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Contains 4 Component(s) Includes a Live Web Event on 12/17/2026 at 1:00 PM (EST)Members only
Cases TBA
ACMT National Case Conference
Thursday, December 17, 2026
1:00-2:00pm ETCases to be announced soon!
About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. This interactive webinar provides a dynamic platform for learning, collaboration, and sharing insights on case management and emerging clinical challenges in the field.
Disclosure: This activity is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.
This webinar is for ACMT members only.
$i++ ?>Joshua D. King, MD, FACMT (Moderator)
Associate Professor of Medicine and Pharmacy; Medical Director
University of Maryland; Maryland Poison Center
Joshua D. King, MD, FACMT is an Associate Professor of Medicine and Pharmacy and the Medical Director of the Maryland Poison Center at the University of Maryland School of Medicine. He earned his medical degree from Penn State College of Medicine, followed by an Internal Medicine residency and chief residency at the University of Virginia. He then completed a Nephrology fellowship at Johns Hopkins Hospital and, after returning to the University of Virginia as a nephrologist, pursued further specialization through a Medical Toxicology fellowship. Dr. King is a dual-specialized clinician-educator in nephrology and medical toxicology, with clinical expertise in extracorporeal treatments for poisonings, therapeutic drug removal, ICU nephrology, and medical education. At the University of Maryland Medical Center, he provides care through both the nephrology and medical toxicology consultation services, focusing on hospitalized patients. In addition to his clinical work, Dr. King is deeply involved in graduate medical education, training residents and fellows, as well as teaching undergraduate medical students. As the Medical Director of the Maryland Poison Center, he oversees the clinical management of poisoning, envenomation, and overdose cases for both the public and healthcare providers. His role also includes educating medical and pharmacy students and supervising physicians who rotate through the center. Dr. King’s research interests lie at the intersection of nephrology and toxicology, particularly in the extracorporeal removal of toxins through modalities such as dialysis and apheresis.
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Register
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/11/2026 at 8:40 AM (EST)CE Credit available
Alcohol use disorder, Substance Use Disorders, Illicit drug use, Prescription drug use, Withdrawal syndromes, Ethanol, Ethylene glycol, Methanol, Cannabis, Sedatives, Hypnotics, Stimulants and more! Withdrawal syndromes, recreational and illicit drugs, sedatives, hypnotics, stimulants, methanol, isopropyl, and more!
#TotalTox2026
Join us for the next live, virtual session of the Total Tox Course, Substance Use, Toxicology Pitfalls & Alcohols.
Our fourth and final session will examine Substance Use Disorders, Toxic Alcohols, and Diagnostics, exploring current trends in opioid, cannabis, and recreational nitrous oxide misuse. Speakers will outline medication-assisted treatment initiation strategies and deliver a definitive rationale for managing toxic methanol and ethylene glycol exposures with antidotes and hemodialysis. By learning how to strategically order and interpret targeted ED toxicology tests during interactive case discussions, attendees will maximize your ability to positively impact patient outcomes.
Learner Objectives
After attending the event, participants should be able to:
- Synthesize diagnostic and treatment strategies for substance use disorders, toxic alcohols, and novel recreational drug toxicities.
- Optimize toxicology testing to directly guide and alter clinical management outcomes.
- Collaborate on expert-led case analyses to debate management strategies and refine real-world clinical decision-making.
Questions?
Please write to ACMT at events@acmt.net
Agenda | Total Tox Day 4 - December 11, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 10:00 AM ET
Death by Design: The Pharmacology and Management of Modern Opioid DangersMore information coming soon!
10:00 - 10:30 AM ET
Cannabis & Cannabinoid Toxicity
Mark Neavyn, MD, FACMT, Medical Director & Emergency Medicine Physician, Northern New England Poison Center & Maine Medical Center, Portland, MEDr. Neavyn will examine the symptoms of cannabis toxicity and describe the treatment approach to cannabis toxicity.
10:30 - 11:00 AM ET
What's New In Your Neighborhood?More information coming soon!
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, DFACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZDr. Wax will Identify toxicology tests available in the ED. He will discuss which tests should be requested in specific situations and describe how test ordering changes treatment outcomes.
12:00 - 12:30 PM ET
Case ReviewMore information coming soon!
12:30 - 1:00 PM ET
No Laughing Matter: The Clinical Reality of N₂O
Courtney Temple, MD, Assistant Professor of Emergency Medicine, Oregon Health & Science UniversityDr. Temple will review the most current data identifying emerging trends in recreational nitrous oxide use and recognize its relevance in general medical practice and outlines a practical diagnostic and treatment approach to suspected nitrous oxide toxicity.
1:00 - 1:30 PM ET
The Pursuit of Wakefulness: StimulantsMore information coming soon!
1:30 - 2:00 PM ET | Break (30 min)
2:00 - 3:00 PM ET
When the Party Ends: Managing Ethanol Intoxication and WithdrawalMore information coming soon!
3:00 - 3:45 PM ET
When It's Not Ethanol: Demystifying Toxic Alcohols
Bram Dolcourt, MD, Clinical Assistant Professor Department of Emergency Medicine, Wayne State University, Detroit, MIDr. Dolcourt will describe toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures, identifies 2 stand-in tests for MeOH and EthGly, noting limitations, and presents a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.
3:45 - 4:15 PM ET
Case Panel - Agma-tation!More information coming soon!
$i++ ?>Bram Dolcourt, MD
Clinical Assistant Professor Department of Emergency Medicine
Wayne State University
Bram Dolcourt is Assistant Professor of Emergency Medicine at Wayne State University and serves as Associate Residency Director for Emergency Medicine at Sinai Grace Hospital in Detroit. Dr. Dolcourt is a Clinical Consultant to the Michigan Poison and Drug Information Center. Dr Dolcourt complete Medical School at New York Medical College and residency at Henry Ford Hospital. Dr. Dolcourt then went on to complete fellowship in Medical Toxicology at the Children’s Hospital of Michigan. Dr. Dolcourt’s interests include inpatient addiction medicine and heavy metal exposures.
$i++ ?>Mark Neavyn, MD, FACMT
Medical Director & Emergency Medicine Physician
Northern New England Poison Center & Maine Medical Center
Mark Neavyn, M.D. joined Maine Medical Center as the Medical Director for the Northern New England Poison Center in 2020. After earning his Bachelor of Arts degree in biology from Augustana College, he went on to earn his medical degree at Jefferson Medical College. He then completed his residency in emergency medicine at Drexel University, followed by a fellowship in Medical Toxicology at the University of Massachusetts.
His clinical interests include treatment and stabilization of patients after poisoning, drug overdose, and environmental exposures. He is particularly interested in the public health implications of cannabis use and emerging trends in novel psychoactive substances.
In his spare time Dr. Neavyn enjoys running on the beautiful trails in and around Portland, Maine.
$i++ ?>Courtney Temple, MD
Assistant Professor of Emergency Medicine
Oregon Health & Science University
Dr. Temple is an emergency medicine physician and medical toxicologist at Oregon Health & Science University and the Oregon Poison Center. She received her medical degree from the University of Massachusetts Medical School, completed her emergency medicine residency at the University of Massachusetts, and completed her Medical Toxicology Fellowship at Oregon Health & Science University. She is board-certified in emergency medicine and medical toxicology.
She serves as Assistant Program Director for the OHSU Medical Toxicology Fellowship and Assistant Medical Director of the Oregon Poison Center. She was the inaugural recipient of the ACMT Charles E. Becker Medal for outstanding achievement in medical toxicology. Her academic interests include emerging drugs of abuse, natural toxins, and innovative approaches to toxicology education.
$i++ ?>Paul M. Wax, MD, DFACMT
Executive Director
American College of Medical Toxicology (ACMT)
Dr. Wax is the Executive Director of the American College of Medical Toxicology. He received his B.A from Dartmouth College, his M.D. from the Mount Sinai School of Medicine, his Emergency Medicine training at the UCLA Hospitals, and his Medical Toxicology training at Bellevue Medicine Center / New York University. He is Board-certified in both Medical Toxicology and Emergency Medicine, and is a Fellow of the American College of Medical Toxicology.
Registration Rates
Registration includes:
- Access to the live virtual event on December 11, 2026
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Member Rates
Member Tier I: Full, Affiliate, International, Emeritus
$275
Member Tier II: Fellows
$125
Member Tier III: Residents, International - Developing Country
$100
Member IV: Medical Students
$75Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"
$300
Non-member Tier II: Fellows, SPIs, Nurses, etc.
$150
Non-member Tier III: Educators & Emergency Responders
$125
Non-member IV: Residents & Students
$100
ACMT Membership
ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership
Package Rates
Sign up for the all four days of the 2026 ACMT Total Tox Course and save $150!
Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!
Refunds and Cancellations
- Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
- Cancellations made within 14 days of the event date will not receive a refund.
All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.
Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.
Questions?
For any questions, please email us at events@acmt.net.
Instructions
Once you have completed your registration:
- Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
- Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 11, 2026.
- Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
- Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 70% to pass.
- Complete the Event CE Survey. If you are completing CE, this survey is required.
- Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.
Full credit can only be claimed after completion of all required components.
Hardware/Software Requirements
Computer or Other Internet-Enabled Device; Internet Connection; Browser.
Materials
None.
Prerequisites
None.
Format
This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.
Need Assistance or Have Questions?
For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.
If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.
Continuing Education
Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 6.75 Continuing education credit per activity.
Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.
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Register
- Non-member - Tier I - $300
- Non-member - Tier II - $150
- Non-member - Tier III - $125
- Non-member - Tier IV - $100
- Member - Tier I - $275
- Member - Tier II - $125
- Member - Tier III - $100
- Member - Tier IV - $75
- More Information
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/10/2026 at 8:40 AM (EST)CE Credit available
Arthropods, Marine organisms, Reptiles, Radiation Emergencies, Biological Warfare Agents, Environmental exposures, Carbon monoxide, Cholinergics, Heavy metals, Herbicides, insecticides, rodenticides, Hydrocarbons, mushrooms and more!
#TotalTox2026
Join us for the next live, virtual session of the Total Tox Course, Environmental & Disaster Preparedness.
Our third day turns the focus outward to Environmental and Disaster Preparedness, providing an essential roadmap for managing critical exposures found in nature, the home, and large-scale emergency scenarios. Attendees will develop their understanding of clinical management of marine, arthropod, and reptile envenomations alongside toxic flora and common household or garage chemical hazards. The curriculum contrasts the complex presentations of heavy metal toxicities, pulmonary irritants, and lethal asphyxiants like carbon monoxide and mitochondrial poisons, offering clear guidelines on advanced interventions such as hyperbaric oxygen and chelation therapy. Finally, dynamic expert panels and deep dives into disaster medicine will equip you with the triage strategies and treatment strategies necessary to rapidly manage casualties from radiation events, nerve agents, and chemical or biological terrorism.
Learner Objectives
After attending the event, participants should be able to:
- Evaluate clinical presentation and management protocols for environmental, envenomation, and heavy metal toxicities.
- Formulate critical interventions for acute asphyxiant, pulmonary irritant, and chemical exposures.
- Develop medical preparedness and response strategies for large-scale chemical, biological, and radiological disasters.
Questions?
Please write to ACMT at events@acmt.net
Agenda | Total Tox Day 3 - December 10, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:30 AM ET
Don't Touch That! Marine, Arthropod & Reptile Envenomations
Michael Levine, MD, FACMT, Associate Professor of Emergency Medicine, University of California Los Angeles, Los Angeles, CADr. Levine will kick things off by identifying common envenomations and their management options.
9:30 - 10:00 AM ET
The Toxic Yard
Fiona Garlich Horner, MD, Head of Toxicology & Assistant Professor of Clinical Emergency Medicine, LAC+USC Medical Center & University of Southern California Keck School of Medicine, Los Angeles, CAStep outside in the garden with Dr. Garlich Horner. She will distinguish different classes of plant derived toxins and their effects on humans. She also identifies hazards of different mushrooms and clinical toxidromes associated with mushrooms.
10:00 - 10:30 AM ET
The Toxic Garage
Andrew King, MD, Associate Professor in the Department of Emergency Medicine & Medical Director, Wayne State University School of Medicine & Michigan Poison and Drug Information Center, Detroit, MIJoin Dr. King in the the garage to discuss common toxins and exposures of chemicals and review the toxicity and management of chemicals and other substances typically found in the garage.
10:30 - 11:00 AM ET
Heavy Metals: Lead, Arsenic & Mercury
Evan Schwarz, MD, FACMT, FASAM, FACEP, Medical Toxicology Fellowship Director, University of California, Los Angeles, Los Angeles, CADr. Schwarz will review the signs and symptoms of lead toxicity, forms of mercury, and the role of chelation in heavy metal toxicity.
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
I Can't Breathe! Pulmonary Irritants & Simple Asphyxiants
Charles McKay, MD, FACMT, Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CTDr. McKay will describe the clinical presentation and the role of water solubility in the clinical presentation of pulmonary irritants. He also identifies the primary treatment for simple asphyxiant exposure.
12:00 - 12:30 PM ET
Case Panel - It Came From Outdoors!More information coming soon!
12:30 - 1:00 PM ET
Chemical Suicide & Mitochondrial Asphyxiants
More information coming soon!More information coming soon!
1:00 - 1:30 PM ET
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber?
Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT, Medical Director, National Capital Poison Center & MedStar Georgetown University Hospital, Washington, DCDr. Johnson-Arbor will review the common sources for carbon monoxide poisoning and discusses pharmacokinetics and pathophysiciology of carbon monoxide poisoning.
1:30 - 2:00 PM ET
Disaster Preparedness #1: Radiation Events
Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT Deputy Commander, Department of Emergency Medicine, US Army Institute of Surgical Research, Houston, TXDr. Maddry will discuss the diagnosis and management of radiation casualties and radiation mass casualty events. He will also identify different types of radiation and describe the consequences of exposure to radiation.
2:00 - 2:30 PM ET | Break (30 min)
2:30 - 3:00 PM ET
Disaster Preparedness #2: Organophosphates & Nerve Agents
Christina Hantsch, MD, FACEP, DFACMT, FAACT Emergency Physician and Medical Toxicologist, Loyola University Chicago Stritch School of Medicine Maywood, ILDr. Hantsch will discuss management options for patients with organophosphate insecticide or nerve agent toxicity and explain cholinergic toxidrome. She will list specific organophosphate insecticides and chemical weapon nerve agents.
3:00 - 3:45 PM ET
Disaster Preparedness #3: Other Chemical & Biological Terrorism
Aaron Frey, DO Emergency Medicine Attending Physician and Medical Toxicology Fellow, Richmond Emergency Physicians, Inc. & University of Virginia, Richmond, VADr. Frey will examine the diagnosis and management of casualties resulting from terrorism and mass casualty events and discuss the history of bioterrorism as a tool for warfare. He will explain and evaluate the agents used in bioterrorist events.
3:45 - 4:15 PM ET
Case PanelMore information coming soon!
$i++ ?>Aaron Frey, DO
Core Faculty & Medical Toxicologist
WellSpan Health at York Hospital
Dr Aaron Frey is an emergency medicine physician and medical toxicologist. He studied government and international studies at Campbell University in North Carolina and Spanish at Middlebury College in Vermont. He worked as a firefighter, emergency medical technician, and search and rescue diver during his undergraduate career. The experiences he had in those roles are what influenced him to become a physician. His particular interests include hazardous materials and chemical, biological, radiological, and nuclear (CBRN) weapons, remote, austere, and wilderness medicine, and damage control resuscitation. He currently practices emergency medicine and toxicology at the Wellspan York Hospital in York, PA and holds an academic appointment of assistant professor of emergency medicine and medical toxicology at Drexel University College of Medicine.
$i++ ?>Fiona Garlich Horner, MD
Head of Toxicology & Assistant Professor of Clinical Emergency Medicine
LAC+USC Medical Center & University of Southern California Keck School of Medicine
Dr Fiona Garlich Horner is the Head of Medical Toxicology at Los Angeles County + University of Southern California (LAC+USC) Medical Center, and an Assistant Professor of Clinical Emergency Medicine at the University of Southern California Keck School of Medicine. She is a graduate of Oregon Health Sciences University School of Medicine in Portland, Oregon, and completed her residency in Emergency Medicine at Hennepin County Medical Center in Minneapolis, Minnesota. After completing a fellowship in Medical Toxicology at New York University and the New York City Poison Control Center, she served as an attending emergency physician and medical toxicologist with the Poison and Drug Information Service (PADIS) in Calgary, Alberta, Canada.
Dr. Garlich is now an attending emergency physician and medical toxicologist at LAC+USC Medical Center in Los Angeles, California, one of the largest and busiest public hospitals in the United States. She is the director of the inpatient toxicology consultation service and the resident toxicology rotation, as well as the chair of the hospital’s medication safety committee. Her primary academic interests lie in toxicology education and advancing the care of vulnerable and incarcerated populations.
$i++ ?>Christina Hantsch, MD, FACEP, FAACT, DFACMT
Medical Director, HPlan
UPMC Health Plan
Dr. Hantsch is a graduate of the Honors Program in Medical Education at Northwestern University. She completed an emergency medicine residency, including a year as chief resident, at the Medical College of Wisconsin and then continued her training in a medical toxicology fellowship at Vanderbilt University. After her fellowship, she spent nearly 22 years at Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center. There, she established an inpatient toxicology clinical service and clinical rotations for graduate medical trainees and students in multiple fields. With an interest in medication management and safety, she joined the hospital Pharmacy and Therapeutics Committee, serving as member for 6 years before being appointed chair and leading the committee for another 6 years. Dr. Hantsch earned the academic rank of Professor of Emergency Medicine, was Director of the Division of Toxicology, and Director of Academic Affairs in the Department of Emergency Medicine. As a clinical faculty member, she was appointed to the Stritch Committee on Academic Rank and Tenure, serving for 7 years including 2 as a subcommittee chair leading revision of the clinician educator track guidelines. In 2018, she was the founding Program Director of the Loyola emergency medicine residency. Dr. Hantsch served for more than 8 years as Medical Director of the Illinois Poison Center. In addition, she is a regular organizer and contributor to many local, regional, and national/international continuing education programs. After leaving academics, she worked for the U.S. FDA in pharmacovigilance for a year. As of 2022, she is board certified in addiction medicine in addition to emergency medicine and medical toxicology. Dr. Hantsch was elected to the ACMT Board of Directors in 2021, is a member of the Education Committee, and chair of the Practice Committee.
$i++ ?>Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT
Medical Toxicology Physician and Medical Director of Hyperbaric Medicine
MedStar Georgetown University Hospital
Dr. Kelly Johnson-Arbor is a medical toxicology and hyperbaric medicine physician at MedStar Georgetown University Hospital. She is triple board-certified in Emergency Medicine, Medical Toxicology, and Undersea and Hyperbaric Medicine. She completed her undergraduate education at Harvard College and earned her medical degree from Loyola University Stritch School of Medicine. She completed a residency in Emergency Medicine at the University of Rochester, followed by a fellowship in Medical Toxicology at the University of Connecticut. From 2018 through 2023, she served as the co-medical director of National Capital Poison Center, and she has provided medical toxicology consultation services to the Connecticut Poison Control Center since 2006. Since 2015, she has served as medical director of hyperbaric medicine at MedStar Georgetown University Hospital, and she also maintains an outpatient medical toxicology clinic at this facility. She is an Assistant Professor of Plastic Surgery and Emergency Medicine at the Georgetown University School of Medicine and serves as an associate faculty member of the MedStar Institute for Quality and Safety.
An avid researcher and writer, Dr. Johnson-Arbor has published numerous articles in peer-reviewed medical journals including New England Journal of Medicine, JAMA Internal Medicine, and Annals of Emergency Medicine. She enjoys teaching toxicology principles and hyperbaric medicine to the public as well as medical professionals. Her work as both a hyperbaric medicine and medical toxicology physician has allowed her to gain unique perspectives on the diagnosis and treatment of acute and chronic carbon monoxide poisoning as well as their long-term complications.
$i++ ?>Andrew King, MD
Associate Professor in the Department of Emergency Medicine & Medical Director
Wayne State University School of Medicine & Michigan Poison and Drug Information Center
Dr. King is an Emergency medicine physician, Medical Toxicologist and Addiction Medicine specialist at the Detroit Medical Center and Wayne State University. He works as an emergency physician at Sinai Grace and Detroit Receiving Hospitals. He additionally works at the Tolan Park Research Center where he sees patients with substance use disorders. He is the interim director of the Michigan Poison and Drug Information Center and the Fellowship Director of the Medical Toxicology Fellowship. He is excited to be an organizer and presenter at the Total Tox Course!
$i++ ?>Michael Levine, MD, FACMT
Co-Division Chief of Medical Toxicology
University of California, Los Angeles
Michael Levine is a Los Angeles native, who completed his emergency medicine residency at the Harvard Affiliated Emergency Medicine program, based out of Brigham and Women’s Hospital and Massachusetts General Hospital. After residency, he completed his medical toxicology fellowship at Banner Good Samaritan Medical Center in Phoenix, AZ. After staying as faculty for a year in Phoenix, he moved back to Los Angeles, where he joined the faculty at USC. He is currently the division chief of medical toxicology. He is actively involved in patient care, research, and serves on numerous hospital and university committees. He is an active member of American College of Emergency Physicians, the American College of Medical Toxicology, and is a member of the Toxicology Investigator's Consortium.
$i++ ?>Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT
Deputy Commander
Department of Emergency Medicine, US Army Institute of Surgical Research
Lt Col Maddry earned his Bachelor’s Degree from the US Air Force Academy in 2001 as a Distinguished Graduate. His first assignment was as Officer in Charge of Bioenvironmental Engineering at Minot Air Force Base, North Dakota. During his tenure, he led his unit’s response to the largest anhydrous ammonia spill in U.S. history. He then attended medical school at the Uniformed Services University, earning Alpha Omega Alpha membership honors. He completed his emergency medicine residency at SAUSHEC and his medical toxicology fellowship at the Rocky Mountain Poison and Drug Center in Denver, Colorado.
Following fellowship, Lt Col Maddry returned to Brooke Army Medical Center as an emergency physician and medical toxicologist. He served as Chief of the BAMC Simulation Center from 2014 to 2015. Subsequently, he served as Director of the US Air Force En route Care Research Center (ECRC) from 2015 to 2020. In this position, he oversaw 20 personnel and a $14.8 million research portfolio. He is an author of over 100 peer reviewed publications and 150 research presentations and has been awarded over $28 million in research grants. The Society of Academic Emergency Medicine recognized Dr. Maddry’s research as one of the best publications of 2014. Lt Col Maddry was awarded the Defense Health Board Early Career Investigator Award, the 2017 USAF Outstanding Achievement in Clinical Research award and the 2018 Military Health System Research Symposium Small Team Research Accomplishment Award for Excellence.
Lt Col Joseph Maddry is currently the Deputy Commander of the US Army Institute of Surgical Research, overseeing over 700 personnel focused on optimizing combat casualty care. Dr. Maddry also serves as Director of Medical Toxicology at Brooke Army Medical Center and as the Director of the Clinical Resuscitation, Emergency Sciences, Toxicology, and Triage (CREST2) Research Program. He leads the development of the next generation of military researchers by serving as the Director of the SAUSHEC Military Emergency Medicine Research Fellowship and as Director of the Clinician Scientist Investigator Opportunity Network (CSION).
He is an Associate Professor of Emergency Medicine with the Uniformed Services University and has academic appointments at the University of Texas Health, Texas A&M, and the University of Colorado Denver. Lt Col Maddry has served in Afghanistan, Iraq, Haiti, Japan and Burkina Faso.
$i++ ?>Charles McKay, MD, FACMT
Associate Clinical Professor
University of Connecticut School of Medicine
Dr. McKay was trained in Anatomic and Surgical Pathology, Internal Medicine, Emergency Medicine, Medical Toxicology and was a Medical Director of Occupational Health and Medical Review Officer for a hospital system during more than 30 years of clinical practice, during which he provided toxicology consultation at 3 hospitals, directed a medical toxicology fellowship training program, and provided medical oversight of a regional poison control center. He provides medical legal consultation across the country on toxicology-related issues, and has testified in nearly 100 cases, many related to questions of alcohol- and drug-induced impairment.
$i++ ?>Evan Schwarz, MD, FACMT
Clinical Professor of Emergency Medicine
University of California, Los Angeles
Dr. Evan Schwarz attended medical school at the University of Texas Medical Branch in Galveston, Texas, before completing a residency in Emergency Medicine at the Washington University School of Medicine in Saint Louis, Missouri. After residency, he completed a fellowship in Medical Toxicology at the University of Texas Southwestern School of Medicine in Dallas, Texas, before returning to Missouri where he was an Advisory Dean and the Medical Toxicology Division Chief and Fellowship Director at Washington University. In 2023, he took a position in the Department of Emergency Medicine at the University of California Los Angeles.
Registration Rates
Registration includes:
- Access to the live virtual event on December 10, 2026
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Member Rates
Member Tier I: Full, Affiliate, International, Emeritus
$275
Member Tier II: Fellows
$125
Member Tier III: Residents, International - Developing Country
$100
Member IV: Medical Students
$75Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"
$300
Non-member Tier II: Fellows, SPIs, Nurses, etc.
$150
Non-member Tier III: Educators & Emergency Responders
$125
Non-member IV: Residents & Students
$100
ACMT Membership
ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership
Package Rates
Sign up for the all four days of the 2026 ACMT Total Tox Course and save $150!
Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!
Refunds and Cancellations
- Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
- Cancellations made within 14 days of the event date will not receive a refund.
All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.
Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.
Questions?
For any questions, please email us at events@acmt.net.
Instructions
Once you have completed your registration:
- Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
- Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 10, 2026.
- Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
- Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 70% to pass.
- Complete the Event CE Survey. If you are completing CE, this survey is required.
- Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.
Full credit can only be claimed after completion of all required components.
Hardware/Software Requirements
Computer or Other Internet-Enabled Device; Internet Connection; Browser.
Materials
None.
Prerequisites
None.
Format
This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.
Need Assistance or Have Questions?
For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.
If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.
Continuing Education
Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 6.75 Continuing education credit per activity.
Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.
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Register
- Non-member - Tier I - $300
- Non-member - Tier II - $150
- Non-member - Tier III - $125
- Non-member - Tier IV - $100
- Member - Tier I - $275
- Member - Tier II - $125
- Member - Tier III - $100
- Member - Tier IV - $75
- More Information
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Contains 4 Component(s) Includes a Live Web Event on 12/08/2026 at 12:00 PM (EST)Members only
Topic Coming Soon!
Topic TBA
Join ACMT on Tuesday, December 8, 2026, at 12 pm ET for an exclusive National Grand Rounds session – topic to be announced soon!
About The Series: ACMT's Grand Rounds offer an in-depth and interactive platform for learning and discussion about issues that impact the research and practice of medical toxicology. Experts from within and outside medical toxicology will share their knowledge and experience and highlight areas for collaboration and mutual understanding.
This webinar is for ACMT members only.
$i++ ?>Nicholas Nacca, MD, FACMT
Associate Professor of Emergency Medicine
University of Rochester Medical Center
Dr. Nicholas Nacca is the director of Medical Toxicology and Medical Toxicology Fellowship Director at the University of Rochester Medical Center. In addition to being faculty member in the Department of Emergency Medicine he holds a secondary appointment in the Department of Environmental Medicine. His primary role is staffing the educational and clinical medical toxicology consultation service, with educational responsibilities to medical toxicology fellows, multidisciplinary teams of medical residents, pharmacy residents and students, as well as medical students. He staffs and directs a referral based outpatient Medical Toxicology Clinic.
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Register
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
- More Information
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Contains 4 Component(s) Includes a Live Web Event on 12/04/2026 at 1:00 PM (EST)Open to the public
Topic Coming Soon!
Topic Coming Soon!
Friday, December 4, 2026
1:00-2:00pm ETCases Coming Soon!
Learning Objectives
Learning Objectives Coming Soon!
About The Series: The ACMT/ASAM Addiction Toxicology Case Conference webinar series discusses Addiction/Toxicology cases in an interactive fashion featuring experts from Addiction Medicine, Addiction Psychiatry, and Medical Toxicology.
This webinar is free and open to the public.
$i++ ?>Timothy J. Wiegand, MD, FACMT, DFASAM (Moderator)
Director and CEO, Toxicology Consulting
Medicine, Addiction Toxicology Consulting PLLC, ASAM President Elect (2025-2027)
Dr. Tim Wiegand is the Director of Toxicology Consults and President of CMO Medicine and Toxicology & Addiction Consulting. Board-certified in both Medical Toxicology and Addiction Medicine, Dr. Wiegand specializes in Addiction Toxicology, combining clinical practice with research, teaching, and leadership roles. He has served two terms on the Board of Directors for the American College of Medical Toxicology (ACMT) and is currently on the Board of Directors for the American Society of Addiction Medicine (ASAM). From 2023-2025, he served as Treasurer of ASAM, having previously served as Vice President on the Executive Council. From 2025-2027, Dr. Wiegand will serve as ASAM President Elect and then ASAM President (2027-2029). Dr. Wiegand founded and led the Toxicology Service at URMC until 2022, when he transitioned to Director of Addiction Medicine and Director of Addiction Medicine Consults in the Department of Emergency Medicine. He also serves as Fellowship Director for the URMC Combined Addiction Medicine Fellowship and is leading efforts to launch the URMC Medical Toxicology Fellowship, which is expected to be formally accredited by July 2023.
$i++ ?>Gloria Baciewicz, MD (Moderator)
Addiction Psychiatrist
Strong Recovery
Since 1986, Dr. Gloria Baciewicz has specialized in the treatment of addiction. Professor of clinical psychiatry at the University of Rochester Medical Center, she serves as an addiction psychiatrist at Strong Recovery. Dr. Baciewicz is certified in addiction medicine by the American Board of Preventive Medicine and board certified in psychiatry, with added qualifications in addiction psychiatry. Dr. Baciewicz is a co-principal investigator for the University of Rochester’s Recovery Center of Excellence.
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- Non-member - Tier I - Free!
- Non-member - Tier II - Free!
- Non-member - Tier III - Free!
- Non-member - Tier IV - Free!
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
- More Information
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/04/2026 at 8:40 AM (EST)CE Credit available
Antiarrhythmics, Anticoagulants/Antithrombotics, Anticonvulsants, Antidepressants, Antihypertensives, Antipsychotics, Beta blockers, Calcium channel blockers, Lithium, Local anesthetics, Methemoglobinemia, SSRI's and more!
#TotalTox2026
Join us for the next live, virtual session of the Total Tox Course, Neuropsychiatric & Cardiovascular Pharmaceutical Toxicity.
Our second session will delve into toxicities from cardiovascular, neurologic, and psychiatric pharmaceuticals and provide critical insights into managing common inpatient toxicologic emergencies. Speakers will explore the pharmacology, toxicity profiles, and treatment differences among antipsychotics, anticonvulsants, antidepressants, and lithium, and learn to navigate the overlapping features of serotonin syndrome, neuroleptic malignant syndrome, and the anticholinergic toxidrome. The curriculum highlights advanced cardiovascular interventions—contrasting standard ACLS strategies with tailored strategies for drug-induced dysrhythmias, navigating high-dose insulin and the controversial management of beta-blocker and calcium channel blocker toxicity, and treating major bleeding with modern anticoagulant reversal agents.
Learner Objectives
After attending the event, participants should be able to:
- Synthesize advanced management strategies for neuro-psychiatric, anticonvulsant, and antidepressant toxicities.
- Optimize critical care interventions for drug-induced cardiovascular collapse, hematologic emergencies, and perioperative hazards.
- Analyze complex, real-world toxicology cases through multidisciplinary expert panels to refine clinical decision-making.
Questions?
Please write to ACMT at events@acmt.net
Agenda | Total Tox Day 2 - December 4, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:30 AM ET
The Ins and Outs of Ups and Downs #1: Antipsychotics
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MNDr. Rasimas will kick things off by identifying the pharmacologic, toxicity, and treatment differences between Tricyclic Antidepressants and Antipsychotics. With this groundwork he will the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs and Antipsychotics.
9:30 - 10:00 AM ET
The Ins and Outs of Ups and Downs #2: Tricyclic Antidepressants
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MNDr. Rasimas will return to explain the unique concerns of specific antidepressants in overdose and describes the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs.
10:00 - 10:30 AM ET
The Ins and Outs of Ups and Downs #3: SSRIs and Lithium
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MNJoin Dr. Katzung as she will discuss drug discontinuation syndrome as it applies to SSRIs & atypical antidepressants. She will also compare differences in acute vs. chronic lithium toxicity.
10:30 - 11:00 AM ET
Drug-Induced Dysrhythmias: When You Can't Control the Rhythm
William "Russ" Kerns, II, MD, FACMT, FACEP, Emeritus Professor of Emergency Medicine, Carolinas Medical Center, Charlotte, NCDr. Kerns will identifiy optimal treatment of drug-induced dysrhythmias while describing how the optimal management of drug-induced dysrhythmias differs from AHA ACLS algorithms.
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
Beta Blockers and Calcium Channel Blockers: When the Antagonists Become Antagonistic
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MNDr. Katzung will explain treatment options focusing on high-dose insulin vs vasopressor controversy. She also discusses mechanisms of toxicity, clinical manifestations, and updates on optimal therapy for beta-adrenergic blocking drugs and calcium channel antagonists drugs.
12:00 - 12:30 PM ET
Case PanelMore information coming soon!
12:30 - 1:15 PM ET
Anticoagulants and Antithrombotics: When You Can't Control the Bleeding
Nena Bowman, PharmD, DABAT, Director of Vaccine Operations, Vaccine Preventable Diseases and Immunization Program, Tennessee Department of Health, Nashville, TNDr. Bowman will review the mechanism of action, indications, contraindications, adverse reactions, and common drug interactions of warfarin. She also identifies appropriate uses of reversal agents for common anticoagulants and summarizes the latest data in NOAC trials.
1:15 - 1:45 PM ET
Anticonvulsants: When the Level Makes You Unsteady
Daniel J. Sessions, MD, Medical Toxicologist, Ochsner Medical Center, New Orleans, LADr. Sessions will list the toxicities of common anticonvulsants, examines which laboratory testing is required for toxicity from anticonvulsant agents, and identifies treatment options for anticonvulsant toxicity.
1:45 - 2:15 PM ET | Break (30 min)
2:15 - 2:45 PM ET
Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia
Shaun D. Carstairs, MD, FACMT, Medical Toxicologist, Rady Children's Hospital, San Diego, CADr. Carstairs will describe the history and pharmacology of local anesthetics and discusses the unique characteristics and common clinical use for each prototypical local anesthetic. With this information, Dr. Carstairs assesses the most commonly caused several complications of local anesthetics.
2:45 - 3:15 PM ET
Hospital Hazards #2: Methemoglobinemia
Andrea Carlson, MD, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, ILDr. Carlson will begin by discussing the common agents causing Methemoglobinemia and identifying mechanisms of its toxicity. After learning these components, she describes best practices in clinical management of Methemoglobinemia.
3:15 - 4:15 PM ET
Case Panel: Novel Treatments for the Crashing Patient; Hot Patient CaseMore information coming soon!
$i++ ?>Andrea Carlson, MD
Emergency Medicine Physician
Advocate Christ Medical Center
Dr. Andrea Carlson is an attending physician in Emergency Medicine at Advocate Christ Medical Center in Oak Lawn, IL, where she has served the patients of Chicago's South Side for 25 years. She is also the Director of Medical Toxicology, and the Associate Program Director of the Advocate Christ Emergency Medicine Residency. Her primary academic interests lie in toxicology education and critical care toxicology.
$i++ ?>Shaun Carstairs, MD, DFACMT, FACEP
Emergency Physician & Medical Toxicologist
Scripps Healthcare San Diego
Dr. Carstairs is triple-boarded in emergency medicine, medical toxicology, and addiction medicine. He completed an emergency medicine residency at the Naval Medical Center San Diego and a medical toxicology fellowship at the University of California, San Diego. He retired from active duty with the US Navy in 2019 after a 25-year career and currently serves as teaching faculty with Scripps Healthcare San Diego and at Rady Children's Hospital San Diego. He also maintains a faculty appointment as Professor of Military & Emergency Medicine at the Uniformed Services University, the nation's military medical school.
$i++ ?>Nena Bowman, PharmD, DABAT
Director of Vaccine Operations
Vaccine Preventable Diseases and Immunization Program, Tennessee Department of Health
Nena Bowman received her Bachelor of Science in Biochemistry at Middle Tennessee State University in 2010 and her Doctorate of Pharmacy at Lipscomb University College of Pharmacy in 2014. Bowman completed a specialty fellowship in Toxicology with the Utah Poison Control Center at the University of Utah in Salt Lake City, Utah in 2016. She is board certified as a clinical toxicologist, Diplomate of the American Board of Applied Toxicology (DABAT). Dr. Bowman currently practices at the Tennessee Department of Health as the Director of Vaccine Operations and a Toxicologist Consult for the Emergency Preparedness Program. Bowman works closely with providers across the state to ensure proper utilization of federal vaccine program funds, and equal access to all ACIP recommended vaccines for underserved children and adults. She also teaches at Lipscomb University College of Pharmacy as an adjunct professor in toxicology and emergency preparedness curriculum. She is an Advanced Hazmat Life Support (AHLS) Provider and Instructor, and she is the immediate past president of the Nashville Area Pharmacists Association. She enjoys working in public health to educate providers, consulting on difficult toxicology situations, and problem solving to navigate unprecedented events and challenges.
$i++ ?>Katherine Katzung, MD, FACEP, FASAM
Director of Addiction & Toxicology Program & Emergency Care Physician
Abbott Northwestern Hospital & Emergency Care Consultants
Katherine Katzung, MD is an attending physician in the emergency department at Abbott Northwestern, where she serves as chair of the department. Additionally, she is the medical director of the hospital’s addiction medicine and toxicology program, which began in 2020 after she received grant funding to initiate a hospital-based toxicology/addiction medicine consult service as well as an emergency department-based addiction medicine "bridge" clinic to provide continuity of care for patients initiated on Suboxone. This innovative program allows patients evaluated at Abbott Northwestern in the emergency department or inpatient units continuity of care, while focusing on harm-reduction strategies, until they can be given a warm hand-off to community providers.
A graduate of the University of Minnesota School of Medicine, she completed emergency medicine training at Regions Hospital in St. Paul and additional fellowship training in medical toxicology. She is board certified in emergency medicine, medical toxicology, and addiction medicine. Her clinical interests surround the intersection of these 3 specialties, with special focus on early ED & hospital-based interventions to evaluate and treat substance use disorder, including initiation of medication assisted therapies.
She volunteers as a consultant for the Minnesota Poison Control System in addition to serving on the board of the Steve Rummler HOPE Network and acts as medical director of its overdose prevention program.
$i++ ?>William "Russ" Kerns, II, MD, FACMT, FACEP
Emeritus Professor of Emergency Medicine
Carolinas Medical Center
Dr. Kerns trained in Emergency Medicine and Medical Toxicology and served as Professor in both disciplines at Carolinas Medical Center for 33 years. Faculty roles included leadership of the Medical Toxicology Fellowship and clinical division, consultation for the Carolinas Poison Center, and research. Research interests included antidotes, envenomation, and resuscitation of cardiotoxic drugs. He also served the ACMT focusing on advancing research and education.
$i++ ?>J.J. Rasimas, PhD, MD, FAACT, FACLP, FACMT, FACPsych
Professor of Psychiatry & Emergency Medicine
Dalhousie University, University of Minnesota, & Penn State College of Medicine
Dr. Rasimas has a Jesuit university background in biochemistry, mathematics, and philosophy. He completed the Medical Scientist Training Program, earning a PhD in chemical biology (2002) and MD (2003) from Penn State University. After Psychiatry residency at the Mayo Clinic, he was a clinical fellow at the National Institutes of Health in Washington, DC where he did translational research and trained in medical ethics. He also undertook formal education in psychoanalytic psychotherapy, completed the critical care based medical toxicology fellowship at Penn State, and became certified in Psychosomatic Medicine, Addiction Medicine, and Medical Toxicology. Further work at NIH has included the Undiagnosed Diseases Program and roles in research ethics and oversight. Dr. Rasimas was the Director of Consultation-Liaison Psychiatry and Co-Chair of the Biomedical Ethics Committee at Hennepin County Medical Center in Minneapolis, Minnesota before moving to Prince Edward Island, Canada in 2022. Based at Queen Elizabeth Hospital in Charlottetown, he served as the lead Psychiatrist for C-L and Addictions for the province. He has recently transitioned to Nova Scotia Health in an effort to build treatment programs for patients with complex psychosomatic illnesses and substance use. For PEI, Dr. Rasimas remains the Medical Director of the Atlantic Mentorship Network for Chronic Pain, Addictions, and Mental Illness. Dr. Rasimas is a university professor with continued involvement in medical education in both the US and Canada pursuing an academic medical career at the interface of psychosomatic medicine, medical toxicology, and psychodynamic psychotherapy with a primary clinical interest in the phenomenology of suicide.
$i++ ?>Daniel J. Sessions, MD, FACMT, FASAM, FAAEM
Chief of Medical Toxicology, Interim Chair of Emergency Medicine
Ochsner Medical Center
Dr. Sessions practices serves as Interim Chair of Emergency Medicine and Chief of Medical Toxicology at Ochsner Medical Center - New Orleans. He also leads a Medication Assisted Treatment for Opioid Use Disorder expansion program for Ochsner Health Foundation. He completed a Medical Toxicology fellowship at the Rocky Mountain Poison & Drug Center at Denver Health in 2013. He is board-certified in Addiction Medicine by the American Board of Preventive Medicine. He is President-elect of the American College of Emergency Physicians Toxicology Section. He holds academic appointments at Xavier Ochsner College of Medicine and University of Queensland, Ochsner Clinical School.
Registration Rates
Registration includes:
- Access to the live virtual event on December 4, 2026
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Member Rates
Member Tier I: Full, Affiliate, International, Emeritus
$275
Member Tier II: Fellows
$125
Member Tier III: Residents, International - Developing Country
$100
Member IV: Medical Students
$75Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"
$300
Non-member Tier II: Fellows, SPIs, Nurses, etc.
$150
Non-member Tier III: Educators & Emergency Responders
$125
Non-member IV: Residents & Students
$100
ACMT Membership
ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership
Package Rates
Sign up for the all four days of the 2026 ACMT Total Tox Course and save $150!
Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!
Refunds and Cancellations
- Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
- Cancellations made within 14 days of the event date will not receive a refund.
All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.
Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.
Questions?
For any questions, please email us at events@acmt.net.
Instructions
Once you have completed your registration:
- Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
- Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 4, 2026.
- Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
- Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 70% to pass.
- Complete the Event CE Survey. If you are completing CE, this survey is required.
- Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.
Full credit can only be claimed after completion of all required components.
Hardware/Software Requirements
Computer or Other Internet-Enabled Device; Internet Connection; Browser.
Materials
None.
Prerequisites
None.
Format
This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.
Need Assistance or Have Questions?
For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.
If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.
Continuing Education
Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 6.75 Continuing education credit per activity.
Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.
-
Register
- Non-member - Tier I - $300
- Non-member - Tier II - $150
- Non-member - Tier III - $125
- Non-member - Tier IV - $100
- Member - Tier I - $275
- Member - Tier II - $125
- Member - Tier III - $100
- Member - Tier IV - $75
- More Information
-
Contains 4 Product(s) 4 new product(s) added recently
Join us for the ultimate virtual toxicology learning experience with the new and improved ACMT Total Tox Course running in early December on the 3, 4, 10 & 11, 2026!
#TotalTox2026
Join us for the ultimate virtual toxicology learning experience with the 2026 ACMT Total Tox Course | Live Event Package!
During this live, virtual event, earn valuable continuing education credits, learn from leading experts and peers, and enhance your clinical skills and preparedness for a wide range of toxicological emergencies. Included with your registration fee are up to 27.0 (6.75 per day) of continuing education credits for Physicians, Physician Assistants, Pharmacists, Nurses, and Nurse Practitioners. Learn from leading experts and peers, and enhance your clinical skills and preparedness for a wide range of toxicological emergencies. Secure your spot in the ACMT Total Tox Course today!
This course will focus on the follow medical toxicology topics:
The Poisoned Patient & Analgesic/OTC Toxicology - Thursday, 12/03/2026
Our first session establishes a foundation in toxicology and common exposures, guiding attendees through the vital initial stages of assessing and stabilizing the poisoned patient. The day places a heavy emphasis on ubiquitous over-the-counter hazards, detailing the distinct pathophysiologies and management strategies for acetaminophen, NSAIDs, salicylates, antihistamines, and antitussives. Finally attendees will learn to navigate the toxicities of antimicrobials and endocrine agents, while identifying the hidden dangers lurking in the everyday home, including household cleaners, toys, dietary supplements, essential oils, and iron.
Neuropsychiatric & Cardiovascular Pharmaceutical Toxicity - Friday, 12/04/2026
Our second session will delve into toxicities from cardiovascular, neurologic, and psychiatric pharmaceuticals and provide critical insights into managing common inpatient toxicologic emergencies. Speakers will explore the pharmacology, toxicity profiles, and treatment differences among antipsychotics, anticonvulsants, antidepressants, and lithium, and learn to navigate the overlapping features of serotonin syndrome, neuroleptic malignant syndrome, and the anticholinergic toxidrome. The curriculum highlights advanced cardiovascular interventions—contrasting standard ACLS strategies with tailored strategies for drug-induced dysrhythmias, navigating high-dose insulin and the controversial management of beta-blocker and calcium channel blocker toxicity, and treating major bleeding with modern anticoagulant reversal agents.
Environmental & Disaster Preparedness - Thursday, 12/10/2026
Our third day turns the focus outward to Environmental and Disaster Preparedness, providing an essential roadmap for managing critical exposures found in nature, the home, and large-scale emergency scenarios. Attendees will develop their understanding of clinical management of marine, arthropod, and reptile envenomations alongside toxic flora and common household or garage chemical hazards. The curriculum contrasts the complex presentations of heavy metal toxicities, pulmonary irritants, and lethal asphyxiants like carbon monoxide and mitochondrial poisons, offering clear guidelines on advanced interventions such as hyperbaric oxygen and chelation therapy. Finally, dynamic expert panels and deep dives into disaster medicine will equip you with the triage strategies and treatment strategies necessary to rapidly manage casualties from radiation events, nerve agents, and chemical or biological terrorism.
Substance Use, Toxicology Pitfalls & Alcohols - Friday, 12/11/2026
Our fourth and final session will examine Substance Use Disorders, Toxic Alcohols, and Diagnostics, exploring current trends in opioid, cannabis, and recreational nitrous oxide misuse. Speakers will outline medication-assisted treatment initiation strategies and deliver a definitive rationale for managing toxic methanol and ethylene glycol exposures with antidotes and hemodialysis. By learning how to strategically order and interpret targeted ED toxicology tests during interactive case discussions, attendees will maximize your ability to positively impact patient outcomes.
Questions?
Please write to ACMT at events@acmt.net
Preliminary Agenda
Day 1 - December 3, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:45 AM ET
Managing Poisonings: the ABCs
Ann Arens, MD, Emergency Medicine Physician, Ochsner Medical Center, New Orleans, LADr. Arens will kick things off by identifying the most common interventions performed in acute poisoning and discussing poisoned patients. With this groundwork she will identify what to look for in common poisonings and explain different treatment options for common toxidromes.
9:45 - 10:15 AM ET
Managing Poisonings: the 123'sMore information coming soon!
10:15 - 10:45 AM ET
Over-the-Counter Poisons #1: Acetaminophen
Neeraj Chhabra, MD, MSCR, Medical Toxicologist & Emergency Medicine Physician, University of Illinois Chicago, Chicago, ILDr. Chhabra will discuss acetaminophen ingestions and recognizes which patients require treatment. He also explains adjunctive treatments for acetaminophen-related poisoning.
10:45 - 11:15 AM ET
Over-the-Counter Poisons #2: NSAIDS and ASA
Renee Petzel Gimbar, PharmD, Clinical Associate Professor, University of Illinois Chicago College of Pharmacy, Chicago, ILDr. Petzel Gimbar will explain the treatment of NSAID poisoning and the pathology of salicylate poisoning.
11:15 - 11:45 AM ET | Break (30 min)
11:45 - 12:15 PM ET
Over-the-Counter Poisons #3: Antihistamines & Antitussives
Michelle Hieger, DO, Emergency Physician and Medical Toxicologist, WellSpan Health, York, PADr. Hieger will explain the major antihistamines used therapeutically. She also describes the action of antitussive medications and explain the pharmacology of antihistamines with emphasis on clinical uses, adverse drug reactions, and interactions.
12:15 - 1:00 PM ET
Case Panel on AcetaminophenMore information coming soon!
1:00 - 1:30 PM ET
Antimicrobials & Antivirals: When the Cure Becomes Toxic
Maryann Amirshahi, PharmD, MD, MPH, PhD, FACMT, Emergency Medicine Attending Physician and Associate Professor Of Emergency Medicine, MedStar Washington Hospital Center & Georgetown University Hospital, Washington, D.C.Dr. Amirshahi will discuss the mechanism of action of the 5 major classes of antimicrobials and potential toxicities of commonly prescribed antimicrobial treatments.
1:30 - 2:00 PM ET | Break (30 min)
2:00 - 2:45 PM ET
Out of Balance: Toxicity of Endocrine Agents
Charles McKay, MD, FACMT Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CTDr. McKay will discuss adverse effects and management of endocrine drugs and how to identify endocrine mimics. He also explains endocrine function impact of "non-endocrine" medications
2:45 - 3:15 PM ET
The Toxic House
Ashley Haynes, MD, FACEP, Medical Toxicologist, Addiction Medicine Specialist, Veterans Health Administration, WICHITA, KSDr. Haynes will discusse common household exposures and toxicities of common household cleaners and toys.
3:15 - 3:45 PM ET
The Toxic Cabinet
Stephen Wood, MS, ACNP-BC, FEWM, Acute Care Nurse Practitioner & Director of Advanced Practice Providers, St. Elizabeth’s Medical Center, Brighton, MADr. Wood will take a look into the medicine cabinet and describes risks associated with dietary supplements, essential oils, and iron.
3:45 - 4:15 PM ET
Case Panel - GLP-1s
More information coming soon!
Day 2 - December 4, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:30 AM ET
The Ins and Outs of Ups and Downs #1: Antipsychotics
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MNDr. Rasimas will kick things off by identifying the pharmacologic, toxicity, and treatment differences between Tricyclic Antidepressants and Antipsychotics. With this groundwork he will the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs and Antipsychotics.
9:30 - 10:00 AM ET
The Ins and Outs of Ups and Downs #2: Tricyclic Antidepressants
J.J. Rasimas, MD, PhD, FAACT, FACLP, FACMT, FACP, Professor of Psychiatry & Emergency Medicine, Dalhousie University, University of Minnesota, & Penn State College of Medicine, Minneapolis, MNDr. Rasimas will return to explain the unique concerns of specific antidepressants in overdose and describes the overlapping features of Serotonin Syndrome, Anticholinergic Syndrome, and NMS produced by TCAs.
10:00 - 10:30 AM ET
The Ins and Outs of Ups and Downs #3: SSRIs and Lithium
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MNJoin Dr. Katzung as she will discuss drug discontinuation syndrome as it applies to SSRIs & atypical antidepressants. She will also compare differences in acute vs. chronic lithium toxicity.
10:30 - 11:00 AM ET
Drug-Induced Dysrhythmias: When You Can't Control the Rhythm
William "Russ" Kerns, II, MD, FACMT, FACEP, Emeritus Professor of Emergency Medicine, Carolinas Medical Center, Charlotte, NCDr. Kerns will identifiy optimal treatment of drug-induced dysrhythmias while describing how the optimal management of drug-induced dysrhythmias differs from AHA ACLS algorithms.
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
Beta Blockers and Calcium Channel Blockers: When the Antagonists Become Antagonistic
Katherine Katzung, MD, FACEP, FASAM, Director of Addiction & Toxicology Program & Emergency Care Physician, Abbott Northwestern Hospital & Emergency Care Consultants, Minneapolis, MNDr. Katzung will explain treatment options focusing on high-dose insulin vs vasopressor controversy. She also discusses mechanisms of toxicity, clinical manifestations, and updates on optimal therapy for beta-adrenergic blocking drugs and calcium channel antagonists drugs.
12:00 - 12:30 PM ET
Case PanelMore information coming soon!
12:30 - 1:15 PM ET
Anticoagulants and Antithrombotics: When You Can't Control the Bleeding
Nena Bowman, PharmD, DABAT, Director of Vaccine Operations, Vaccine Preventable Diseases and Immunization Program, Tennessee Department of Health, Nashville, TNDr. Bowman will review the mechanism of action, indications, contraindications, adverse reactions, and common drug interactions of warfarin. She also identifies appropriate uses of reversal agents for common anticoagulants and summarizes the latest data in NOAC trials.
1:15 - 1:45 PM ET
Anticonvulsants: When the Level Makes You Unsteady
Daniel J. Sessions, MD, Medical Toxicologist, Ochsner Medical Center, New Orleans, LADr. Sessions will list the toxicities of common anticonvulsants, examines which laboratory testing is required for toxicity from anticonvulsant agents, and identifies treatment options for anticonvulsant toxicity.
1:45 - 2:15 PM ET | Break (30 min)
2:15 - 2:45 PM ET
Hospital Hazards #1: Anesthetic Toxicity & Malignant Hyperthermia
Shaun D. Carstairs, MD, FACMT, Medical Toxicologist, Rady Children's Hospital, San Diego, CADr. Carstairs will describe the history and pharmacology of local anesthetics and discusses the unique characteristics and common clinical use for each prototypical local anesthetic. With this information, Dr. Carstairs assesses the most commonly caused several complications of local anesthetics.
2:45 - 3:15 PM ET
Hospital Hazards #2: Methemoglobinemia
Andrea Carlson, MD, Emergency Medicine Physician, Advocate Christ Medical Center, Oak Lawn, ILDr. Carlson will begin by discussing the common agents causing Methemoglobinemia and identifying mechanisms of its toxicity. After learning these components, she describes best practices in clinical management of Methemoglobinemia.
3:15 - 4:15 PM ET
Case Panel: Novel Treatments for the Crashing Patient; Hot Patient CaseMore information coming soon!
Day 3 - December 10, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:30 AM ET
Don't Touch That! Marine, Arthropod & Reptile Envenomations
Michael Levine, MD, FACMT, Associate Professor of Emergency Medicine, University of California Los Angeles, Los Angeles, CADr. Levine will kick things off by identifying common envenomations and their management options.
9:30 - 10:00 AM ET
The Toxic Yard
Fiona Garlich Horner, MD, Head of Toxicology & Assistant Professor of Clinical Emergency Medicine, LAC+USC Medical Center & University of Southern California Keck School of Medicine, Los Angeles, CAStep outside in the garden with Dr. Garlich Horner. She will distinguish different classes of plant derived toxins and their effects on humans. She also identifies hazards of different mushrooms and clinical toxidromes associated with mushrooms.
10:00 - 10:30 AM ET
The Toxic Garage
Andrew King, MD, Associate Professor in the Department of Emergency Medicine & Medical Director, Wayne State University School of Medicine & Michigan Poison and Drug Information Center, Detroit, MIJoin Dr. King in the the garage to discuss common toxins and exposures of chemicals and review the toxicity and management of chemicals and other substances typically found in the garage.
10:30 - 11:00 AM ET
Heavy Metals: Lead, Arsenic & Mercury
Evan Schwarz, MD, FACMT, FASAM, FACEP, Medical Toxicology Fellowship Director, University of California, Los Angeles, Los Angeles, CADr. Schwarz will review the signs and symptoms of lead toxicity, forms of mercury, and the role of chelation in heavy metal toxicity.
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
I Can't Breathe! Pulmonary Irritants & Simple Asphyxiants
Charles McKay, MD, FACMT, Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CTDr. McKay will describe the clinical presentation and the role of water solubility in the clinical presentation of pulmonary irritants. He also identifies the primary treatment for simple asphyxiant exposure.
12:00 - 12:30 PM ET
Case Panel - It Came From Outdoors!More information coming soon!
12:30 - 1:00 PM ET
Chemical Suicide & Mitochondrial Asphyxiants
More information coming soon!More information coming soon!
1:00 - 1:30 PM ET
Carbon Monoxide Poisoning: High Flow Oxygen or the Hyperbaric Chamber?
Kelly Johnson-Arbor, MD, FACEP, FUHM, FACMT, Medical Director, National Capital Poison Center & MedStar Georgetown University Hospital, Washington, DCDr. Johnson-Arbor will review the common sources for carbon monoxide poisoning and discusses pharmacokinetics and pathophysiciology of carbon monoxide poisoning.
1:30 - 2:00 PM ET
Disaster Preparedness #1: Radiation Events
Joseph K. Maddry, Lt Col, USAF, MC, FS, MD, FACMT Deputy Commander, Department of Emergency Medicine, US Army Institute of Surgical Research, Houston, TXDr. Maddry will discuss the diagnosis and management of radiation casualties and radiation mass casualty events. He will also identify different types of radiation and describe the consequences of exposure to radiation.
2:00 - 2:30 PM ET | Break (30 min)
2:30 - 3:00 PM ET
Disaster Preparedness #2: Organophosphates & Nerve Agents
Christina Hantsch, MD, FACEP, DFACMT, FAACT Emergency Physician and Medical Toxicologist, Loyola University Chicago Stritch School of Medicine Maywood, ILDr. Hantsch will discuss management options for patients with organophosphate insecticide or nerve agent toxicity and explain cholinergic toxidrome. She will list specific organophosphate insecticides and chemical weapon nerve agents.
3:00 - 3:45 PM ET
Disaster Preparedness #3: Other Chemical & Biological Terrorism
Aaron Frey, DO Emergency Medicine Attending Physician and Medical Toxicology Fellow, Richmond Emergency Physicians, Inc. & University of Virginia, Richmond, VADr. Frey will examine the diagnosis and management of casualties resulting from terrorism and mass casualty events and discuss the history of bioterrorism as a tool for warfare. He will explain and evaluate the agents used in bioterrorist events.
3:45 - 4:15 PM ET
Case PanelMore information coming soon!
Day 4 - December 11, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 10:00 AM ET
Death by Design: The Pharmacology and Management of Modern Opioid DangersMore information coming soon!
10:00 - 10:30 AM ET
Cannabis & Cannabinoid Toxicity
Mark Neavyn, MD, FACMT, Medical Director & Emergency Medicine Physician, Northern New England Poison Center & Maine Medical Center, Portland, MEDr. Neavyn will examine the symptoms of cannabis toxicity and describe the treatment approach to cannabis toxicity.
10:30 - 11:00 AM ET
What's New In Your Neighborhood?More information coming soon!
11:00 - 11:30 AM ET | Break (30 min)
11:30 - 12:00 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, DFACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZDr. Wax will Identify toxicology tests available in the ED. He will discuss which tests should be requested in specific situations and describe how test ordering changes treatment outcomes.
12:00 - 12:30 PM ET
Case ReviewMore information coming soon!
12:30 - 1:00 PM ET
No Laughing Matter: The Clinical Reality of N₂O
Courtney Temple, MD, Assistant Professor of Emergency Medicine, Oregon Health & Science UniversityDr. Temple will review the most current data identifying emerging trends in recreational nitrous oxide use and recognize its relevance in general medical practice and outlines a practical diagnostic and treatment approach to suspected nitrous oxide toxicity.
1:00 - 1:30 PM ET
The Pursuit of Wakefulness: StimulantsMore information coming soon!
1:30 - 2:00 PM ET | Break (30 min)
2:00 - 3:00 PM ET
When the Party Ends: Managing Ethanol Intoxication and WithdrawalMore information coming soon!
3:00 - 3:45 PM ET
When It's Not Ethanol: Demystifying Toxic Alcohols
Bram Dolcourt, MD, Clinical Assistant Professor Department of Emergency Medicine, Wayne State University, Detroit, MIDr. Dolcourt will describe toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures, identifies 2 stand-in tests for MeOH and EthGly, noting limitations, and presents a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.
3:45 - 4:15 PM ET
Case Panel - Agma-tation!More information coming soon!
Registration Rates
Registration includes:
- Access to all three sessions of the live virtual event on December 3, 4, 10, & 11 2026
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 27.0 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associate (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Are you a member of any of the following organizations: AAEM, AAENP, APC, APAMT, EAPCCT, SOT, MENATOX? You may be eligible for a registration discount! Please email us at events@acmt.net for more information.
Member Rates
Member Tier I: Full, Affiliate, International, Emeritus
$950
Member Tier II: Fellows
$350
Member Tier III: Residents, International - Developing Country
$250
Member IV: Medical Students
$150Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"
$1050
Non-member Tier II: Fellows, SPIs, Nurses, etc.
$450
Non-member Tier III: Educators & Emergency Responders
$350
Non-member IV: Residents & Students
$250
ACMT Membership
ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership
Group Discounts Available
Is your hospital or medical group interested in enrolling multiple employees in our course? We offer special discounts for organizations with multiple participants. Contact us at events@acmt.net for more details!
Refunds and Cancellations
- Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
- Cancellations made within 14 days of the event date will not receive a refund.
All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.
Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.
Questions?
For any questions, please email us at events@acmt.net.
Continuing Education
Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 27.00 Continuing education credit four all four sessions.
Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.
-
Register
- Non-member - Tier I - $1,050
- Non-member - Tier II - $450
- Non-member - Tier III - $350
- Non-member - Tier IV - $250
- Member - Tier I - $950
- Member - Tier II - $350
- Member - Tier III - $250
- Member - Tier IV - $150
- More Information
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/03/2026 at 8:40 AM (EST)CE Credit available
Acetaminophen, Antidote administration, Antimicrobials, Anticholinergics, Household Agents, Iron, Nonsteroidal anti-inflammatories, Nutritional supplements, Toxidromes, Salicylates and more!
#TotalTox2026
Join us for our first live, virtual session of the Total Tox Course, The Poisoned Patient & Analgesic/OTC Toxicology.
Our first session establishes a foundation in toxicology and common exposures, guiding attendees through the vital initial stages of assessing and stabilizing the poisoned patient. The day places a heavy emphasis on ubiquitous over-the-counter hazards, detailing the distinct pathophysiologies and management strategies for acetaminophen, NSAIDs, salicylates, antihistamines, and antitussives. Finally attendees will learn to navigate the toxicities of antimicrobials and endocrine agents, while identifying the hidden dangers lurking in the everyday home, including household cleaners, toys, dietary supplements, essential oils, and iron.
Learner Objectives
After attending the event, participants should be able to:
- Apply pathophysiological and clinical principles to differentiate and manage pharmaceutical, antimicrobial, and endocrine toxicities.
- Formulate evidence-based management protocols for non-pharmaceutical, household, and dietary supplement exposures.
- Collaborate on expert-led case analyses to debate management strategies and refine real-world clinical decision-making.
Questions?
Please write to ACMT at events@acmt.net
Agenda | Total Tox Day 1 - December 3, 2026
8:50 - 9:00 AM ET | Opening Remarks
9:00 - 9:45 AM ET
Managing Poisonings: the ABCs
Ann Arens, MD, Emergency Medicine Physician, Ochsner Medical Center, New Orleans, LADr. Arens will kick things off by identifying the most common interventions performed in acute poisoning and discussing poisoned patients. With this groundwork she will identify what to look for in common poisonings and explain different treatment options for common toxidromes.
9:45 - 10:15 AM ET
Managing Poisonings: the 123'sMore information coming soon!
10:15 - 10:45 AM ET
Over-the-Counter Poisons #1: Acetaminophen
Neeraj Chhabra, MD, MSCR, Medical Toxicologist & Emergency Medicine Physician, University of Illinois Chicago, Chicago, ILDr. Chhabra will discuss acetaminophen ingestions and recognizes which patients require treatment. He also explains adjunctive treatments for acetaminophen-related poisoning.
10:45 - 11:15 AM ET
Over-the-Counter Poisons #2: NSAIDS and ASA
Renee Petzel Gimbar, PharmD, Clinical Associate Professor, University of Illinois Chicago College of Pharmacy, Chicago, ILDr. Petzel Gimbar will explain the treatment of NSAID poisoning and the pathology of salicylate poisoning.
11:15 - 11:45 AM ET | Break (30 min)
11:45 - 12:15 PM ET
Over-the-Counter Poisons #3: Antihistamines & Antitussives
Michelle Hieger, DO, Emergency Physician and Medical Toxicologist, WellSpan Health, York, PADr. Hieger will explain the major antihistamines used therapeutically. She also describes the action of antitussive medications and explain the pharmacology of antihistamines with emphasis on clinical uses, adverse drug reactions, and interactions.
12:15 - 1:00 PM ET
Case Panel on AcetaminophenMore information coming soon!
1:00 - 1:30 PM ET
Antimicrobials & Antivirals: When the Cure Becomes Toxic
Maryann Amirshahi, PharmD, MD, MPH, PhD, FACMT, Emergency Medicine Attending Physician and Associate Professor Of Emergency Medicine, MedStar Washington Hospital Center & Georgetown University Hospital, Washington, D.C.Dr. Amirshahi will discuss the mechanism of action of the 5 major classes of antimicrobials and potential toxicities of commonly prescribed antimicrobial treatments.
1:30 - 2:00 PM ET | Break (30 min)
2:00 - 2:45 PM ET
Out of Balance: Toxicity of Endocrine Agents
Charles McKay, MD, FACMT Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CTDr. McKay will discuss adverse effects and management of endocrine drugs and how to identify endocrine mimics. He also explains endocrine function impact of "non-endocrine" medications
2:45 - 3:15 PM ET
The Toxic House
Ashley Haynes, MD, FACEP, Medical Toxicologist, Addiction Medicine Specialist, Veterans Health Administration, WICHITA, KSDr. Haynes will discusse common household exposures and toxicities of common household cleaners and toys.
3:15 - 3:45 PM ET
The Toxic Cabinet
Stephen Wood, MS, ACNP-BC, FEWM, Acute Care Nurse Practitioner & Director of Advanced Practice Providers, St. Elizabeth’s Medical Center, Brighton, MADr. Wood will take a look into the medicine cabinet and describes risks associated with dietary supplements, essential oils, and iron.
3:45 - 4:15 PM ET
Case Panel - GLP-1s
More information coming soon!
$i++ ?>Maryann Amirshahi, PharmD, MD, MPH, PhD, FACMT
Emergency Medicine Attending Physician, Professor Of Emergency Medicine
MedStar Washington Hospital Center, Georgetown University Hospital
Dr. Maryann Amirshahi is a Professor of Emergency Medicine at Georgetown University School of Medicine and practices clinically at MedStar Washington Hospital Center, where she specializes in toxicology, addiction care, and emergency medicine. She holds a PharmD and medical degree, alongside an MPH focusing on environmental and occupational health, and a PhD in pharmacology and public health. Dr. Amirshahi is board-certified in emergency medicine, medical toxicology, addiction medicine, and clinical pharmacology, and is a registered pharmacist with over a decade of practice. Nationally recognized, she serves on the Board of Directors for the American College of Medical Toxicology. With nearly 200 peer-reviewed publications, her research spans medication safety, drug shortages, addiction treatment, and prescription drug misuse.
$i++ ?>Ann Arens, MD
Emergency Medicine Physician
Ochsner Medical Center
Dr. Arens is an Emergency Medicine physician who practices at Ochsner Medical Center in New Orleans, LA. Dr. Arens completed her Emergency Medicine training at the Denver Health Residency in Emergency Medicine, and her medical toxicology training at the University of California – San Francisco. She was amongst the first toxicologists to identify and describe counterfeit fentanyl products, and has continued to identify outbreaks of new drugs of abuse. She has a broad range of research interests including: the identification of new drugs of abuse including novel opioids contributing to the current opioid epidemic, the use of antidotes, and advanced supportive care of the poisoned patient.
$i++ ?>Neeraj Chhabra, MD, MSCR
Medical Toxicologist & Emergency Medicine Physician
University of Illinois Chicago
Neeraj Chhabra, MD, MSCR is an Emergency Physician and Medical Toxicologist based in Chicago, Illinois. He provides medical toxicology consulting services for the Illinois Poison Center and University of Illinois chicago. Dr. Chhabra completed his fellowship in medical toxicology with the Toxikon Consortium in 2017 and his master’s degree in clinical research at Rush University Graduate College in 2020. His clinical focus is on the acute management of poisonings, substance use, and natural language processing.
$i++ ?>Renee Petzel Gimbar, PharmD (Moderator)
Clinical Associate Professor
University of Illinois Chicago College of Pharmacy
Renee Petzel Gimbar received her PharmD from the University of Illinois at Chicago College of Pharmacy and completed PGY-1 training at UIC and PGY-2 training at Rutgers University. She started emergency medicine pharmacy services at the University of Tennessee Medical Center Knoxville and Loyola University Medical Center. She was inducted as a fellow of the American Academy of Clinical Toxicology in 2019. She currently is a clinical associate professor in the department of pharmacy practice at UIC College of Pharmacy, an Emergency Medicine and Medical Toxicology Clinical Pharmacist at UI Health, and the Residency Program Director for the PGY-2 Emergency Medicine Pharmacy Residency. She has integrated herself in the emergency medicine and medical toxicology services at both Loyola and UIC, active in the acute care of patients, didactic and beside education of healthcare trainees. Dr. Petzel Gimbar has been involved in multiple research studies and publications related to emergency medicine and toxicology practice, including a current multi-year NIH study addressing emergency department hypertension in underserved patients. She has given invited lectures internationally and nationally on both emergency medicine and medical toxicology topics. At home, she attempts to manage her nine, seven, and five year olds without a toxic ingestion.
$i++ ?>Ashley Haynes, MD, FACEP
Medical Toxicologist, Addiction Medicine Specialist
Veterans Health Administration
Dr. Haynes completed training in a combined emergency medicine-internal medicine program in 2014, and a toxicology fellowship at UTSW in 2016. She has been treating substance use disorders as part of her practice since that time and is board certified in addition medicine. She currently works for the VA at the Robert J Dole Veterans Medical Center in Wichita, KS, treating patients in a residential treatment center, as well as clinic, and performing bedside consults.
$i++ ?>Michelle Hieger, DO (Moderator)
Emergency Physician, Medical Toxicologist, and Addiction Medicine Physician
Wellspan Health, York, PA
I am a board-certified Medical Toxicologist, Addictionologist, and Emergency Medicine physician. I completed my residency at Memorial Hospital in York, PA. My fellowship was completed at Virginia Commonwealth University in Richmond, VA. I currently work at WellSpan York Hospital in York, PA, as an Emergency Physician, Medical Toxicologist, and working with in-patients starting treatment for addiction. I initiated the toxicology service at York Hospital and now I am the Medical Director for Medical Toxicology. I am interested in treating the poisoned patients at bedside, and especially interested in the antidotal therapy with physostigmine (if it returns) and flumazenil. I enjoy professional engagement with ACMT.
$i++ ?>Charles McKay, MD, FACMT
Associate Clinical Professor
University of Connecticut School of Medicine
Dr. McKay was trained in Anatomic and Surgical Pathology, Internal Medicine, Emergency Medicine, Medical Toxicology and was a Medical Director of Occupational Health and Medical Review Officer for a hospital system during more than 30 years of clinical practice, during which he provided toxicology consultation at 3 hospitals, directed a medical toxicology fellowship training program, and provided medical oversight of a regional poison control center. He provides medical legal consultation across the country on toxicology-related issues, and has testified in nearly 100 cases, many related to questions of alcohol- and drug-induced impairment.
$i++ ?>Stephen P. Wood, DMSc, ACNP
Associate Clinical Professor; Program Director, Adult-Gerontology Acute Care Program
Northeastern University, Bouvé College of Health Sciences
Stephen P. Wood is an acute care nurse practitioner. He is an Associate Clinical Professor and Program Director of the Adult-Gerontology Acute Care Program at Northeastern University, Bouvé College of Health Sciences. He received a Doctor of Medical Science (DMSc) in Public Health from Northeastern University. Prior to this, he spent over a decade practicing as a nurse practitioner in emergency medicine. His roots are in EMS, and he has over 30 years of field experience, including 10 as a flight paramedic. Currently, he works in the ICU at MGB Faulkner and the ED at St. Elizabeth's-BMC. He is an instructor in the School of Nursing at Northeastern University in the graduate nursing program and is a graduate scholar of the Harvard Macy Institute program for Healthcare Educators. He is a former fellow in Bioethics at the Center for Bioethics at Harvard Medical School and a current visiting researcher at the Petrie-Flom Center at the Harvard Law School Petrie-Flom Center for Health Policy. He holds a Master of Science in Nursing as well as a Master of Science in Toxicology.
Registration Rates
Registration includes:
- Access to the live virtual event on December 3, 2026
- Access to the on-demand recording for 90 days after the event
- Access to the Speaker slides
- 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).
Member Rates
Member Tier I: Full, Affiliate, International, Emeritus
$275
Member Tier II: Fellows
$125
Member Tier III: Residents, International - Developing Country
$100
Member IV: Medical Students
$75Non-Member Rates
Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"
$300
Non-member Tier II: Fellows, SPIs, Nurses, etc.
$150
Non-member Tier III: Educators & Emergency Responders
$125
Non-member IV: Residents & Students
$100
ACMT Membership
ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership
Package Rates
Sign up for the all four days of the 2026 ACMT Total Tox Course and save $150!
Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!
Refunds and Cancellations
- Cancellations made 15 days or more in advance of the event date will receive a full refund less a 8% processing fee.
- Cancellations made within 14 days of the event date will not receive a refund.
All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.
Pending review, limited exceptions will be made based on need and circumstance (family emergency, for example) and must be submitted in writing to events@acmt.net. For these instances, the full registration fee, minus a 8% processing fee, will be refunded. Because each exception must undergo a review and approval process, we ask in advance for your patience.
Questions?
For any questions, please email us at events@acmt.net.
Instructions
Once you have completed your registration:
- Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as all required components.
- Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 3, 2026.
- Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
- Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 70% to pass.
- Complete the Event CE Survey. If you are completing CE, this survey is required.
- Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.
Full credit can only be claimed after completion of all required components.
Hardware/Software Requirements
Computer or Other Internet-Enabled Device; Internet Connection; Browser.
Materials
None.
Prerequisites
None.
Format
This event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.
Need Assistance or Have Questions?
For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at events@acmt.net or visit our FAQ page.
If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.
Continuing Education
Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 6.75 Continuing education credit per activity.
Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.
-
Register
- Non-member - Tier I - $300
- Non-member - Tier II - $150
- Non-member - Tier III - $125
- Non-member - Tier IV - $100
- Member - Tier I - $275
- Member - Tier II - $125
- Member - Tier III - $100
- Member - Tier IV - $75
- More Information
-
Contains 4 Component(s) Includes a Live Web Event on 11/19/2026 at 1:00 PM (EST)Members only
Cases TBA
ACMT National Case Conference
Thursday, November 19, 2025
1:00-2:00pm ETCases to be announced soon!
About The Series: ACMT's National Case Conference (NCC) is a monthly webinar for ACMT members that features interesting cases seen by medical toxicologists nationwide. This interactive webinar provides a dynamic platform for learning, collaboration, and sharing insights on case management and emerging clinical challenges in the field.
Disclosure: This activity is an educational endeavor and a quality improvement effort intended to improve patient care. It is not intended to define standard of care. Attempts have been made to ensure HIPAA compliance. All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.
This webinar is for ACMT members only.
$i++ ?>Joshua D. King, MD, FACMT (Moderator)
Associate Professor of Medicine and Pharmacy; Medical Director
University of Maryland; Maryland Poison Center
Joshua D. King, MD, FACMT is an Associate Professor of Medicine and Pharmacy and the Medical Director of the Maryland Poison Center at the University of Maryland School of Medicine. He earned his medical degree from Penn State College of Medicine, followed by an Internal Medicine residency and chief residency at the University of Virginia. He then completed a Nephrology fellowship at Johns Hopkins Hospital and, after returning to the University of Virginia as a nephrologist, pursued further specialization through a Medical Toxicology fellowship. Dr. King is a dual-specialized clinician-educator in nephrology and medical toxicology, with clinical expertise in extracorporeal treatments for poisonings, therapeutic drug removal, ICU nephrology, and medical education. At the University of Maryland Medical Center, he provides care through both the nephrology and medical toxicology consultation services, focusing on hospitalized patients. In addition to his clinical work, Dr. King is deeply involved in graduate medical education, training residents and fellows, as well as teaching undergraduate medical students. As the Medical Director of the Maryland Poison Center, he oversees the clinical management of poisoning, envenomation, and overdose cases for both the public and healthcare providers. His role also includes educating medical and pharmacy students and supervising physicians who rotate through the center. Dr. King’s research interests lie at the intersection of nephrology and toxicology, particularly in the extracorporeal removal of toxins through modalities such as dialysis and apheresis.
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Register
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
- More Information
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Contains 4 Component(s) Includes a Live Web Event on 11/17/2026 at 12:00 PM (EST)Members only
Topic Coming Soon!
This month's theme coming soon!
Join ACMT on Tuesday, November 17, 2026, at 12 pm ET for an exclusive National Journal Club session. Hosting fellowship program, theme, and articles to be announced soon!
About The Series: The ACMT National Journal Club (NJC) is a bimonthly webinar series hosted by rotating fellowship programs, each reviewing 3-4 related articles on a chosen theme. This webinar is intended for Fellows, but all ACMT members are welcome to join.
Disclosure: All data and information provided in this activity is for informational purposes only. ACMT makes no representations as to accuracy, completeness, currentness, suitability, or validity of the content and will not be liable for any errors or omissions in this information or any losses, injuries, or damages arising from its display or use.
This webinar is for ACMT members only.
$i++ ?>Steven E. Aks, DO, FACMT
Voluntary Attending, Department of Emergency Medicine, Cook County Health
Dr. Steven Aks graduated from the New York Institute of Technology College of Osteopathic Medicine in 1987. He works in Chicago, IL and 4 other locations and specializes in Public Health & General Preventive Medicine, Emergency Medicine and Medical Toxicology. Dr. Aks is a Voluntary Attending at the Department of Emergency Medicine for Cook County Health and works with The Toxikon Consortium.
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Register
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
- More Information
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Register