K. Aldy, Shao Li, Mari Costantini, Alyssa M. Falise, R. Culbreth, P. Wax, J. Brent, Michael Faiz Salman Peter Adam Afra Jacob Alexandra Kassau Abesamis Ahmed Ahsan Akpunonu Algren Alsuwaidi Alt, Michael Abesamis, Faiz Ahmed, Salman Ahsan, P. Akpunonu, A. Algren, Afra Alsuwaidi, Jacob Altholz, A. Amaducci, Kassaundra Amann, John Archer, Alexandra M. Armenta, Yaqdhan Al Atbil, S. Atti, Megan Audette, R. Avera, K. Babu, Klara De Baerdemaeker, Kevin Baumgartner, Gillian Beauchamp, Vik Bebarta, M. Becker, Michael-John Beltejar, L. Beneke, Sarah Berg, Michael Beuhler, Steven Bird, Blake Blakely, E. Bloom, M. Blundell, Molly Boyd-Smith, Evan Bradley, N. Brandehoff, D. Brooks, Connor L. Brown, Jennie Buchanan, C. Burke, Sarah Burke, Michele Burns, Diane P. Calello, V. Calleo, Alexa Camarena-Michel, J. Canning, Dazhe Cao, Jennifer L Carey, J. Carpenter, Stephanie Carreiro, D. Carroll, Emma Cassidy, R. Castelli, E. Cetaruk, Neeraj Chabra, Nathan P Charlton, M. Chary, Kathleen M. Chen, Richard Chen, Samy Chettat, R. Church, Albert Conicella, M. Cook, Matthew Correia, Christopher Counts, C. Cowdery, Robert Cox, Mitchell D’Aloia, Paul Dargan, John Delbianco, Aaron B Deutsch, Frank Dicker, Bram A Dolcourt, Cullan V Donnelly, Kaila Druetto, N. Ebeling-Koning, B. Eisenga, Jason Elzinga, Andrew Farkas, Hank Farrar, Chris Feng, S. Feng, D. Fikse, Ari Filip, Allison R. Font, C. Fox, A. Frank, Caleb Fredrickson, Aaron Frey, B. Froberg, Emma Furlano, Samantha Gaetani, Kira Galeano, Hayley T. Gartner, A. Gay, M. Gittinger, Timlin Glaser, D. Goldberger, Kimberlie Graeme, Powell Graham, Spencer Greene, H. Greller, Veronica Groff, Enoila Gros, Stacey L. Hail, C. Hallett, Laurie Halmo, Alexandra Hamelin, Amy Harris, Denzil A. Harris, R. Hartmann, Benjamin Hatten, Kennon Heard, Carleigh F. Hebbard, William Heise, Robert Hendrickson, Rey Hernandez, Jacqui Hiob, Ruby Hoang, R. Hoffman, C. Holstege, Jason Hoppe, Keahi M. Horowitz, Z. Horowitz, C. Hoyte, Adrienne Hughes, Laura Hunter, Katherine Hurlbut, Nick Husak, Damilola Idowu, Ivan Ivanov, J. Iwanicki, Sundip Jagpal, Laura James, Linda Johnson, Michael Johnson, Chase Jones, B. Judge, M. Kang, Louise Kao, Kenneth D. Katz, Michael Keenan, C. Kennedy, Abigail Kerns, M. Khoury, Emily Kiernan, Kathryn Kimpel, Andrew King, Clayton Kirk, Kurt Kleinschmidt, Matthew Kolbeck, A. Koons, Michael Kosnett, Michael Kowalski, James Krueger, Jessica J. Krueger, S. Kusin, Jeffrey Lai, Matthew C. Lambrych, M. Lark, B. Latch, D. Laub, Eric Lavonas, Duaa Al Lawati, Alexander Lazar, Jake Lebin, Michael Levine, Carl Levy, Brian Lewis, Erica L. Liebelt, R. Lima, David B. Liss, Heather Long, Annette Lopez, Michael Lynch, F. Mahoney, G. Makar, Michael Marlin, Brandon Marshall, Stacy Marshall, Kelsey Martin, D. Massengill, Nik Matsler, S. McCann, Conner T McDonald, J. McFalls, C. Meaden, Kevan E. Meadors, Tim Meehan, A. Michienzi, Michelle Mieger, C. Mitchell, Nadia Mohammad, Andrew Monte, E. Moore, Pamela Moore, Anita Mudan, Michael Mullins, Karen Muschler, Agnesa Mustafa, N. Nacca, Kristine Nañagas, Lewis Nelson, Hoang Nguyen, Kim-Long Nguyen, Andrea Nillas, S. Niruntarai, S. Nixon, H. Norton, Katherine O’Donnell, Nneka Ogbutor, J. de Olano, S. Ostrowski, R. Othong, Jenna Otter, Daniel Overbeek, Serah Oyewole, M. Parris, Todd Phillips, Anthony F. Pizon, John Rague, Ravikar Ralph, A. Ralston, Shelby Randall, R. Rao, S. Rashid, T. Rianprakaisang, Morgan Riga, Marc Rigatti, B. Riley, Daniel Rivera, Lynne Rosenberg, Brett A Roth, A. Rowden, A. Ruha, William Rushton, S. Salhanick, Cynthia Santos, Nishita Saraiya, Zariad Saran, A. Savage, Matthew Scanlon, Scott Schmalzried, B. Schuchardt, Evan S Schwarz, A. Scoccimarro, Elizabeth Shanahan, K. Sharma, Andrew Sheen, S. Sheikh, Tiffany Sheng, E. Shin, Joshua Shulman, A. Sidlak, M. Simpson, S. Simpson, Miya Smith, Jerry Snow, Anthony Spadaro, Hannah H. Spungen, M. Spyres, A. Steck, Jennifer Stephani, Darien Stratton, F. Suárez, Lachie Sund, R. Surmaitis, Sammy Taha, Katherine M Tang, Neel Tarikeri, Courtney Temple, John S. Thompson, Trevonne M. Thompson, C. Thornton, Christopher Threapleton, Daniel Tirado, Michael Toce, L. Tormoehlen, Cassie Trammel, W. Trautman, Supatpinee Trensawang, Andrew Troger, Alicia Tudor, Merritt Tuttle, D. Vearrier, Steven Walsh, Herbert Z. Wan, Sam Wang, Yu-Chi Wang, G. Warpinski, M. Warriner, T. Weigand, B. Weigel, Marey Wermuth, Brian G Wiener, Adrian Williamson, Tyler Willing, B. Wilson, Jessica L. Winkels, B. Wolk, David T Wood, M. Yarema, Alison Yarp, Luke Yip, A. Young, Conor Young, R. Zemla, Anna Zmuda, J. Zozaya, Matthew D Zuckerman, Kara Zweerink
2026.1.1Journal of Medical Toxicology
tlooto Summary
This fifteenth annual report provides data from 8,868 patients entered into the ToxIC Core Registry in 2024, bringing the total number of cases to 111,276 between 2010 and 2024, and describes trends for opioid and psychoactive exposures between 2010 and 2024.
Abstract
Established in 2010, the American College of Medical Toxicology (ACMT) Toxicology Investigators Consortium (ToxIC) Core Registry has systematically captured data from in-hospital and clinic-based medical toxicology physician consultations across the United States (US) and internationally. The ToxIC Core Registry contains deidentified patient data, including patient demographics, reason for medical toxicology evaluation, exposure agents, clinical signs and symptoms, treatments and antidotes administered, and mortality outcomes. This fifteenth annual report provides data from 8,868 patients entered into the Core Registry in 2024, bringing the total number of cases to 111,276 between 2010 and 2024. These cases were submitted by 41 participating sites encompassing 67 distinct hospitals over 23 US states and 3 international countries. In 2024, ethanol was the most commonly reported exposure agent class (17.8%), followed by opioids (15.8%), non-opioid analgesics (10.5%), and sympathomimetic agents (7.6%). A total of 107 fatalities were reported, corresponding to a case fatality rate of 1.2%. Additional descriptive analyses in this annual report were conducted to describe trends for opioid and psychoactive exposures between 2010 and 2024.
Citation format
ALDY, K., et al. The toxicology investigators consortium 2024 annual report. Journal of Medical Toxicology, 2026, 22(1): 2–28.