Chemical and Traumatic Crowd Control Injuries
Includes a Live Web Event on 12/01/2022 at 1:00 PM (EST)
In recent years, use of crowd control agents and strategies in response to protest events has drawn significant attention in the media. The American College of Medical Toxicology is pleased to offer this half-day (4-hour) course, which aims to build awareness of commonly used protest-related control agents and strategies, and describe the appropriate medical (pre-hospital and emergency department) management of chemical and traumatic crowd control injuries.
Target Audience: EMS, law enforcement, fire personnel, healthcare providers, first responders/receivers, ED physicians and nurses, and public health practitioners.
- Discuss the history and prevalence of crowd control injuries in the United States and internationally
- Describe commonly used strategies and devices in crowd control
- Describe commonly used chemical agents in crowd control
- Recognize the types of acute clinical injuries related to crowd control most frequently encountered by prehospital responders and emergency department personnel
- Discuss safe and effective prehospital and emergency department management of traumatic and chemical injuries resulting from crowd control strategies
- Discuss the chronic health effects of injuries resulting from common crowd control chemicals
Agenda | December 1, 2022
1:00 - 1:10 PM ET | Welcome & Opening Remarks
1:10 - 1:40 PM ET
Crowd Control Injuries: Epidemiology and Background
Sukhi Atti, MD, Assistant Professor, University of Alabama at Birmingham; Associate Medical Director, Alabama Poison Information Center
Paul M. Wax, MD, FACMT, Executive Director, American College of Medical Toxicology
1:40 - 2:20 PM ET
Strategies, Devices, and Chemicals Used for Crowd Control
Brian Bardsley, Jr., EMT-P, Police Officer, Special Weapons And Tactics (SWAT) Unit, Chicago Police Department
2:20-2:40 PM ET
Crowd Control Agents: Toxicology of Chemical Agents
Charles McKay, MD, FACMT, FACEP, Past President, American College of Medical Toxicology (ACMT); Associate Medical Director, CT Poison Control Center; Associate Clinical Professor, University of Connecticut School of Medicine
2:40-3:00 PM ET | Break - 20 min
3:00-3:45 PM ET
Chemical Crowd Control Agents: A First Responder's Response
Aaron Frey, DO, Medical Toxicologist, WellSpan Health at York Hospital
3:45-4:15 PM ET
Emergency Department Management of Crowd Control Injuries
Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT, Professor of Emergency Medicine, Emory University School of Medicine
Emily Kiernan, DO, Assistant Professor of Emergency Medicine and Medical Toxicology, Emory University School of Medicine, The Georgia Poison Center
4:15-5:00 PM ET
Scenario-Based Discussion: An Ill Wind Bears Down
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.
Brian Bardsley, EMT-P
Police Officer, Special Weapons and Tactics (SWAT) Unit
Chicago Police Department
Brian has a multifaceted background including experience in emergency medical services, law enforcement, and military. He began his career as an infantryman in the United States Marine Corps from 1988 to 1994 including deployments in support of Operation Desert Shield/Desert Storm and Operation Restore Hope. He served as a Medical Specialist in the United States Army Reserves from 1996 to 1999 and has been a Paramedic since January 1999. He has worked as both a single role Paramedic and as a Firefighter/Paramedic with several municipal fire departments including the Chicago Fire Department and the Stone Park Fire Department. From April 2000 to April 2009, while with Stone Park, he served as a HazMat Technician/MABAS Division XX HazMat Response Team Member. From 2006 to 2007, Brian served as a medic in an Illinois Army National Guard rifle company for a year tour in Baghdad in support of Operation Iraqi Freedom, during which he earned a Bronze Star and Combat Medical Badge.
Brian is an experienced educator having given many invited local/regional, national, and international continuing education presentations as well as having served for 20 years as affiliate faculty at the Loyola University Medical Center Program for Prehospital Medicine and 5.5 years as an instructor in the Chicago Police Department specifically at the Terrorism Awareness and Response Academy, Tactical Training Unit, and Firearms Training Unit.
Brian has been with the Chicago Police Department since September 2004, first as a patrolman in District 015, then as an instructor in the Education and Training Division, and since 2013, as an officer with the Special Weapons and Tactics (SWAT) Unit. He is currently the medical team leader for SWAT and the team leader for the Weapons of Mass Destruction team.
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.
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
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.
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