ToX in a BoX

Wednesday, 21 September 2022
08:30 – 16:40

Course Fee

  • Organizing Society Member (AAEM, MAEM): $335
  • Non-Member: $380
  • Maltese Physicians: $100 USD
  • Maltese Physician-in-Training & Non-Physician (students): $50 USD

Course Description

Even though Emergency physicians are at the forefront of the care of toxicological emergencies, they may not have immediate access to support from a bedside medical toxicology consultation.

Learning Objectives: At the conclusion of the course, each participant should be able to:

  1. Discuss the evaluation of common toxicological emergencies.
  2. Describe poisoning from natural toxins.
  3. Discuss the management of critical poisonings.
  4. List 5 antidotes that should be available in every emergency department.

Target Audience

Emergency physicians, nurses, pharmacists, toxicologists, residents-in-training and medical students

Course Prerequisite

There are no course prerequisites.

Time Topic Faculty
08:30 - 09:00 Registration  
09:00 - 09:10 Welcome and Introduction Dr. Ziad Kazzi and Mr. Mark Zammit
09:10 - 09:30 Ministry of Health Remarks
University of Malta Remarks
Statements by invited dignitaries
09:30 - 10:00 The Roles of Medical Toxicology in Global Health Security
and IHR Implementation
Dr. Vikas Kapil
10:00 - 10:30 Emergency Department Approach to Patient with an Acute Overdose Dr. Jeffrey Bonnici
10:30 - 10:45 Break  
10:45 - 11:15 Tricyclic Antidepressant Overdose Dr. Robert Chircop
11:15 - 11:45
Hunting High and Low: Fentalogs, Novel Psychoactive Substances
and Designer Benzodiazepines
Dr. Davide Lonati, FEAPCCT
11:45 - 12:15 ECMO for Critical Poisonings Dr. Bruno Megarbane
12:15 - 13:15 Lunch  
13:15 - 13:45 Child Versus Pill: When to Refer to an ED? Dr. Tharwat El Zahran
13:45 - 14:15 Deadly Salads and Meals from your Hike Dr. Badria Alhatali
14:15 - 14:45 Dangerous Marine Encounters Mr. Mark Zammit
14:45 - 15:00 Break  
15:00 - 15:30 Small Group Case-Based Discussions 1: Toxic Acidosis Dr. Ziad Kazzi, Dr. Jeffrey Bonnici, Dr. Badria Alhatali
15:30 - 16:00 Small Group Case-Based Discussions 2: Crashing Overdose Patient Dr. Bruno Megarbane, Dr. Robert Chircop
16:00 - 16:30 Small Group Case-Based Discussions 3: The Altered Patient Dr. Tharwat El Zahran, Mr. Mark Zammit
16:30 - 16:40 Course Conclusion  

Course Directors

Professor and Director, International Medical Toxicology Fellowship
Emory University
Assistant Medical Director, Georgia Poison Center
Adjunct Professor of Emergency Medicine, American University of Beirut
Immediate Past-President, MENATOX
Secretary Treasurer, ACMT

Mark Lawrence Zammit, MScMedTox FEAPCCT
University of Malta, Department of Clinical Pharmacology & Therapeutics, Malta

Course Faculty

Badria Alhatali, MD
Head of Poison Control Section, Environmental & Occupational Health, Muscat, Oman

Jeffrey Bonnici, MD
Consultant Emergency Medicine, Mater Dei Hospital/Malta National Poisons Centre, Malta

University of Malta, Mater Dei Hospital, Swatar, Malta

Tharwat El Zahran, MD
Assistant Professor of Clinical Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon

Vikas Kapil, DO MPH
Director for Science & Chief Medical Officer, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States

Davide Lonati, MD FEAPCCT
Pavia Poison Contro Centre and National Toxicology Information Centre, Pavia, Italy

Bruno Megarbane, MD PhD
Professor, Paris-Diderot University, Paris, France

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Important Dates

29 August 2022
Early Registration Deadline

12 September 2022
Housing Closes

21 September 2022
Pre-Congress Courses

22-24 September 2022
MEMC Congress