Conferences & Events > Seminars in Forensic Toxicology > Agenda

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Join our expert faculty for a virtual interactive experience as we consider cases involving alcohol and novel stimulant, opioid, and hallucinogenic compounds. Panelists will highlight the importance of scene-based information, analytic considerations, and interpretation of clinical or postmortem findings in an ever-changing drug environment. This seminar will be of interest to professionals across many disciplines, including medical toxicology, forensic/clinical toxicology, pathology, addiction medicine, medicine, public health, law, and law enforcement. 

Agenda

All sessions will take place on Zoom. All times listed below are in Eastern Time (ET).

Day 1: Thursday, December 16, 2021 - Ethanol

9:45 - 10:00 AM ET
Welcome & Introductions
Paul M. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology, Phoenix, AZ
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
Bryan Judge, MD, FACMT, Professor of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI
Robert A. Middleberg, PhD, DABCC(TC), F-ABFT, Laboratory Director, NMS Labs, Willow Grove, PA
Brent Furbee, MD, FACMT, Professor Emeritus Clinical Emergency Medicine, Indiana University School of Medicine, Indiana Poison Center, Indianapolis, IN
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
10:00 - 10:50 AM ET
From Death to Death Certificate
Steve Cohle, MD, Chief Medical Examiner, Kent County, MI
10:50 - 11:25 AM ET
Pharmacology and Pharmacokinetics of Ethanol
Alan Wayne Jones, BSC, PhD, DSc, Guest Professor in Forensic Toxicology, University of Linköping, Department of Clinical Chemistry and Pharmacology, Linköping, Sweden

 

11:25 - 11:50 AM ET

 

Analysis of Alcohol in Blood
Robert Johnson, PhD, Chief Toxicologist, Tarrant County Medical Examiner’s Office, Fort Worth, TX

11:50 - 12:15 PM ET
Analysis of Alcohol in Breath
Robert Johnson, PhD, Chief Toxicologist, Tarrant County Medical Examiner’s Office, Fort Worth, TX
12:15 - 12:30 PM ET
Break - 15 mins
 

12:30 - 1:10 PM ET

Methods & Findings: Impairment of Driving Related Abilities by Alcohol
Barry Logan, PhD, F-ABFT, SVP Forensic Sciences, Chief Scientist NMS Labs; President, Fredric Rieders Family Foundation, Willow Grove, PA

1:10 - 1:50 PM ET
Interpretation of Ethanol Results Including Post-Mortem Generation + Impairment by Ethanol - the Experimental and Epidemiological Evidence
Graham Jones, PhD, Clinical Professor, Dept. of Laboratory Medicine and Pathology, University of Alberta, Retired Chief Toxicologist, Medical Examiner’s Office, Edmonton, Alberta, Canada
1:50 - 2:25 PM ET
Retrograde Extrapolation and other Ethanol Calculations
Patrick Harding, BS, Associate Course Director, Robert F. Borkenstein Courses, Indiana University; Retired Supervisor, Toxicology Section of the Wisconsin State Laboratory of Hygiene (WSLH)
2:25 - 3:10 PM ET Lunch - 45 mins
3:10 - 3:45 PM ET
Extrapolation Tools
Brent Furbee, MD, FACMT, Professor Emeritus Clinical Emergency Medicine, Indiana University School of Medicine, Indiana Poison Center, Indianapolis, IN
Bryan Judge, MD, FACMT, Professor of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI
3:45 - 4:20 PM ET

What Are We Asking of Observers - Dram Shop Issues
Bryan Judge, MD, FACMT, Professor of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT

 

4:20 - 4:55 PM ET

ED Pitfalls: Legal Concerns in the Care of Inebriated Patients
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
Paul M. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology, Phoenix, AZ
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
Rachel S. Wightman, MD, Director of Medical Toxicology Education, Department of Emergency Medicine, Assistant Professor of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI

4:55 - 5:10 PM ET

Break - 15 mins

 

5:10 - 5:45 PM ET

 

Faculty Breakout Session for Ethanol Case Analysis
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
Paul M. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology, Phoenix, AZ
Rachel S. Wightman, MD, Director of Medical Toxicology Education, Department of Emergency Medicine, Assistant Professor of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI

 5:45 - 6:20 PM ET

Does Science Support the DRE Assessment? 
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ

 

Day 2: Friday, December 17, 2021 - New Psychoactive Substances

9:45 - 10:00 AM ET
Welcome & Introductions
Paul M. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology, Phoenix, AZ
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
Bryan Judge, MD, FACMT, Professor of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI
Robert A. Middleberg, PhD, DABCC(TC), F-ABFT, Laboratory Director, NMS Labs, Willow Grove, PA
Brent Furbee, MD, FACMT, Professor Emeritus Clinical Emergency Medicine, Indiana University School of Medicine, Indiana Poison Center, Indianapolis, IN
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, Newark, NJ
10:00 - 10:45 AM ET
Introduction to New Psychoactive Substances
Barry Logan, PhD, F-ABFT, SVP Forensic Sciences, Chief Scientist NMS Labs; President, Fredric Rieders Family Foundation, Willow Grove, PA
10:45 - 11:00 AM ET
Case 1: ETOH or Z drugs? Identifying Behavioral Differences in the Impaired Driver
A police officer observes a 58-year-old driver to be impaired. The driver is amnestic but does remember taking a sleeping pill. A BAC equivalent is 0.08. A DRE assessment is requested. 
Brent Furbee, MD, FACMT, Professor Emeritus Clinical Emergency Medicine, Indiana University School of Medicine, Indiana Poison Center, Indianapolis, IN
11:00 - 11:45 AM ET Case 1 Panel
11:45 - 12:00 PM ET Break - 15 min
12:00 - 12:15 PM ET
Case 2: Habeas Corpus & K2
A 37-year-old man challenges his murder conviction, alleging he was not responsible for his actions because of recent K2 use. 
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
12:15 - 1:00 PM ET Case 2 Panel

1:00 - 1:15 PM ET

 

Case 3: Opioids & Analysis of “Altered” Biological Matrix
A young adult dies while being “watched by friends” after using “heroin” supplied by a friend. The friends dispose of his body – limited postmortem blood is available for testing.
Bryan Judge, MD, FACMT, Professor of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI

1:15 - 2:00 PM ET Case 3 Panel
2:00 - 2:45 PM ET Lunch - 45 min
2:45 - 3:00 PM ET Case 4: Synthetic Cannabinoids & Alternate Anatomic Diagnoses
A 36-year-old man dies after “partying with friends.” What are the implications of the autopsy finding of severe coronary artery disease and postmortem toxicology testing confirming prescribed methadone and identifying a synthetic cannabinoid receptor agonist?
Robert A. Middleberg, PhD, DABCC(TC), F-ABFT, Laboratory Director, NMS Labs, Willow Grove, PA
3:00 - 3:45 PM ET Case 4 Panel
3:45 - 4:00 PM ET Case 5: Drug Use and Liability in a Congregate Setting
Students at a local university provide a range of drugs for a non-college sponsored party. Several students require emergency care and hospital admission, with symptoms ranging from tremors, seizures, to cardiac arrest. 
Charles McKay, MD, FACMT, FACEP, President Emeritus, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
4:00 - 4:45 PM ET Case 5 Panel