Chemical and Radiological Agents of Opportunity for Terrorism - April 2022

Chemical and Radiological Agents of Opportunity for Terrorism - April 2022

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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 Office of Community Health and Hazard Assessment (OCHHA) in the Region 6 Office of the Agency for Toxic Substances and Disease Registry (ATSDR) are pleased to offer this course on emergency medical response to exposures from radioactive materials and toxic chemicals. The Office of Emergency Management, within the Agency for Toxic Substances & Disease Registry (ATSDR) and the National Center for Environmental Health (NCEH) at the Centers for Disease Control & Prevention (CDC), supported the development 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.

  • Contains 2 Component(s) Recorded On: 04/28/2022

    April 28, 2022

    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. 

    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 until May 31, 2024.

    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.

    Sukhshant (Sukhi) Atti, MD, MPH

    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.

    Aaron Frey, DO

    Core Faculty & Medical Toxicologist

    WellSpan Health at York Hospital

    Dr Aaron Frey is an emergency medicine physician and medical toxicologist. He studied government and international studies at Campbell University in North Carolina and Spanish at Middlebury College in Vermont.  He worked as a firefighter, emergency medical technician, and search and rescue diver during his undergraduate career. The experiences he had in those roles are what influenced him to become a physician. His particular interests include hazardous materials and chemical, biological, radiological, and nuclear (CBRN) weapons, remote, austere, and wilderness medicine, and damage control resuscitation. He currently practices emergency medicine and toxicology at the Wellspan York Hospital in York, PA and holds an academic appointment of clinical instructor of emergency medicine and medical toxicology at the University of Virginia Health System.

    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
    WD4383-042822

    On-Demand Recording
    Complete the Evaluation at: www.cdc.gov/GetCE
    Pass the posttest at: 70%
    Available: 5/31/22 - 5/31/24

    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.

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  • Contains 2 Component(s) Recorded On: 04/29/2022

    April 29, 2022

    The Radiological Emergency Medical Management course is an awareness-level training course addressing the medical and psychological impact of radiation.

    1-Day Course 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 are available for this course through the CDC until May 31, 2024.