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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Opioid Epidemic: How Did We Get Here?
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 Aproaches
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; Faculty of Medical Toxicology Fellowship Program, 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 |
Forensic Pathology and Opioid- Related Deaths
Jeffrey J. Barnard, MD, Chief Medical Officer, Dallas County Medical Examiner's Office, 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, NMS Labs, Willow Grove, PA
Michael Holland, MD, FAACT, FACMT, FACOEM, FACEP, Consulting Medical Toxicologist; Faculty of Medical Toxicology Fellowship Program, SUNY Upstate Medical University, Syracuse, NY
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| 3:00 - 3:30 PM |
Forensic Pathology and Postmortem Toxicology Interpretation
Jeffrey J. Barnard, MD, Chief Medical Officer, Dallas County Medical Examiner's Office, 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, Burford & Ryburn, 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; Faculty of Medical Toxicology Fellowship Program, SUNY Upstate Medical University, Syracuse, NY
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| 9:00 - 9:30 AM |
A Pharmacist Perspective of the Opioid Crisis
Rohini (Mona) Downs, PharmD, BCPP, Clinical Pharmacy Specialist, 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 |
MAT in the Pregnant Patient
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 & 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, Drug Enforcement Agency, Department of Justice, 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 |
Family Court: Opioid Impact on Custody
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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