Emergency Medicine and Medical Toxicology. Dr. Kao currently serves as the IU Medical Toxicology Fellowship Director as well as the Director of the Medical Toxicology rotation for residents and students in addition to her clinical Emergency Medicine and Toxicology duties. She is an Associate Professor of Clinical Emergency Medicine at the IU School of Medicine. She has been actively involved in the ACMT Education, Research, and Fellowship Directors committees. Her vision for the future involves expanding the visibility and reach of Medical Toxicology across disciplines.


Dr. Mark Kirk is an emergency physician and medical toxicologist at the University of Virginia in Charlottesville, Virginia. He is Associate Professor in the School of Medicine’s Department of Emergency Medicine and Department of Pediatrics and he serves as the Medical Director for the UVA Medical Simulation Center.  He has extensive clinical experiences in hazardous materials response, mass gathering medicine and disaster medicine including participation in emergency response planning, mass gathering medicine and NDMS Disaster Medical Assistance Team responses.  He is an educator focusing on critical care toxicology, hazardous materials responses and specifically responses to large-scale incidents.  His teaching is focused on tactical aspects of patient care by translating knowledge into critical decision-making skills and actions.  He recently served as a technical expert and advisor to the Department of Homeland Security.


Dr. Michael J. Kosnett is an Associate Clinical Professor in the Division of Clinical Pharmacology & Toxicology of the Department of Medicine at the University of Colorado School of Medicine, and the Colorado School of Public Health. He is a past president of the American College of Medical Toxicology. His clinical practices focuses on occupational and environmental medicine and medical toxicology.


Dr. William J. Meggs is a Medical Toxicologist and Emergency Physician practicing at Vidant Medical Center in Greenville, North Carolina. He is Professor of Emergency Medicine and Chief of the Division of Toxicology at the Brody School of Medicine at East Carolina University. His research interests include chronic effects of organophosphate poisoning and first aid and other treatments for poisonous snake and spider bites. He was a toxicology fellow at the New York City Poison Center and the recipient of the 2010 American College of Medical Toxicology award for outstanding contributions to toxicology research.

Subramanian Dr. Ram Subramanian is a transplant hepatologist and intensivist at Emory University School of Medicine in Atlanta. His clinical and research interests are focused on issues related to hepatic critical care, including acute liver failure and decompensated cirrhosis. He has developed a specific interest in artificial and bioartificial extracorporeal liver support.

Dr. Laura Tormoehlen is an Assistant Professor of Clinical Neurology and Emergency Medicine at Indiana University (IU).  She completed her medical degree, as well as her neurology residency and medical toxicology fellowship, at IU.  Dr. Tormoehlen is board-certified in Neurology and Medical Toxicology.  She is an attending physician and Director of Inpatient Neurology Services at Methodist Hospital in Indianapolis and leads a Neurology teaching service.  She also attends the Medical Toxicology consult service on a part-time basis.  Her educational endeavors include teaching neuropharmacology to the neurology residents and toxicology fellows, as well as lecturing to emergency medicine, neurology, psychiatry, internal medicine, and critical care physicians on neurotoxicology topics.


Dr. Suzanne R. White completed her undergraduate education at Adrian College. She received her medical degree and completed her residency in emergency medicine and medical toxicology at Wayne State University. In addition to receiving an MBA from the University of Tennessee, Dr. White also completed the Executive Leadership in Academic Medicine Fellowship at Drexel University. Dr. White is board certified in Emergency Medicine and Medical Toxicology, and is a practicing medical toxicologist and emergency physician. Dr. White is the past Medical Director for the Children’s Hospital of Michigan Regional Poison Control Center. She is the Emergency Physician-in-Chief for the Detroit Medical Center and the Dayandan Professor and Chair of Emergency Medicine at Wayne State University School of Medicine. In January 2011, Dr. White was named Executive Vice President and Chief Medical Officer of the Detroit Medical Center. Dr. White has chaired the Medical Toxicology Subboard of the American Board of Emergency Medicine. Dr. White has served as the Chair of the ACMT Awards Committee and Education Committee. She currently serves on the ACGME RRC for EM and the American Board of Pharmaceutical Specialties. Dr. White has interests in the areas of poison prevention, disaster, bioterrorism and weapons of mass destruction preparedness.

Wood_125.jpg Dr. David Wood is a Consultant Physician and Clinical Toxicologist working at Guy's and St Thomas' NHS Foundation Trust and King's Health Partners in London, UK.  He is also an honorary senior lecturer at King's College London, London, UK.  He has previously published a study investigating the potential organ donation from individuals who are brain stem dead as a result of acute poisoning, and advises on this routinely.His specialist interest is the epidemiology of use and the harms associated with use of recreational drugs and novel psychoactive substances ("legal highs" or "bath salts").  He has published numerous reviews and research papers in this area, and has recently co-edited the a text book entitled "Novel Psychoactive Substances", which provides a background on the classification, detection, supply/availability, and harms associated with the use of novel psychoactive substances.  He is also an expert advisor to the UK Advisory Council on the Misuse of Drugs (ACMD) and the European Monitoring Centre for Drugs and Drug Addiction on various aspects related to recreational drugs and novel psychoactive substances.  In addition, with Dr Paul Dargan, he is currently undertaking a European Commission funded research project, the European Drug Emergencies Network (Euro-DEN), developing a novel tool to capture data on acute harms related to recreational drugs and novel psychoactive substances presenting to Emergency Rooms across Europe.
Yin125.jpg Dr. Shan Yin was born in Los Angeles, Ca. He graduated from Dartmouth College in 1994 with a BA in biology. He then received a MPH from the University of Michigan. In 2001, he graduated from the Case Western Reserve University School of Medicine. He finished his general pediatrics residency training at Children’s Hospital Los Angeles in 2004 and went on to complete a pediatric emergency medicine fellowship at Children’s Memorial Hospital in Chicago, IL and most recently completed his medical toxicology fellowship in 2010 at the Rocky Mountain Poison and Drug Center in Denver, CO.  He is currently working at Cincinnati Children’s Hospital as an assistant professor in pediatrics in the division of emergency medicine and serves as the medical director of the Cincinnati Drug and Poison Information Center. His primary academic interest is in child abuse via medication administration.