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ACMT Positions, Guidelines and Recommendations

ACMT Position Statements

 Caring for patients with Opioid Use Disorder During Coronavirus Disease Pandemic
 Maintenance of Certification in Coronavirus Pandemic
 Medication Administration and Safety During the Response to COVID-19 Pandemic
 Limiting Harms of Vaping and E-cigarette Use
 Off-Label Prescribing during COVID-19 Pandemic
 Prescription Drug Shortages
 Medication Shortages During Coronavirus Disease Pandemic
 Interpretation of Urine for Tetrahydrocannabinol Metabolites
 Recommending Removing The Waiver Requirement For Prescribing Buprenorphine For Opioid Use Disorder
 Addressing Pediatric Cannabis Exposure
 Buprenorphine Administration in the Emergency Department
 Addressing the Rising Cost of Prescription Antidotes
 Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents
 The​ ​Role​ ​of​ ​Clinical​ ​Pharmacists​ ​in​ ​the​ ​Emergency​ ​Department
 Sodium Bicarbonate Shortage Recommendations
 Preventing Occupational Fentanyl and Fentanyl Analog Exposure to Emergency Responders
 Safety Data Sheets
 Determining Brain Death in Adults After Drug Overdose
 Duration of Intravenous Acetylcysteine Therapy Following Acetaminophen Overdose
 Safety Issues Regarding Prescription Fentanyl Products
 The Use of Methadone as an Analgesic
 Safety Issues Regarding Prescription Opioids
 ACMT Ethics Statement
 Guidance Document: Management Priorities in Salicylate Toxicity
 Medical Toxicologist Participation in Medication Management and Safety Systems
 Antidote Shortages: Impact and Response
 Pressure Immobilization After North American Crotalinae Snake Envenomation
 The Role of a Medical Toxicologist for Assistance in the Treatment of Alcohol Withdrawal Syndrome
 Interpretation of Urine Analysis for Cocaine Metabolites
 Institutions Housing Venomous Animals
 Recognition of Medical Direction and Support of Poison Center Activities
 Interim Guidance for the Use of Lipid Resuscitation Therapy
 American College of Medical Toxicology Code of Ethics for Medical Toxicologists
 Post-Chelator Challenge Urinary Metal Testing
 Dietary Supplements
 IOM Report on Thimerosal and Autism
 Hospital Privileges for Physicians Practicing Medical Toxicology
 Institute of Medicine Report on Damp Indoor Spaces and Health
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These statements are intended to summarize a vast body of reviewed literature and expert opinion in a 1-2 page document with a small number (8-10) of references. The intended audience is both college members and others interested in the given topic. We see these as providing the basis for response to media, patients, and the starting point for further reading. They are not intended to be exhaustive treatises; however they should recognize areas of controversy, providing a position backed by legitimate science. When applicable, each statement should include: * Introduction Introduce the topic or controversy and provide background regarding context (of exposure, contact, etc.) and purpose. * Data Where appropriate, this should be broken out into basic science, animal, human (epidemiologic, case-control, anecdotal) components. While raw numbers and summaries of studies are not required, any relative risk data should be referenced. * Conclusions Brief statement summarizing position of College. While not required, it is encouraged that authors use terms of the Bradford Hill criteria whenever imputing or refuting causation issues (strength of association, specificity, dose response, temporality, coherence, consistency, etc.). * References Major reviews and critiques. Any specific data cited in the statement should be referenced by author in the body of the statement. * Date Include the date of submission (month/year) and any revisions noted.

All position statements will be edited by the committee and then referred to the board. Any comments will be reviewed by the authors and the committee. Once endorsed by the board, they will be posted on the ACMT web site and published in an issue of JMT. All position statements will be introduced by a disclaimer indicating that while individual practitioners may differ, this is the position of the college at the time written, after a review of the issue and pertinent literature. All statements should be reviewed on a periodic basis (every 3 years) and as needed when new data or questions arise. The original author(s) will be asked to address any questions, indicating the date of any revisions on the statement. Each author must sign a disclosure form discussing any potential sources of bias and conflict of interest.