Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs), Toxic Industrial Materials (TIMs), and Toxic Radiological Materials (TRMs) - September 2026

Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs), Toxic Industrial Materials (TIMs), and Toxic Radiological Materials (TRMs) - September 2026

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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:

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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, FACMT
                                                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
                                               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
                                                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, FACMT
                                                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, FACMT
                                                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?

We're happy to have you!

Please use the following link to create an ACMT non-member account to register for this course.

Create a Mon-Member Account

  • Product Image: Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs) and Toxic Industrial Materials (TIMs) - September 2026

    Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs) and Toxic Industrial Materials (TIMs) - September 2026
    Contains 4 Component(s) Includes a Live Web Event on 09/08/2026 at 8:50 AM (EDT)

    September 8, 2026

    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:

    • Identify the common health effects (toxidromes) caused by chemical exposures.
    • Discuss safe and effective management strategies for chemical poison exposures.
    • Identify resources that can be used throughout different stages of a chemical public health emergency.
    • Describe how healthcare workers along the trajectory of a chemical event can effectively collaborate to offer comprehensive care.

    Continuing Education: Interprofessional continuing education credits through the CDC are available.

    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, FACMT
                                                    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
                                                   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
                                                    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, FACMT
                                                    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, FACMT
                                                    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.

    Sukhshant (Sukhi) Atti, MD

    Sukhshant (Sukhi) Atti, MD

    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.

    Michael Beuhler, MD

    Michael Beuhler, MD

    Medical Director

    North Carolina Poison Control

    Matthew Dernbach, MD

    Matthew Dernbach, MD

    Addiction Psychiatrist

    Carilion Clinic

    Hannah Hays, MD, FACEP, FAACT, FACMT

    Hannah Hays, MD, FACEP, FAACT, FACMT

    Medical Director

    Central Ohio Poison Center

    Hannah Hays, MD, FACEP, FAACT, FACMT, is an Associate Professor of Pediatrics and Emergency Medicine at The Ohio State University, Chief of Medical Toxicology at Nationwide Children’s Hospital, and Medical Director of the Central Ohio Poison Center. She is triple board-certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine and serves on the Board of Trustees of the American Academy of Clinical Toxicology. Her work focuses on toxicologic emergency preparedness, poison-center surveillance, and response to large-scale chemical incidents. She has participated in responses including the East Palestine train derailment, the Vinton County nitric acid release, and the My Way Trading fire, with roles in exposure assessment, population monitoring, clinical guidance, and risk communication.

    Emily Kiernan, DO, FACMT, FAACT, FACEP

    Emily Kiernan, DO, FACMT, FAACT, FACEP

    Assistant Professor of Emergency Medicine and Medical Toxicology

    Emory University School of Medicine

    Dr. Emily 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

    Charles McKay, MD, FACMT

    Associate Clinical Professor

    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 provided education and consultation in chemical preparedness, including via the ACMT Chemical Agents of Opportunity course, for more than 20 years.

    Daniel Nogee, MD, MHS

    Daniel Nogee, MD, MHS

    Chief of Consultation, Chemical Casualty Care Division

    U.S. Army Medical Research Institute of Chemical Defense

    Dr. Daniel Nogee is a board-certified medical toxicologist and emergency medicine physician currently serving as the Chief of Consultation within the Chemical Casualty Care Division (CCCD) of the United States Army Medical Research Institute of Chemical Defense (USAMRICD). Dr. Nogee earned his medical degree from the Johns Hopkins University School of Medicine. While in medical school, he completed a research year at the National Institute of Allergy and Infectious Diseases at the National Institutes of Health campus in Bethesda, MD through the Medical Research Scholars Program. Dr. Nogee completed internship and residency in emergency medicine at Yale-New Haven Hospital, and completed a Masters in Health Sciences through the Yale University School of Medicine as well as a research fellowship in emergency medicine as part of the Yale Emergency Scholars program. Dr. Nogee completed fellowship training in Medical Toxicology through the Emory University School of Medicine-Centers for Disease Control and Prevention (CDC) Medical Toxicology Fellowship in Atlanta, GA. While serving as a medical officer for the CDC’s National Center for Environmental Health he was deployed as a field investigator for an outbreak of non-viral hepatitis in the Las Vegas area.

    During medical school, Dr. Nogee commissioned as an officer in the United States Army/Maryland Army National Guard. He is currently assigned as a Field Surgeon with the 224th Medical Company (Area Support) in Olney, MD. During 2020 he deployed in support of COVID-19 response efforts in Maryland. In 2021, he deployed to the Middle East as a Battalion Surgeon with the 29th Infantry Division Headquarters and Headquarters Battalion. 

    Alaina R. Steck, MD, FACMT, FASAM

    Alaina R. Steck, MD, FACMT, FASAM

    Associate Professor of Emergency Medicine

    Emory University

    Dr. Alaina Steck is an Associate Professor of Emergency Medicine in the Emory School of Medicine. She is board-certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine, and practices at Grady Memorial Hospital in Atlanta. Her focus is on medical education at the undergraduate and graduate levels; she currently serves as the Pharmacology Thread Director for Emory's School of Medicine and as Core Faculty in both the Medical Toxicology and Addiction Psychiatry fellowships at Emory.

    Paul M. Wax, MD, DFACMT

    Paul M. Wax, MD, DFACMT

    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.

    Bryan Wilson, MD

    Bryan Wilson, MD

    Medical Director

    Southeast Texas Poison Center

    Dr. Bryan Wilson is a medical toxicologist. He completed medical school at the University of Texas Health Science Center San Antonio, a combined emergency medicine and pediatrics residency at the University of Arizona, and his medical toxicology fellowship at the Arizona Poison and Drug Information Center. He is currently Medical Director of the Southeast Texas Poison Center.

    Registration Rates


         ACMT Member
         		    Free

         Non-member

    		    Free


    Registration will include: 

    • Access to the on-demand recordings of all lectures for 2 years
    • Continuing Education (provided at no cost through CDC via TRAIN) - PENDING.
    • 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 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?

    We're happy to have you!

    Please use the following link to create an ACMT non-member account to register for this course.

    Create a Mon-Member Account

    Continuing Education

    Objectives

    1. Identify the common health effects (toxidromes) caused by chemical exposures.
    2. Discuss safe and effective management strategies for chemical poison exposures.
    3. Identify resources that can be used throughout different stages of a chemical public health emergency.
    4. Describe how healthcare workers along the trajectory of a chemical event can effectively collaborate to offer comprehensive care.

    Available CE Categories

    CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 6.75 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 6.75 nursing contact hours.

    CPE: The Centers for Disease Control and Prevention designated this (Knowledge-based) event for pharmacists to receive 0.675 CEUs in pharmacy education. The Universal Activity Number is pending.

    Once credit is claimed, an unofficial statement of credit is immediately available on CDC TRAIN. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

    CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.7 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 7 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 7. Continuing Competency credits available are 7. CDC provider number 98614.

    Instructions for Obtaining CE

    To receive continuing education (CE) for WC4898-Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs) and Toxic Industrial Materials (TIMs), please visit CDC TRAIN and search for the course in the Course Catalog using [WC4898]. Follow the steps below by 10/08/2026. 

    1. Register for and complete the course. The registration code is acmt2.

    2. Pass the post-assessment at 70%.

    - All CDC continuing education courses allow two attempts to pass the post-assessment. If you do not pass on the first attempt, you have 30 days to retake it. Failing both attempts will result in a failed course status, and the course cannot be retaken during the current accreditation period.  Please refer to the course description page for specific start and end dates.

    3. Complete the evaluation.

    4. Visit Your Learning to access your certificates and transcript.

    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

    There are no fees for CE.

    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.

    image

    Disclosure

    In compliance with continuing education requirements, all planners and presenters/moderators must disclose all financial relationships, in any amount, with ineligible companies over the previous 24 months as well as any use of unlabeled product(s) or products under investigational use.   

    CDC, our planners, and presenters/moderators wish to disclose they have no financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.   

    Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.

    CDC did not accept financial or in-kind support from ineligible companies for this continuing education activity.

    The Centers for Disease Control and Prevention (CDC) complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, religion, or sex. To learn more visit: https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.

  • Product Image: Agents of Opportunity for Terrorism: Toxic Radiological Materials (TRMs) - September 2026

    Agents of Opportunity for Terrorism: Toxic Radiological Materials (TRMs) - September 2026
    Contains 4 Component(s) Includes a Live Web Event on 09/09/2026 at 8:50 AM (EDT)

    September 9, 2026

    Overview

    The Agents of Opportunity for Terrorism: Toxic Radiological Materials (TRMs) course is an awareness-level training course addressing the medical and psychological impact of radiation.

    Target Audience

    1-Day Course is Designed for:

    • Pre-Hospital First Responders (EMTs and Paramedics)
    • Public Health Professionals
    • Law Enforcement 
    • Emergency Providers

    Course Objectives:

    • Describe the various types of radiation including their potential exposure scenarios
    • Discuss Acute Radiation Syndrome (ARS)
    • Describe the emergency care of patients contaminated with radioactive material
    • Describe the management of cutaneous radiation syndrome
    • List resources available to address radiation accidents 
    • Discuss how interdisciplinary collaboration is necessary when responding to a radiological accident affecting a large population.

    Continuing Education: Interprofessional continuing education credits through the CDC will be available.

    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 Malicoat, 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 Malicoat, 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.

    Mark Ervin, MD (Col, USAF, Retired)

    Mark Ervin, MD (Col, USAF, Retired)

    Associate Director

    Radiation Emergency Assistance Center/Training Site (REAC/TS)

    Dr. Mark D. Ervin is the Associate Director of the Radiation Emergency Assistance Center/Training Site (REAC/TS). He is a 1988 graduate of Duke University and received his medical degree from Emory University in 1992. In 1997, he completed a general surgery residency at Wilford Hall USAF Medical Center in San Antonio. His research areas of interest include: Cutaneous Radiation Injury, Predictive triage, Chronic/Delayed radiation wound therapy, Radiation event response, Radiation medicine in austere environments and Air quality health factors/solutions. 

    Prior to assuming his position at REAC/TS, Dr. Ervin was the 59 Medical Wing, USAF, Chief of Operational Medicine. He was responsible for oversight of 43 units that modernize and innovate advanced resuscitative, surgical, and critical care wartime solutions for casualty and evacuation care from the point of injury until definitive care. He was also an Air Force Subject Matter Expert on advancing autonomous patient care, evacuation on unmanned vehicles and austere surgical teams supporting special operations. He was a DoD leader in researching, transitioning, and developing new technologies and procedures for use in austere and remote deployed environments. Since joining REAC/TS, Dr. Ervin has worked with the Department of Energy, RITN, Interagency Partners, and International Organizations to innovate and advance solutions for radiation disaster response, readiness, and mass triage/pre-hospital care. As an active General Surgeon, Dr. Ervin provides surgical care in San Antonio. Dr. Ervin has authored/co-authored papers on a variety of topics within the fields of military medicine, biosecurity, and radiation injury. 

    Diana Kauveiyakul, BS

    Diana Kauveiyakul, BS

    REAC/TS Health Physicist III

    Radiation Emergency Assistance Center/Training Site (REAC/TS)

    Diana is a Health Physicist for the Radiation Emergency Assistance Center and Training Site (REAC/TS) in Oak Ridge, Tennessee. She serves as an emergency responder for the Nuclear Emergency Support Team (NEST) as an asset for the National Nuclear Security Association (NNSA) and the Department of Energy (DOE). Prior to her work with REAC/TS, she worked under NNSA and DOE as a scientist for other NEST assets in the Aerial Measuring Systems, Nuclear Search Program and Consequence Management programs at the Remote Sensing Laboratory located on Joint Base Andrews Air Force Base. In addition to working under these national assets serving 24/7 on call, she conducted research for algorithm training and detector modeling, supported preventative radiological/nuclear detection for major public events, supported domestic radiological/nuclear response exercises, and performed domestic and international training under the Nuclear Incident Preparedness and Collaboration (NIPC) program, all of which falls under the Office of Counterterrorism and Counterproliferation. She also worked underground for the Stockpile Experimentation and Operations directorate at the Nevada National Security Site as a diagnostic scientist and supported the research and development of leading diagnostic technology for subcritical experiments. She conducted dose analysis for participants during the nuclear testing time period at the Nuclear Testing Archives, and collaborated with other labs and sites in their dose reconstruction. With a Bachelors of Science in Health Physics from the University of Nevada, Las Vegas, she is currently in pursuit of her Masters of Science in Nuclear Engineering and continues to support NNSA/DOE with REAC/TS. 

    Hannah Malicoat MSN, FNP-BC

    Hannah Malicoat MSN, FNP-BC

    REAC/TS Nurse Practitioner

    Radiation Emergency Assistance Center/Training Site (REAC/TS)

    Hannah Malicoat is a nurse practitioner with the Radiation Emergency Assistance Center/Training Site (REAC/TS) medical team. She has been in the nursing field since 2020. She started her career at the height of the COVID-19 pandemic at UT Medical Center, the areas level 1 trauma center. After her time at UTMC, she joined the emergency room staff at Roane Medical Center, a rural emergency room. While at RMC, she acted as charge nurse, precepted many students, and participated in county wide mass casualty drills. During this time, she also worked as a home health nurse and case manager. She earned her bachelor’s degree from Lincoln Memorial University. In August of 2025, she obtained her master’s degree from Carson Newman University in Family Nurse Practitioner. 

    Hannah joined the REAC/TS team in September 2025. 

    Registration Rates


         ACMT Member
         		     Free

         Non-member

    		     Free


    Registration will include: 

    • Access to the on-demand recordings of all lectures for two years
    • Continuing Education (provided at no cost through CDC via TRAIN) - PENDING.
    • 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 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?

    We're happy to have you!

    Please use the following link to create an ACMT non-member account to register for this course.

    Create a Mon-Member Account

    Continuing Education

    Objectives

    1. Describe the various types of radiation including their potential exposure scenarios

    2. Discuss Acute Radiation Syndrome (ARS)

    3. Describe the emergency care of patients contaminated with radioactive material

    4. Describe the management of cutaneous radiation syndrome

    5. List resources available to address radiation accidents 

    6. Discuss how interdisciplinary collaboration is necessary when responding to a radiological accident affecting a large population.

    Available CE Categories

    CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 7.25 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 7.25 nursing contact hours.

    CPE: The Centers for Disease Control and Prevention designated this (Knowledge-based) event for pharmacists to receive 0.725 CEUs in pharmacy education. The Universal Activity Number is currently pending. 

    Once credit is claimed, an unofficial statement of credit is immediately available on CDC TRAIN. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

    CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.7 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 7 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 7. Continuing Competency credits available are 7. CDC provider number 98614.

    CPH: The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 8.0 CPH recertification credits for this program.

    Instructions for Obtaining CE

    To receive continuing education (CE) for WC4897-AGENTS OF OPPORTUNITY FOR TERRORISM: TOXIC RADIOLOGICAL MATERIALS (TRMS), please visit CDC TRAIN and search for the course in the Course Catalog using [WC4897]. Follow the steps below by 10/09/2026. 

    1. Register for and complete the course. 

    The registration code is acmt1.

    2. Pass the post-assessment at 76%.

    All CDC continuing education courses allow two attempts to pass the post-assessment. If you do not pass on the first attempt, you have 30 days to retake it. Failing both attempts will result in a failed course status, and the course cannot be retaken during the current accreditation period.  Please refer to the course description page for specific start and end dates.

    3. Complete the evaluation.

    4. Visit Your Learning to access your certificates and transcript.

    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

    There are no fees for CE.

    Accreditation Statements

    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.

    image

    Disclosure

    In compliance with continuing education requirements, all planners and presenters/moderators must disclose all financial relationships, in any amount, with ineligible companies over the previous 24 months as well as any use of unlabeled product(s) or products under investigational use.   

    CDC, our planners, and presenters/moderators wish to disclose they have no financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

    CDC did not accept financial or in-kind support from ineligible companies for this continuing education activity.

    The Centers for Disease Control and Prevention (CDC) complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, religion, or sex. To learn more visit: https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.