Toxicology

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Overdoses and poisonings are sometimes familiar and sometimes frightening, and are a small but important part of the practice of emergency medicine. Toxicology will focus on the interesting world of poisons, their nature, effects and antidotes.

Learning Objectives

At the end of this program, the learner can expect to:

  • By the end of this program, the learner will be able to:
  • For apparently benign intoxication, not underestimate or miss the serious cases; and, not over treat the truly benign cases
  • Use a systematic approach to a patient presenting with coma of unknown cause
  • Look for physical signs that define and identify the toxidrome
  • Use a systematic approach to treat an agitated/delirious patient to identify those with a toxic etiology
  • Enhance elimination of toxins using appropriate methods
  • Decontaminate the patient appropriately
  • For a patient presenting with metabolic acidosis, come up with differential diagnosis and investigate to make a definite diagnosis
  • Use antidotes appropriately
  • Deal with the patient who refuses treatment while respecting their rights
  • Use laboratory and other tests efficiently
  • Look for and recognize difficult/serious intoxication that commonly kill, and manage them aggressively
  • Modify your approach to pediatric intoxication by taking into account specific pediatric

Credits

CFPC (with pre/post activity) MAINPRO+ Up to 14 credits
RCPSC Section 1 Up to 7 hours

Faculty

Dr. Sophie Gosselin completed medical school at Université Laval (1997) and her residency in Emergency Medicine at McGill University (2002). During residency she completed a Certificate in Health Care Administration from Université de Montréal. She pursued a fellowship in medical toxicology with the Centre Antipoison du Québec, Newcastle Mater Misericordiae, Australia and in the UK (2003-2005). She has been working full-time as an emergency physician at McGill University Health Centre (2002) and as a toxicologist for the Centre Antipoison du Québec (2005).

She is the director of the MUHC adult emergency/clinical toxicology consultation service offering monthly electives to residents as well as assistant program director of the McGill Clinical Pharmacology and Toxicology program.  She was awarded teacher of the year from McGill Emergency Medicine program in 2008 and from AMUQ in 2011. She enjoys organizing and was the scientific chair to CAEP 2010.

She has been invited to various conferences to talk on toxicology topics, discharge planning and medication safety issues. More recently, her research interests have focused on the evidence for extra-corporeal therapies in toxicology with the EXTRIP workgroup  (co-chair) and acetaminophen poisoning with CAOS.

During her free time, between swimming and pilates, she grows edible flowers in her organic vegetable garden and watches as much sci-fi as she can.

Dr. Maria Rif is an emergency physician at Montreal General Hospital and Royal Victoria Hospital in Montreal. After majoring in Biochemistry at McGill and working in the pharmaceutical industry, she completed her medical school training at Laval University in 2005, followed by a Family Medicine residency and an Emergency Medicine Fellowship at McGill.
She completed her postgraduate diploma in Medical Toxicology offered by Cardiff University in the UK in June 2013. Dr. Rif is a member of the McGill University Health Centre toxicology service and, along with Dr. S. Gosselin, acts as one of the toxicology rotation resident coordinators.
Her non-medical interests include travel, opera and wine tasting.

Dr. Morgan Riggan completed her Bachelors of Science (BSc) at the University of British Columbia in 2007.  She then moved to Ontario for her medical school training at McMaster University, finishing in 2010.  Morgan completed her Royal College residency in emergency medicine at the University of Western Ontario in 2015.  She is currently a second-year fellow in Medical Toxicology at New York University and living in New York City.  She is also an attending physician at London Health Sciences Centre in London, Ontario, and an Adjunct Professor at UWO.

Dr. Marco Sivilotti is Professor and Deputy Head of Emergency Medicine at Queen’s University in Kingston, Ontario, Canada. He completed residency training in emergency medicine at McGill University in Canada, and fellowship training in medical toxicology at the University of Massachusetts in the United States. He has previously been on faculty at the University of Ottawa and Harvard Medical School, and is currently on staff at the Kingston General and Hotel Dieu Hospitals. He also serves as medical consultant to the Ontario Poison Centre in Toronto, and serves on the Royal College Specialty Committee for Clinical Pharmacology & Toxicology.

Dr. Lisa Thurgur has completed degrees in Science BSc(hon) at Queen’s University; a Masters of Science at the University of British Columbia, and Medicine (MD) at the University of Calgary.
She undertook her residency in emergency medicine with a fellowship in Clinical Pharmacology and Toxicology at the University of Toronto.  She is currently an emergency physician at the Ottawa Hospital and an Assistant Professor at the University of Ottawa.  She is Assistant Program Director for the Ottawa Royal College Emergency Medicine Residents.
Dr Thurgur is a clinical toxicologist at Alberta Poison Information Services and is a co-founder and presenter of the CAEP Toxicology course.

Fees

Physician Member
Physician
Non-Member
Resident Member
Resident
Non-Member
Nurse/Paramedic
Registration Fee $525 $750 $295 $495 $495
Late Registration Fee
(launched 6 weeks prior to course)
$625 $850 $345 $545 $545

Testimonials

“The energy and enthusiasm of the instructors was fantastic. The common sense approach made it easy to learn.”

“This is the best CME course going.  Should be required for all ED physicians”.

“The constant encouragement and non-intimidating approach of the instructors was good for learning. Keep up the great work! This course should be a pre-requisite for all residency programs.”

“This was an excellent course. I feel like I can approach AW decisions with some knowledge and CONFIDENCE. Thank you!”

 

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