Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs), Toxic Industrial Materials (TIMs), and Toxic Radiological Materials (TRMs) - September 2026

Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs), Toxic Industrial Materials (TIMs), and Toxic Radiological Materials (TRMs) - September 2026

  • Registration Closed

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) 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:

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Agenda | Tuesday, September 8

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, DFACMT
                                                Executive Director, American College of Medical Toxicology

9:00 AM - 9:40 AM ET          Toxic Disasters: Beyond Conventional Chemical Weapons
                                                Charles McKay, MD, FACMT
                                                Medical Toxicologist, Physician Consultant

9:40 AM - 10:00 AM ET        Chemical Explosions
                                                Daniel Nogee, MD, MHS
                                                Chief of Consultation, Chemical Casualty Care Division
                                                US Army Medical Research Institute of Chemical Defense (USAMRICD)

10:00 AM - 10:40 AM ET      Toxic Gases as Threats
                                                 Bryan Wilson, MD   
                                                 Medical Director, Southeast Texas Poison Center 
                                                 University of Texas Medical Branch


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      
                                                Emily Kiernan, DO, FAACT, FACEP
                                                Assistant Professor, Emergency Medicine, Medical Toxicology, and Addiction Medicine
                                                Department of Emergency Medicine, Emory University School of Medicine

12:10 PM - 1:00 PM ET        Clinical Neurotoxicology of Chemical Threats
                                                 Alaina Steck, MD, FACMT, FASAM
                                                 Associate Professor of Emergency Medicine 
                                                 Department of Emergency Medicine, Emory University School of Medicine


1:00 PM - 1:30 PM ET         Lunch*


1:30 PM - 2:10 PM ET         Delayed Toxic Syndromes
                                               Michael Beuhler, MD, FACMT
                                               Medical Director, North Carolina Poison Control

2:10 PM - 2:50 PM ET         The Psychological Impact of Mass Exposures
                                               Matthew Dernbach, MD
                                               Addiction Psychiatrist, Carilion Clinic                                           


2:50 PM - 3:00 PM ET         Break*


3:00 PM - 3:40 PM ET         After Event Population Monitoring: Pros and Cons
                                                Hannah Hays, MD, FACEP, FAACT, FACMT
                                                Medical Director, Central Ohio Poison Center
                                                Chief of Toxicology, Nationwide Children’s Hospital

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   

                                                Michael Beuhler, MD, FACMT
                                                Medical Director, North Carolina Poison Control

                                                Matthew Dernbach, MD                                                
                                                Addiction Psychiatrist, Carilion Clinic             

                                                Hannah Hays, MD, FACEP, FAACT, FACMT
                                                Medical Director, Central Ohio Poison Center

                                                Chief of Toxicology, Nationwide Children’s Hospital

                                                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                                          

                                                Daniel Nogee, MD, MHS
                                                Chief of Consultation, Chemical Casualty Care Division
                                                US Army Medical Research Institute of Chemical Defense (USAMRICD)

                                                Alaina Steck, MD, FACMT, FASAM 
                                                Associate Professor of Emergency Medicine                                                   
                                                Department of Emergency Medicine, Emory University School of Medicine

                                                Paul Wax, MD, DFACMT
                                                Executive Director, American College of Medical Toxicology   

                                                Bryan Wilson, MD   
                                                Medical Director, Southeast Texas Poison Center 
                                                University of Texas Medical Branch                                                                                  

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, DFACMT
                                                Executive Director, American College of Medical Toxicology

Note: Sessions marked with an asterisk (*) are not eligible for continuing education (CE). CE will not be provided for scheduled breaks or lunch periods.

Agenda | Wednesday, September 9th

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)

                                                Mark Ervin, MD
                                                Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

9:00 AM - 10:00 AM ET       Practical Radiation Physics and Radiation Protection
                                                Diana Kauveiyakul, BS
                                                Health Physicist III, Radiation Emergency Assistance Center/Training Site (REAC/TS)

10:00 AM - 11:00 AM ET     Acute Radiation Syndrome
                                                Mark Ervin, MD
                                                Associate 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
                                                Diana Kauveiyakul, BS
                                                Health Physicist III, Radiation Emergency Assistance Center/Training Site (REAC/TS)

12:00 PM - 1:00 PM ET       Cutaneous Radiation Injuries
                                                Mark Ervin, MD
                                                Associate 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
                                                Hannah Mailcoat, MSN, FNP-BC
                                                Nurse Practitioner, Radiation Emergency Assistance Center/Training Site (REAC/TS)

2:20 PM - 3:10 PM ET          Common Radiation Sources
                                                Diana Kauveiyakul, BS
                                                Health Physicist III, 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
                                                 Mark Ervin, MD
                                                 Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

4:10 PM - 5:00 PM ET           Donning/Doffing and Decontamination
                                                 Hannah Mailcoat, MSN, FNP-BC
                                                Nurse Practitioner, Radiation Emergency Assistance Center/Training Site (REAC/TS)

5:00 PM - 5:10 PM ET           Closing Remarks/Adjourn*
                                                 Mark Ervin, MD
                                                 Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)

*Note: CE will not be provided for scheduled breaks or lunch periods.

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 two years
  • Continuing Education for each day of the course (provided at no cost through CDC via TRAIN) - information and instructions will be available on the individual course webpages.
  • 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 two years from the event date.

Interested in becoming an ACMT Member? Contact our Membership Manager at [email protected]. Learn more at: www.acmt.net/membership

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