Chemical and Radiological Agents of Opportunity for Terrorism - July 2022

Chemical and Radiological Agents of Opportunity for Terrorism - July 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: 07/07/2022

    July 7, 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
  • Contains 2 Component(s) Recorded On: 07/08/2022

    July 8, 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 August 9, 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.

    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.

    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
    WD4383-070822

    On-Demand Recording
    Complete the Evaluation at: www.cdc.gov/GetCE
    Pass the posttest at: 70%
    Available: 8/9/22 - 8/9/24

    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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