Day 1. Thursday, December 13, 2018
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7:00 - 8:00 AM
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Registration |
| 8:00 - 8:15 AM |
Welcome & Introductions
Paul W. Wax, MD, FACMT, Executive Director, American College of Medical Toxicology
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OVERVIEW |
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8:15 - 8:45 AM
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The Evolving Opioid Epidemic: History and Pharmacology
Jeanmarie Perrone, MD, FACMT, Professor of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
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ACUTE OPIOID TOXICITY |
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| 8:45 - 9:15 AM |
Harm Reduction: Naloxone and Other Approaches
Jeanmarie Perrone, MD, FACMT, Professor of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
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| 9:15 - 9:45 AM |
Legal Considerations of Opioid Toxicity for the Toxicologist and Clinician
R. Jack Ayres, Jr., JD, Shareholder, Ayres Law Offices, P.C., Dallas, TX
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| 9:45 - 10:15 AM |
The Slippery Slope of Opioid Tolerance
Lewis S. Nelson, MD, FACMT, Chair, Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
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| 10:15 - 10:30 AM | Break |
IMPAIRMENT |
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| 10:30 - 11:00 AM |
The Opioid-Impaired Driver
Robert D. Johnson, Chief Toxicologist, Tarrant County Medical Examiner's Office, Fort Worth, TX
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| 11:00 - 11:30 AM |
Opioids in the Workplace & Post-Accident Testing
Michael Holland, MD, FAACT, FACMT, FACOEM, FACEP, Consulting Medical Toxicologist; Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY
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| 11:30 - 11:45 AM | Impairment Panel Discussion with Q&A |
| 11:45 - 1:00 PM |
Lunch
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POST-MORTEM & LABORATORY ISSUES |
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| 1:00 - 1:30 PM |
Death Certification and Opioid Deaths
Jeffrey J. Barnard, MD, Director and Chief Medical Examiner Southwestern Institute of Forensic Sciences, Dallas County and University of Texas Southwestern Medical Center, Dallas, TX
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| 1:30 - 2:00 PM |
Interpretation of Opioid Measurements
Erin A. Spargo, PhD, F-ABFT, Chief of Forensic Chemistry, Dallas County Southwestern Institute of Forensic Sciences, Fort Worth, TX
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| 2:00 - 2:30 PM |
Advance Techniques of Opioid Detection & Designer Opioids
Barry Logan, PhD, DABFT, NMS Labs, Willow Grove, PA
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| 2:30 - 3:00 PM |
Case Studies in Interpreting Post-Mortem Data
Robert Middleberg, PhD, DABFT, Laboratory Director, NMS Labs, Willow Grove, PA
Michael Holland, MD, FAACT, FACMT, FACOEM, FACEP, Consulting Medical Toxicologist; Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY
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| 3:00 - 3:30 PM |
Decision-Making in Deaths with Opioids Present
Jeffrey J. Barnard, MD, Director and Chief Medical Examiner Southwestern Institute of Forensic Sciences, Dallas County and University of Texas Southwestern Medical Center, Dallas, TX
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| 3:30 - 3:45 PM | Post-Mortem & Labratory Issues Panel Discussion with Q&A |
| 3:45 - 4:00 PM | Break |
OPIOIDS IN COURT |
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| 4:00 - 5:00 PM |
Opioids in Civil Proceedings: The types of cases being filed and defense strategies
Jennifer A. King, JD, Partner, Burford & Ryburn, LLP, Dallas, TX
Cathy Bailey, Partner, Steed Dunnill Reynolds Bailey Stephenson LLP, Dallas, TX
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| 5:00 - 6:30 PM |
Reception
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Day 2. Friday, December 14, 2018
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7:00 - 8:00 AM
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Continental Breakfast
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| 7:55 - 8:00 AM | Housekeeping & Announcements |
USE OF OPIOIDS IN PAIN MANAGEMENT |
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| 8:00 - 8:30 AM |
Prescribing Opioids: Primary Therapy or the Last Resort?
Lewis S. Nelson, MD, FACMT, Chair, Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
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| 8:30 - 9:00 AM |
Sudden Death in Opioid Users
Michael Holland, MD, FAACT, FACMT, FACOEM, FACEP, Consulting Medical Toxicologist; Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY
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| 9:00 - 9:30 AM |
Prescriber & Pharmacy Liability in Opioid Deaths
Rohini (Mona) Downs, PharmD, BCPP, Clinical Psychiatric Pharmacist, Parkland Health and Hospital Systems, Dallas, TX
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| 9:30 - 9:50 AM | Break |
USE OF OPIOIDS IN ADDICTION THERAPY |
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| 9:50 - 10:10 AM |
Issues of Methadone Maintenance
Timothy Wiegand, MD, FACMT, Director of Toxicology, University of Rochester Medical Center, Rochester, NY
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| 10:10 - 10:30 AM |
Issues of Buprinorphine Maintenance
Timothy Wiegand, MD, FACMT, Director of Toxicology, University of Rochester Medical Center, Rochester, NY
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| 10:30 - 11:00 AM |
Addiction, Pregnancy, MAT – Medical-Legal Considerations
Kurt Kleinschmidt, MD, Professor of Emergency Medicine; Division Chief of Medical Toxicology, UT Southwestern Medical Center, Dallas, TX
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| 11:00 - 11:30 AM |
Panel Discussion: Challenging Cases
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| 11:30 - 12:45 PM | Lunch |
OTHER CASES |
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| 12:45 - 1:30 PM |
Perspective on Drug Users: Death and Dealer Culpability
Stacey Hail, MD, FACMT, Associate Professor, Emergency Medicine and Medical Toxicology, University of Texas Southwestern Medical Center, Dallas, TX
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| 1:30 - 1:50 PM |
DEA Perspective: What's On The Street
Norma Iris Caraballo, Forensic Chemist, Dallas, TX
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| 1:50 - 2:10 PM |
Fentanyl Analogues, Dart Guns & Incapacitating Agents
Robert Middleberg, PhD, DABFT, Laboratory Director, NMS Labs, Willow Grove, PA
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| 2:10 - 2:45 PM |
Opioids’ Effects on Custody and the Family System
Cheri Fry, MA, Program Director, Course Appointed Special Advocates (CASA) of Denton County, Denton, TX
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| 2:45 - 3:00 PM |
Break
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| 3:00 - 4:30 PM |
A Series of Unfortunate Cases
Moderator: Paul W. Wax, MD, FACMT, Executive Director, American College of Medical Toxicology; University of Texas-Southwestern, Phoenix, AZ
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