The Poisoned Patient & Analgesic/OTC Toxicology | 2026 Total Tox
Includes a Live Web Event on 12/03/2026 at 8:40 AM (EST)
-
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
#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, LA
Dr. 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's
More 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, IL
Dr. 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, IL
Dr. 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, PA
Dr. 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 Acetaminophen
More 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, CT
Dr. 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, KS
Dr. 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, MA
Dr. 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!
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.
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.
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.
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.
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.
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.
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.
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 |
$75 |
Non-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.
