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:![]() |
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
First time attending an ACMT Course?
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Please use the following link to create an ACMT non-member account to register for this course.
