Chemical Agents of Opportunity for Terrorism - June 2023

Includes a Live Web Event on 06/14/2023 at 9:45 AM (EDT)

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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 TRMs 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 are available for this course through the CDC.

Agenda | June 14, 2023

8:50 AM - 9:00 AM CT Welcome & Opening Remarks
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology

9:00 AM - 9:40 AM CT Toxic Disasters: Beyond Conventional Chemical Weapons
Charles McKay, MD, FACMT
Associate Medical Director, Connecticut Poison Control Center

9:40 AM - 10:00 AM CT Chemical Explosions
Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
Professor, Department of Emergency Medicine, Emory University School of Medicine
Vice President, American College of Medical Toxicology

10:00 AM - 10:40 AM CT Toxic Gases as Threats
Emily Kiernan, DO
Assistant Professor, Emergency Medicine and Medical Toxicology
Emory University School of Medicine

10:40 AM - 10:50 AM CT Break

10:50 AM - 11:30 AM CT Why are Cyanide and Fumigants So Worrisome?
Emily Kiernan, DO
Assistant Professor, Emergency Medicine and Medical Toxicology
Emory University School of Medicine

11:30 AM - 12:10 PM CT Food, Water and Medication as Vehicles for Toxic Threats
Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
Professor, Department of Emergency Medicine, Emory University School of Medicine
Vice President, American College of Medical Toxicology

12:10 PM - 1:00 PM CT Clinical Neurotoxicology of Chemical Threats
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology

1:00 PM - 1:30 PM CT Lunch

1:30 PM - 2:10 PM CT Delayed Toxic Syndromes
Bryan Wilson, MD
Interim Medical Director, Iowa Poison Control Center
Clinical Assistant Professor, University of Iowa Hospitals & Clinics

2:10 PM - 2:50 PM CT The Psychological Impact of Mass Exposures
Paul Wax, MD, FACMT
Executive Director, American College of Medical Toxicology

2:50 PM - 3:00 PM CT Break

3:00 PM - 3:40 PM CT After Event Population Monitoring: Pros and Cons
Charles McKay, MD, FACMT
Associate Medical Director, Connecticut Poison Control Center

3:40 PM - 4:40 PM CT Scenario-Based Discussion: What is the Poison? What is the Response? Ay, There's the Rub.
Charles McKay, MD, FACMT
Associate Medical Director, Connecticut Poison Control Center

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

Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT
Professor, Department of Emergency Medicine, Emory University School of Medicine
Vice President, American College of Medical Toxicology

Emily Kiernan, DO
Assistant Professor, Emergency Medicine and Medical Toxicology
Emory University School of Medicine

Bryan Wilson, MD
Interim Medical Director, Iowa Poison Control Center
Clinical Assistant Professor, University of Iowa Hospitals & Clinics

4:40 PM - 4:50 PM CT Closing Remarks/Adjourn
Charles McKay, MD, FACMT
Associate Medical Director, Connecticut Poison Control Center

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

Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT

Professor, Department of Emergency Medicine

Emory University School of Medicine

Born in 1975 and raised in Beirut, Lebanon, Dr. Kazzi trained in Emergency Medicine at Emory University in Atlanta (2000-03) where he served as a chief resident before completing a subspecialty fellowship in Medical Toxicology at Emory University, Georgia Poison Center and the Centers for Disease Control and Prevention (CDC) in Atlanta. He is board certified in both Emergency Medicine and Medical Toxicology. Dr. Kazzi joined the Department of Emergency Medicine at the University of Alabama at Birmingham (UAB) between 2005 and 2008 where he served as a Medical Toxicologist for the Regional Poison Control Center in Birmingham and the Alabama Poison Center. Currently, he is an associate professor at the department of Emergency Medicine at Emory University in Atlanta, Georgia as well as the director of the International Toxicology Postdoctoral Fellowship Program at Emory University (http://www.em.emory.edu/services/toxicology/international_postdoc_training.html).

He is also the assistant medical director of the Georgia Poison Center (www.georgiapoisoncenter.org) and a medical toxicologist at the Radiation Studies Branch of the National Center for Environmental Health at the CDC (https://www.cdc.gov/nceh/radiation/) where he participates in emergency preparedness and response activities in radiation.

As an emergency physician and toxicologist, Dr. Kazzi specializes in the recognition, triage, and management of poisonings and holds a deep interest in the areas of Radiation and International Toxicology. Over the past decade, he developed strong ties to India in the areas of medical toxicology, mass gathering medical preparedness, radiation emergency medicine, blast injuries and hazmat. Through his collaboration with the CDC, AIIMS, and PGIMER Chandigarh, he has delivered and co-directed the first Advanced Hazmat Life Support trainings in Ahmedabad and Delhi. He organized a number of training conferences in Nashik, Pune, Ujjain and Delhi and has been an invited speaker at the annual INDUS EM world congress. He is an active and founding board member of the Middle East North Africa Toxicology Association (www.menatox.org) and currently serves as its President. He is also a board member and chairs the International Committee of the American College of Medical Toxicology (www.acmt.net).

Emily Kiernan, DO

Assistant Professor of Emergency Medicine and Medical Toxicology

Emory University School of Medicine

Dr. 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

CT Poison Control Center, 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-member	Free

Registration will include:

Access to the live event
Access to the on-demand recording for 1-year
Continuing Education (provided at no cost through CDC via TCEO)
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, Jenn Dorsey, at membership@acmt.net. Learn more at: www.acmt.net/membership

Continuing Education

Available CE Categories

CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE: The Centers for Disease Control and Prevention designates this activity for 7.75 nursing contact hours.

CPE: The Centers for Disease Control and Prevention designated this knowledge-based event for pharmacists to receive 0.7 CEUs in pharmacy education. The Universal Activity Number is pending and will be provided closer to the event date. Once credit is claimed, an unofficial statement of credit is immediately available on TCEOnline. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

IACET CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.9 CEU's for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 5.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 5.5. Continuing Competency credits available are 0. CDC provider number 98614.

AAVSB/RACE: This program was reviewed and approved by AAVSB RACE program for 6.0 hours of continuing education. Participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession.

Instructions for Obtaining CE

There are no fees for receiving Continuing Education for this course. In order to receive continuing education (CE), please visit TCEO (https://tceols.cdc.gov/) and follow the 9 Simple Steps (https://tceols.cdc.gov/Home/Steps) using the below information:

Chemical Agents of Opportunity for Terrorism
WC4383-061423
Live Webcast
Complete the Evaluation at: www.cdc.gov/GetCE
Pass the posttest at: 70%
Available: 6/14/23 - 7/14/23

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser or Zoom Application.

Materials

None.

Prerequisites

None.

Format

This activity is Web-based/Web on Demand.

Fees

No fees are charged for CDC’s CE activities.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention, American College of Medical Toxicology (ACMT), and Radiation Emergency Assistance Center/Training Site (REAC/TS). The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.