
Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs), Toxic Industrial Materials (TIMs), and Toxic Radiological Materials (TRMs) - July 2025
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Register
- 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!
Course Overview
In recent years, there has been growing concern that many of the most likely terrorist threats will involve “agents of opportunity” or materials that are readily available in most communities around the country.
The American College of Medical Toxicology (ACMT) and the Radiation Emergency Assistance Center/Training Site (REAC/TS) in partnership with the Region 4 Regional Disaster Response System (Southern Regional Disaster Response System - SRDRS) are pleased to offer this course on emergency medical response to exposures from radioactive materials and toxic chemicals. The Coordinating Office for Environmental Readiness, Response and Recovery (COER3) in the Office of the Director, within the National Center for Environmental Health/Agency for Toxic Substances & Disease Registry (NCEH/ATSDR) at the Centers for Disease Control & Prevention (CDC), supported the delivery of this unique course to familiarize health care providers and responders with toxic exposures. The course will review the medical and psychological consequences of exposures to a variety of chemical and radiological materials. It will include practical information regarding scene safety for such agents as high potency fentanyl analogs, inhaled irritants, and proper decontamination of a victim contaminated with radiological material.
Presented by:![]() |
Agenda | July 29, 2025
8:50 AM - 9:00 AM ET Welcome and Opening Remarks
CAPT Jill Shugart
Associate Director
Coordinating Office for Environmental Readiness, Response and Recovery (COER3)
National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR)
Centers for Disease Control and Prevention (CDC)
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
9:00 AM - 10:00 AM ET Practical Radiation Physics and Radiation Protection
Meghan Dieffenthaller, MS, NRRPT
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)
10:00 AM - 11:00 AM ET Acute Radiation Syndrome
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
11:00 AM - 11:10 AM ET Break
11:10 AM - 12:00 PM ET Radiation Instrumentation and Early Dose Magnitude Estimation
Dillon Vogt, BS
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)
12:00 PM - 1:00 PM ET Cutaneous Radiation Injuries
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
1:00 PM - 1:30 PM ET Lunch
1:30 PM - 2:20 PM ET Preparedness and Response to Radiological Incidents
Brittany Phillips, BSN, RN, AEMT
Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)
2:20 PM - 3:10 PM ET Common Radiation Sources
Dillon Vogt, BS
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)
3:10 PM - 3:20 PM ET Break
3:20 PM - 4:10 PM ET Management of Internal Contamination
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
4:10 PM - 5:00 PM ET Donning/Doffing and Decontamination
Brittany Phillips, BSN, RN, AEMT
Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)
5:00 PM - 5:10 PM ET Closing Remarks/Adjourn
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
Agenda | July 30, 2025
8:50 AM - 9:00 AM ET Welcome & Opening Remarks
CAPT Jill Shugart
Associate Director
Coordinating Office for Environmental Readiness, Response and Recovery (COER3)
National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR)
Centers for Disease Control and Prevention (CDC)
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
9:00 AM - 9:40 AM ET Toxic Disasters: Beyond Conventional Chemical Weapons
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine
9:40 AM - 10:00 AM ET Chemical Explosions
Emily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of Medicine
10:00 AM - 10:40 AM ET Toxic Gases as Threats
Emily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of Medicine
10:40 AM - 10:50 AM ET Break
10:50 AM - 11:30 AM ET Why are Cyanide and Fumigants So Worrisome?
Sukhi Atti, MD
Assistant Professor, Department of Emergency Medicine
University of Alabama at Birmingham
Associate Medical Director, Alabama Poison Information Center
11:30 AM - 12:10 PM ET Food, Water and Medication as Vehicles for Toxic Threats
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine
12:10 PM - 1:00 PM ET Clinical Neurotoxicology of Chemical Threats
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
1:00 PM - 1:30 PM ET Lunch
1:30 PM - 2:10 PM ET Delayed Toxic Syndromes
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine
2:10 PM - 2:50 PM ET The Psychological Impact of Mass Exposures
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
2:50 PM - 3:00 PM ET Break
3:00 PM - 3:40 PM ET After Event Population Monitoring: Pros and Cons
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine
3:40 PM - 4:40 PM ET Scenario-Based Discussion
Sukhi Atti, MD
Assistant Professor, Department of Emergency Medicine
University of Alabama at Birmingham
Associate Medical Director, Alabama Poison Information Center
Emily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of Medicine
Charles McKay, MD, FACMT ;
Associate Clinical Professor, University of Connecticut School of Medicine
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
4:40 PM - 4:50 PM ET Closing Remarks/Adjourn
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
Registration Rates
ACMT Member | Free |
Non-member | Free |
Registration will include:
- Access to the on-demand recordings of all lectures from both events (Agents of Opportunity for Terrorism: Toxic Radiological Materials and Agents of Opportunity for Terrorism: Toxic Industrial Chemicals and Toxic Industrial Materials) for 1-year
- Continuing Education for each day of the course (provided at no cost through CDC via TRAIN) - CURRENTLY PENDING.
- Downloadable Attendance Certificate for each day of the course
Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.
Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. Learn more at: www.acmt.net/membership
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Contains 3 Component(s) Includes a Live Web Event on 07/29/2025 at 8:50 AM (EDT)
July 29, 2025
Overview
The Radiological Emergency Medical Management course is an awareness-level training course addressing the medical and psychological impact of radiation.
Target Audience
1-Day Course is Designed for:
- Pre-Hospital First Responders (EMTs and Paramedics)
- Public Health Professionals
- Law Enforcement
- Emergency Providers
Course Objectives:
- Describe the types of radiation and radiation scenarios
- Discuss Acute Radiation Syndrome (ARS)
- Describe the emergency care of patients contaminated with radioactive material
- Describe cutaneous radiation syndrome assessment and care
- List resources available to address radiation accidents
- Discuss the roles and responsibilities of emergency physicians and nurses and prehospital personnel during a radiation accident affecting a large population
Continuing Education: Interprofessional continuing education credits through the CDC are currently pending.
Agenda | July 29, 2025
8:50 AM - 9:00 AM ET Welcome and Opening Remarks
CAPT Jill Shugart
Associate Director
Coordinating Office for Environmental Readiness, Response and Recovery (COER3)
National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR)
Centers for Disease Control and Prevention (CDC)Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)9:00 AM - 10:00 AM ET Practical Radiation Physics and Radiation Protection
Meghan Dieffenthaller, MS, NRRPT
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)10:00 AM - 11:00 AM ET Acute Radiation Syndrome
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
11:00 AM - 11:10 AM ET Break
11:10 AM - 12:00 PM ET Radiation Instrumentation and Early Dose Magnitude Estimation
Dillon Vogt, BS
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)12:00 PM - 1:00 PM ET Cutaneous Radiation Injuries
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
1:00 PM - 1:30 PM ET Lunch
1:30 PM - 2:20 PM ET Radiation Emergencies for Healthcare Providers
Brittany Phillips, BSN, RN, AEMT
Registered Nurse, Radiation Emergency Assistance Center/Training Site (REAC/TS)2:20 PM - 3:10 PM ET Common Radiation Sources
Dillon Vogt, BS
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)
3:10 PM - 3:20 PM ET Break
3:20 PM - 4:10 PM ET Management of Internal Contamination
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)4:10 PM - 5:00 PM ET Donning/Doffing and Decontamination
Meghan Dieffenthaller, MS, NRRPT
Health Physicist, Radiation Emergency Assistance Center/Training Site (REAC/TS)5:00 PM - 5:10 PM ET Closing Remarks/Adjourn
Carol Iddins, MD
Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)Meghan Dieffenthaller, MS, NRRPT
Health Physicist
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Meghan Dieffenthaller is a health physicist who grew up right outside of Oak Ridge, Tennessee, so she naturally was drawn to the nuclear sciences. She earned her bachelor’s degree in biology at the University of Dallas (UD) in Irving, Texas, and master’s degree in radiological health with a health physics specialization at Colorado State University (CSU) in Fort Collins, Colorado. While working on her bachelor’s degree, she had three summer internships at Oak Ridge National Laboratory, where she was first introduced to the field of health physics. While at CSU, she worked as a technical researcher and writer for a TENORM and hazardous waste management company in Englewood, Colorado, and had a summer internship at Idaho National Laboratory. She worked as a health physicist for the Dose Reconstruction Program conducted by the National Institute for Occupational Safety and Health (NIOSH) starting in July 2021, in which she would analyze bioassay records and use the Integrated Modules for Bioassay Analysis (IMBA) program to calculate radiation doses to DOE employees. Meghan has been a health physicist with the Radiation Emergency Assistance Center/Training Site (REAC/TS) since January 2023, training emergency responders, healthcare providers, and health physicists in medical radiation response, both domestically and abroad, as well as providing dose analysis capabilities for radiation emergencies. She has also been on the Health Physics Society Program Committee since 2023. She earned her National Registry of Radiation Protection Technologists (NRRPT) certification in February 2025.
Carol Iddins, MD
Director
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Carol Iddins, M.D., serves as director of the Radiation Emergency Assistance Center/Training Site (REAC/TS). As director, she ensures support to multiple governmental and nongovernmental national readiness agencies, as well as oversees the REAC/TS mission to provide advice to other health care professionals regarding the medical management of ionizing radiation-induced injuries and illnesses. Iddins leads REAC/TS as the United States’ only Collaborating Center for Radiation Emergency Management for the World Health Organization (WHO) and coordinates international response through the International Atomic Energy Agency’s (IAEA) Radiation Assistance Network (RANET) and WHO’s Radiation Emergency Medical Preparedness and Assistance Network (REMPAN).
Iddins has consulted on patients with radiation-related injuries/illnesses and has deployed internationally for RANET to provide subject matter medical expertise. Iddins routinely consults on calls regarding potential and actual radiation exposures, evaluates and participates in radiological/nuclear exercises, and shares her specialized knowledge worldwide at courses and professional meetings. She is a member of the National Council on Radiation Protection and Measurements PAC 3 Nuclear and Radiological Security and Safety Committee.
Iddins earned a doctor of medicine degree at the University of Tennessee Health Science Center and completed her residency training in obstetrics and gynecology at the University of Tennessee. She has practiced obstetrics and gynecology and aerospace/occupational medicine in civilian and military environments.
Iddins is a Diplomate of the American Board of Disaster Medicine and a Fellow of the American Academy of Disaster Medicine, and currently the vice president of the American Academy of Disaster Medicine. Iddins is a decorated U.S. Air Force veteran of Operations Allied Force, Enduring Freedom and Iraqi Freedom.
Brittany Phillips, BSN, RN, AEMT
Registered Nurse / AEMT
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Brittany Phillips is a Registered Nurse and Advanced EMT at the Radiation Emergency Assistance Center and Training Site.
Mrs. Brittany Phillips began her early career in healthcare as a volunteer for her local fire department in 2011. From 2011 to 2019, she volunteered as a firefighter and Advanced Emergency Medical Technician and gained valuable experiences in Emergency Medical Services. She graduated from Tennessee Technological University with her Bachelor of Science in Nursing in May of 2017. After graduation, she began a job in the Medical/Surgical and Neuro Intensive Care Units at Fort Sanders Regional in Knoxville, Tennessee. Throughout her time in the ICU she worked as a bedside nurse, rapid response nurse (hospital-wide), and Shift Leader. She assisted in training new graduate nurses and helped maintain the skills of other nurses through ICU and hospital-wide skills days. She has a well-rounded line of experience from pre-hospital field care to critical inpatient care and relative teaching and critical thinking skills. Brittany also worked as the Stroke and Sepsis Coordinator for Methodist Medical Center in Oak Ridge prior to joining the team at REAC/TS.
Brittany has spent a lot of time doing community outreach activities including local missions and attended a mission trip during nursing school to a remote village in Belize. During the mission trip, she and some fellow classmates helped to create the first electronic health records in the village of San Benito Poite.
Brittany joined REAC/TS in March 2024 and has since attended several classes and has given a variety of lectures for REAC/TS courses.
James "Dillon" Vogt, BS
Health Physicist
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Dillon Vogt is a Health Physicist with the REAC/TS team. His career started at the Savannah River Site (SRS) in 2016 as an Associate Health Physicist in the External Dosimetry Department. While working with SRS he helped External Dosimetry switch the entirety of their dosimeters from Panasonic TLDs to Landauer OSLs, began working with 3D printing to develop jigs and tools for research purposes, and began to help with the Internal Dosimetry Department with Bioassay receiving, whole body counting, and lung counting. While at SRS Dillon also took over the Criticality Neutron Dosimetry (CND) program, assembling and monitoring the supply of the sites criticality dosimetry and participated in the 2022 International CND Intercomparison Study at the Nevada National Security Site. Dillon started work with the REAC/TS team in the summer of 2023 as one of their Health Physicists. Since then he has been involved in multiple courses offered by REAC/TS both domestic and abroad.
Registration Rates
ACMT Member
Free
Non-memberFree
Registration will include:- Access to the on-demand recordings of all lectures for 1-year
- Continuing Education (provided at no cost through CDC via TCEO) - CURRENTLY PENDING.
- Downloadable Attendance Certificate
Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.
Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. Learn more at: www.acmt.net/membership
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Contains 1 Component(s) Includes a Live Web Event on 07/30/2025 at 8:50 AM (EDT)
July 30, 2025
Overview
The Chemical Agents of Opportunity for Terrorism course is a Federal Emergency Management Agency (FEMA)-approved awareness-level training course addressing the medical and psychological impact of industrial chemicals used as terrorist weapons. Since 2005, ACMT has offered this course over 100 times to more than 10,000 attendees throughout the US and internationally.
Target Audience
1-Day Course Designed for:
- Pre-Hospital First Responders (EMTs and Paramedics)
- Public Health Professionals
- Law Enforcement
- Emergency Providers
This 10-module course will utilize a symptom-based clinical approach to describe the medical impact of various chemical poisons. It will provide a framework to enhance recognition of the common health effects of apparently disparate chemical toxins, describe the risk to various healthcare workers, and introduce clinical and public health management strategies.
Course Objectives:
- Understand the concept of chemical and radiological agents of opportunity (AoO) – TICs, TIMs and TRMs
- Identify possible terrorist use of AoO
- Discuss past mass exposure to AoO
- Describe the major health effects of TICs, TIMs and other important non-volatile chemical agents
- Identify primary treatment modalities for victims
- Appreciate the basis for increased public health preparedness for these agents
- Understand the psychological impact of mass casualties from such exposures
- Understand the implementation of “first receiver” OSHA guidance
Continuing Education: Interprofessional continuing education credits through the CDC are pending.
Agenda | July 30, 2025
8:50 AM - 9:00 AM ET Welcome & Opening Remarks
CAPT Jill Shugart
Associate Director
Coordinating Office for Environmental Readiness, Response and Recovery (COER3)
National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR)
Centers for Disease Control and Prevention (CDC)Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology9:00 AM - 9:40 AM ET Toxic Disasters: Beyond Conventional Chemical Weapons
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine9:40 AM - 10:00 AM ET Chemical Explosions
Emily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of Medicine10:00 AM - 10:40 AM ET Toxic Gases as Threats
Emily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of Medicine
10:40 AM - 10:50 AM ET Break
10:50 AM - 11:30 AM ET Why are Cyanide and Fumigants So Worrisome?
Sukhi Atti, MD
Assistant Professor, Department of Emergency Medicine
University of Alabama at Birmingham
Associate Medical Director, Alabama Poison Information Center11:30 AM - 12:10 PM ET Food, Water and Medication as Vehicles for Toxic Threats
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine12:10 PM - 1:00 PM ET Clinical Neurotoxicology of Chemical Threats
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
1:00 PM - 1:30 PM ET Lunch
1:30 PM - 2:10 PM ET Delayed Toxic Syndromes
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine2:10 PM - 2:50 PM ET The Psychological Impact of Mass Exposures
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology
2:50 PM - 3:00 PM ET Break
3:00 PM - 3:40 PM ET After Event Population Monitoring: Pros and Cons
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of Medicine3:40 PM - 4:40 PM ET Scenario-Based Discussion
Sukhi Atti, MD
Assistant Professor, Department of Emergency Medicine
University of Alabama at Birmingham
Associate Medical Director, Alabama Poison Information CenterEmily Kiernan, DO, FAACT, FACEP
Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
Department of Emergency Medicine, Emory University School of MedicineCharles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of MedicinePaul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology4:40 PM - 4:50 PM ET Closing Remarks/Adjourn
Charles McKay, MD, FACMT
Associate Clinical Professor, University of Connecticut School of MedicinePaul Wax, MD, FACMT
Executive Director, American College of Medical ToxicologySukhshant (Sukhi) Atti, MD
Associate Medical Director
Alabama Poison Information Center
Sukhi Atti is an Assistant Professor and practices Emergency Medicine and Medical Toxicology. After finishing medical school at St. George’s University, she pursued residency (Emergency Medicine) at Beth Israel Medical Center, then a fellowship (Disaster Medicine) at Beth Israel Deaconess and a second fellowship (Medical Toxicology) at Emory University. She moved to the University of Alabama at Birmingham (UAB) in the summer of 2020 to work with the emergency medicine residency and medical toxicology programs. She currently is a staff toxicologist with the Alabama Poison Information Center and the course director for Medical Toxicology for UAB emergency medicine residents and medical students.
Emily Kiernan, DO, FAACT
Assistant Professor of Emergency Medicine and Medical Toxicology
Emory University School of Medicine
Dr. Emily Kiernan is an Assistant Professor at Emory University School of Medicine. She is a board-certified Emergency Medicine physician who recently completed a medical toxicology fellowship at Emory University/CDC. She has served as the fellow co-chair for the AACT Radiation Special Interest Section group as well as a chair in the ACMT Fellow-in-training association.
Charles McKay, MD, FACMT
Associate Medical Director
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.
Paul M. Wax, MD, FACMT
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
ACMT Member
Free
Non-memberFree
Registration will include:- Access to the on-demand recordings of all lectures for 1-year
- Continuing Education (provided at no cost through CDC via TCEO) - CURRENTLY PENDING.
- Downloadable Attendance Certificate
Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for one year from the event date.
Interested in becoming an ACMT Member? Contact our Membership Manager at membership@acmt.net. Learn more at: www.acmt.net/membership