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Total Tox Course Agenda

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* ACMT 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
Charles McKay, MD, FACMT, FACEP, President, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN
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)
Timothy Erickson, MD, FACMT, FACEP, FAACT, Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, MA
9:10-9:55 AM
Over-the-Counter Poisons #1: Acetaminophen
17.1.2.1 (Acetaminophen)
Evan Schwarz, MD, FACMT, FACEP, Assistant Professor of Emergency Medicine, Medical Toxicology Fellowship Director, Section Chief Medical Toxicology, Advisory Dean in the Office of Student Affairs, Division of Emergency Medicine, Washington University School of Medicine, St. Louis, MO
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)
Andrea G. Carlson, MD, Toxikon Consortium, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, IL
10:40-11:00 AM Break
11:00-11:30 AM
Case Review & Roundtable Discussion on Complex Acetaminophen Cases
Moderator: Steven E. Aks, DO, FACMT, FACOEP, FACEP, Toxicology Director, Department of Emergency Medicine, Cook County Health and Hospitals System, Chicago, IL
Timothy Erickson, MD, FACMT, FACEP, FAACT, Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, MA
Andrea G. Carlson, MD, Toxikon Consortium, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, IL
Evan Schwarz, MD, FACMT, FACEP, Assistant Professor of Emergency Medicine, Medical Toxicology Fellowship Director, Section Chief Medical Toxicology, Advisory Dean in the Office of Student Affairs, Division of Emergency Medicine, Washington University School of Medicine, St. Louis, MO
Sean M. Bryant, MD, FACMT, Associate Professor, Emergency Medicine Cook County Health and Hospitals System; Assistant Fellowship Director, Toxikon Consortium; Associate Medical Director, Illinois Poison Center; CDR, US Navy Reserve MC (IRR), Chicago, IL
11:30-12:00 PM 
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber? 
17.1.10 (Carbon monoxide)
Sean M. Bryant, MD, FACMT, Associate Professor, Emergency Medicine Cook County Health and Hospitals System; Assistant Fellowship Director, Toxikon Consortium; Associate Medical Director, Illinois Poison Center; CDR, US Navy Reserve MC (IRR), Chicago, IL
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)
Sean M. Bryant, MD, FACMT, Associate Professor, Emergency Medicine Cook County Health and Hospitals System; Assistant Fellowship Director, Toxikon Consortium; Associate Medical Director, Illinois Poison Center; CDR, US Navy Reserve MC (IRR), Chicago, IL
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)
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN
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)
Timothy Erickson, MD, FACMT, FACEP, FAACT, Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, MA
3:00-3:30 PM
Ethanol Withdrawal: When the Good Times End
14.1.5 (Withdrawal syndromes)
Jerrold B. Leikin, MD, FACMT, FACEP, FAACT, FACOEM, FACP, Director of Medical Toxicology, Chicago, IL NorthShore University HealthSystem
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)
Charles McKay, MD, FACMT, FACEP, President, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
4:30-5:00 PM 
Heavy Metals In The ED: Lead, Arsenic & Mercury 
17.1.14 (Heavy metals)
Jerrold B. Leikin, MD, FACMT, FACEP, FAACT, FACOEM, FACP, Director of Medical Toxicology, Chicago, IL NorthShore University HealthSystem
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)
Neeraj Chhabra, MD, Emergency Medicine Physician, Emergency Medicine Physician, Cook County Health and Hospitals System, Chicago, IL

Day 2: Thursday, September 6, 2018 

 
 
8:00-8:10 AM                                                        
Review of Day 1
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN
 
8:10-8:30 AM
Local Anesthetic Toxicity: When To Be Concerned
17.1.19 (Local anesthetics)
Sean M. Bryant, MD, FACMT, Toxikon Consortium, Assistant Director, Toxicology Fellowship Program, Department of Emergency Medicine, Cook County Health and Hospital System; Associate Professor, Department of Emergency Medicine, Rush Medical College, Chicago, IL
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)
William "Russ" Kerns, II, MD, FACMT, FACEP, Director, Division of Medical Toxicology, Carolinas Medical Center, Davidson, NC
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)
William "Russ" Kerns, II, MD, FACMT, FACEP, Director, Division of Medical Toxicology, Carolinas Medical Center, Davidson, NC
9:30-10:10 AM
Anticoagulants and Antithrombotics: When You Can't Control the Bleeding
17.1.4 (Anticoagulants/Antithrombotics)
Renee Petzel Gimbar, PharmD, Clinical Pharmacist, Residency Director, University of Illinois at Chicago College of Pharmacy, Chicago, IL 
10:10-10:30 AM Break
10:30-11:00 AM
Out of Balance: Toxicity of Endocrine Agents
17.1.17 (Hypoglycemics/Insulin)
Jeffrey Lapoint, DO, Director, Section of Medical Toxicology, Kaiser Permanente, San Diego, CA
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)
Mark B. Mycyk, MD, FACMT, FACEP, Editor-in-Chief, Journal of Medical Toxicology; Toxikon Consortium, Cook County Hospital, Chicago, IL
11:30-12:00 PM
A Lick, A Taste, A Swallow #2: Dangers In Your Cabinet
17.1.16 (Household/Industrial chemicals) 17.1.23 (Nutritional Supplements)
Jenny Lu, MD, MS, Toxikon Consortium, Emergency Medicine Physician, Cook County Hospital, Chicago, IL
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)
Michael Levine, MD, FACMT, Keck School of Medicine, University of Southern California, Los Angeles, CA
2:10-2:50 PM 
Don't Eat That! Plants, Mushrooms & Nutritional Supplements 
17.1.22 (Mushrooms/Poisonous plants) 17.1.23 (Nutritional supplements)
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, New York, NY
2:50-3:10 PM   Break 
3:10-3:50 PM 
Anticonvulsants: When the Level Makes You Unsteady
17.1.5 (Anticonvulsants)
Evan Schwarz, MD, FACMT, FACEP, Assistant Professor of Emergency Medicine, Medical Toxicology Fellowship Director, Section Chief Medical Toxicology, Advisory Dean in the Office of Student Affairs, Division of Emergency Medicine, Washington University School of Medicine, St. Louis, MO
3:50-4:20 PM  
Over-the-Counter Poisons #3: Antihistamines & Antitussives 
17.1.3 (Anticholinergics) 17.1.7 (Antiemetics)
Renee Petzel Gimbar, PharmD, Clinical Pharmacist, Residency Director, University of Illinois at Chicago College of Pharmacy, Chicago, IL
4:20-5:00 PM
The Crashing Tox Patient: Novel Treatment Options
1.1 (Abnormal Vital Signs) 1.3.1 (Altered mental status)
Jeffrey Brent, MD, PhD, FACMT, FAACT, Distinguished Clinical Professor of Medicine, University of Colorado, School of Medicine, Littleton, CO
5:00-5:30 PM
The Hot Patient: NMS, SS, Malignant Hyperthermia
1.3.57 (Toxidromes) 1.1.2 (Fever)
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN

Day 3: Friday, September 7, 2018 

 
8:00-8:10 AM                    
Review of Day 2
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN
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)
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, New York, NY 
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)
Katherine Katzung, MD, Vice Chair, Emergency Department, Abbott Northwestern Hospital, Minneapolis, MN
9:10-10:00 AM
Cold Turkey: Management Options for Drug Withdrawal
14.1 (Substance Use Disorders) 14.5.1.2 (Drug psychoses) 14.1.5 (Withdrawal syndromes)
Lewis Nelson, MD, FACMT, Chair of the Department of Emergency Medicine, Rutgers New Jersey Medical School, New York, NY
10:00-10:15 AM Break
10:15-10:45 AM
Drug Screen Pitfalls
17.1.24 (Recreational drugs) 17.1.25 (Sedatives/Hypnotics) 17.1.26 (Stimulants/Sympathomimetics)
14.1 Substance Use Disorders
Paul W. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology
10:45-11:45 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)
Michael Levine, MD, FACMT, Keck School of Medicine, University of Southern California, Los Angeles, CA
11:45-1:00 PM Lunch Break
1:00-1:30 PM 
The Blue Patient: Methemoglobinemia
17.1.21 and 8.5.3 (Methemglobinemia)
Andrea G. Carlson, MD, Toxikon Consortium, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, IL
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)
Charles McKay, MD, FACMT, FACEP, President, American College of Medical Toxicology; Connecticut Poison Control Center, Hartford, CT
2:00-2:40 PM
Chemical Suicide & Mitochondrial Asphyxiants
17.1.13 (Cyanides, hydrogen sulfide)
Paul W. Wax, MD, FACMT, Professor, Emergency Medicine, UT-Southwestern; Executive Director, American College of Medical Toxicology
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)
Joseph K. Maddry, MD, Emergency Medicine Physician, US Air Force En route Care Research Center, San Antonio Military Medical Center, San Antonio, TX
3:45-4:15 PM
Disaster Preparedness #2: Organophosphates & Nerve Agents
17.1.12 (Cholinergics) 19.4.11.1 (Decontamination)
Christina E. Hantsch Bardsley, MD, FACEP, FACMT, FAACT, Emergency Medicine Physician, Loyola University Chicago Stritch School of Medicine, Chicago, IL
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)
Joseph K. Maddry, MD, Emergency Medicine Physician, US Air Force En route Care Research Center, San Antonio Military Medical Center, San Antonio, TX
  
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