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Biological & Chemical Warfare and Terrorism - Medical Issues and Response

Program Information

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"Advanced Topics on Medical Defense Against Biological and Chemical Agents"
Part 4. Chemical Threat Agents: The Community Provider's Perspective
Course No. 03.WMD.CW.A
Live Satellite Broadcast
May 21, 2003
1:00 - 3:00 PM ET
(Fourth in a series of six two-hour broadcasts)
(Test Signal 12:00 - 1:00 PM ET)

Sponsored by U.S. Army Medical Command, Department of Veterans Affairs Employee Education System, and Emergency Management Strategic Healthcare Group

Background and description of course

The issue of military readiness to respond to chemical warfare and terrorism is a vital and timely subject. And should also provide the population with theoretical data from official or additional sources, such as advanced writers, about what should be done in certain situations. Medical and civilian defense personnel must be prepared to provide appropriate treatment to all populations and age groups. There are new advances in the development of measures to help the healing of those exposed to mustard agents and treatment protocols to effectively treat the pediatric population exposed to chemical agents. Providers must also be prepared to answer the questions their patients may have related to family protective measures, how to shelter in place, and where to obtain resources to help answer these concerns. This live, interactive, two-hour satellite broadcast will provide didactic discussion on a variety of topics to include application of diagnostics and treatment regimens to pediatric populations. A live question and answer session will follow. World-renowned experts from the U.S. Army Medical Research Institute of Chemical Defense (USAMRICD) and other organizations will present this program. The U.S. Army Medical Research and Materiel Command will host the program at no charge to the viewer. Dates of future broadcasts for the series of Advanced Topics on Medical Defense Against Biological and Chemical Agents are 9 Jul (Toxins as Biological Warfare and Terrorism Agents), and 27 Aug 2003 (TBA).

Agenda / Objectives

  • Briefly describe fundamentals of the 4 major chemical warfare agent classes;
  • Compare and contrast the clinical features and management of sulfur mustard casualties, thermal burn casualties, and epidermal necrolysis casualties;
  • Apply concepts of chemical warfare agent injury and medical management to population groups other than healthy males, ages 18-50;
  • Compose a brief for your patients and neighbors, which will help them, plan for, and respond to, a chemical agent incident in their community.
  • Live Q & A session

Target Audience

  • Military and civilian medical care providers;
  • Emergency and intensive care workers;
  • Rehabilitation medical care providers;
  • First responders and others who would assist in recognizing and managing casualties from a biological and chemical agent attack.

Timed Agenda

Course Director: LTC(P) Beverly I. Maliner, M.D.
Moderator: Mr. Rick Roucheux

1:00-1:05 Introduction and Overview
Moderator: Mr. Rick Foucheux

1:05-1:20 Chem 101-Chemical Agent Overview
Expert: COL Jonathan Newmark, M.D.

1:20-1:40 Advanced Methods in Sulfur Mustard Burn Management
Moderator: Charles Hurst, M.D.
Expert Panel: Charles Hurst, M.D. and COL David Barillo, M.D.

1:40 - 2:05 The Community Perspective: Ideas to help you educate your patients about the chemical threat so they can help themselves
Moderator: Mr. Rick Foucheux
Experts: Lt Col Charles Boardman, USAF, BSC, LTC Roger McIntosh, M.D., and Mr. Steven Hughes (FEMA)

2:05 - 2:30 Managing other Populations: Treatment protocols for pediatric and geriatric populations exposed to chemical agents
Moderator: COL Jonathan Newmark, M.D.
Experts: Maj Joshua Rotenberg, USAF, M.D., and LTC(P) Beverly Maliner, M.D.

2:30 - 2:55 Live Question and Answer
Moderator: Mr. Rick Foucheux
Expert Panel: Charles Hurst, M.D., COL Jonathan Newmark, M.D., LTC(P) Beverly Maliner, M.D., Lt Col Charles Boardman, USAF, BSC, LTC Roger McIntosh, M.D., LTC David Barillo, M.D., and Maj Joshua Rotenberg, USAF, MC

2:55 - 3:00 Summary and Credits
Moderator: Mr. Rick Foucheux


The VA Employee Education System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This activity was planned and produced in accordance with the ACCME Essentials. VA Employee Education System takes responsibility for the content, quality and scientific integrity of this CME activity. The VA Employee Education System is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation.

Continuing Education Credit:

The VA Employee Education System designates this educational activity for a maximum of 2 hours in category 1 credit towards the American Medical Association Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. The VA Employee Education System designates this educational activity for 2.4 contact hours in continuing nursing education. A certificate of attendance will be awarded to participants and accreditation records will be on file at the Employee Education System. In order to receive a certificate from EES, you must sign in/register at the beginning of this activity, complete an evaluation/critique, and attend 100% of the satellite broadcast.

Satellite & VTC Technical Specifications:

The broadcast will be available as C-band, Ku-band, and digital (GETN: i.e. Air Warrior, AETC, ATN, etc.) satellite signals, as well as a VTC signal via the U.S. Army Medical Command’s (MEDCOM) VTC Bridge. Arrangements can be made to use the MEDCOM Bridge by sending an email to or by calling 210-637-2256 or DSN 471-9706 extension 2256. Please have your Site ID # available.

Satellite Coordinates are currently posted at biomedtraining.org/sattech.htm.

The test signal for the live satellite broadcast will be from 12:30 - 1:00 PM ET on the same day of the program in May. Broadcast of the program begins promptly at 1:00 PM on 21 May 2003.

Faculty Disclosure Statement:

The Employee Education System (EES) must insure balance, independence, objectivity, and scientific rigor to all EES sponsored educational activities. The intent of this disclosure is not to prevent faculty with a significant financial or other relationship from presenting materials, but rather to provide the participant with information on which they can make their own judgments. It remains for the participant to determine whether the faculty interests or relationships influence the materials presented with regard to exposition or conclusion. When an unapproved use of a FDA approved drug or medical device, or an investigational product not yet FDA approved for any purpose is mentioned, EES requires disclosure to the participants. Faculty reports regarding disclosable relationships or FDA issues are not complete at this time.

Individual Registration Instructions:

Individuals should register on-line at the web-site biomedtraining.org. You will be able to review and choose from a list of viewing sites available in your state. You must confirm your registration at a specific viewing site by using e-mail or telephone information indicated for your site facilitator. If you do not have Internet access or cannot complete your registration on-line, please call RegisterAmerica.net at (850) 784-6002, Ext 16 for assistance.

The program is available throughout the U.S., including Alaska, Hawaii, Puerto Rico, and southern Canada.

Site Facilitator Instructions:

Ensure your organization or installation has assigned one person to act as the local site facilitator who will register your facility at biomedtraining.org. If you do not have access to the Internet or cannot complete your site registration on-line, please call RegisterAmerica.net at (850) 784-6002, Ext 16 for assistance. They will help you register or determine if your organization or installation has been registered as a downlink site. The local site facilitator must reserve a classroom and obtain a local technical point of contact (POC), and should be prepared to be the main POC for information regarding their facility (i.e., satellite downlink capability, GETN site code/ID, and/or VTC system dial-in number).

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