Agenda / Objectives

Will discuss the most likely toxins to be used and describe recognition of clinical signs and symptoms and treatment. Will discuss cutting edge research at USAMRIID on new vaccines and treatments.

• Describe the differences and similarities between toxins and chemical agents.
• Understand the comparative lethality of different toxins.
• List the possible medical defense approaches against toxins.
• Identify the clinical picture and treatment for intoxications caused by Botulinum toxins.
• Identify the clinical picture and treatment for intoxications caused by Ricin.
• Identify the clinical picture and treatment for intoxications caused by Staphylococcal enterotoxin B.
• Identify the clinical picture and treatment for intoxications caused by Marine toxins.
• Identify the clinical picture and treatment for intoxications caused by Mycotoxins.

Target Audience

• Military and civilian medical care providers
• Public health professionals involved in disease surveillance and prevention (e.g., epidemiologists, laboratorians & veterinarians)
• Clinical laboratory staff, pharmacists
• First responders and others who assist in recognizing and managing casualties from a biological and chemical agent attack

Timed Agenda

Will discuss the most likely toxins to be used and describe recognition of clinical signs and symptoms and treatment. Will discuss cutting edge research at USAMRIID on new vaccines and treatments.

1:00-1:10 Introduction
Moderator: LTC Ross Pastel

1:10-1:20 Toxins: Biological agents, chemical agents or somewhere in-between?
Moderator: LTC Ross Pastel;
Experts: COL James Madsen, Dr. David Franz

1:20-1:50 Botulinum toxin and botulism
Moderator: LTC Ross Pastel
Experts: Dr. Leonard Smith, Dr. Kristi Koenig, CAPT Robert Darling, LTC Mark Kortepeter, MAJ Traci Crawford

1:50 - 2:05 Staphylococcal enterotoxin B (SEB)
Moderator: LTC Ross Pastel
Experts: Dr. Brad Stiles, CAPT Robert Darling

2:05 - 2:15 Ricin
Moderator: LTC Ross Pastel
Experts: Dr. Mark Poli, Dr. Kristi Koenig

2:15 - 2:25 Marine toxins
Moderator: LTC Ross Pastel
Experts: Dr. Mark Poli, Dr. Kristi Koenig

2:25 - 2:30 Mycotoxins
Moderator: LTC Ross Pastel
Experts: Dr. Kristi Koenig

2:30 - 2:55 Live question and answer
Moderator: LTC Ross Pastel
Experts: ALL

2:55 - 3:00 Summary and credits
Moderator: LTC Ross Pastel

Continuing Education Credit:

ACCME - The VA EES 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. This activity is certified to provide continuing education credit to practitioners seeking category 1 AMA PRA credit when viewed live, scheduled rebroadcast or a recording.

ANCC - VA EES designates this educational activity for 2.4 contact hours in continuing nursing education. This activity is certified to provide credit to practitioners seeking ANCC credit when viewed live or scheduled rebroadcast or a recording.

ASWB - VA EES, Provider Number 1040, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), (1-800-225-6880) through the Approved Continuing Education (ACE) program. Social workers will receive 2 continuing education clock hours in participating in this course. This activity is certified to provide continuing education credit to practitioners seeking ASWB credit when viewed live, scheduled rebroadcast or tape recording.

The Employee Education System maintains responsibility for the program. A certificate of attendance will be awarded to participants and records will be on file at the EES. In order to receive continuing education credit, you must sign in at the beginning of this activity, attend 100% of the satellite broadcast, and complete an evaluation. Continuing education credit will not be offered by EES for viewing either the broadcast, rebroadcast or a tape of the broadcast after July 9, 2004

Accreditation/Approval

ACCME - The VA Employee Education System (VA EES) 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.

Accreditation/Approval

ANCC - VA EES is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

The test signal for the live satellite broadcast will be from 12:30 - 1:00 PM ET. The program begins promptly at 1:00 PM on July 9, 2003. Coordinates are currently posted at biomedtraining.org.

The program is available throughout the U.S., including Alaska, Hawaii, Puerto Rico, & southern Canada. The broadcast is 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 VTC Bridge by sending an email to or by calling 210-637-2256 or DSN 471-9706 extension 2256. Please have your Site ID # available.

This program will be archived for viewing at www.swankhealth.com within 48 hours of the conclusion of the live program. All 6 programs will be archived at this site for a period of one year from date of each broadcast.

The 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, which will be declared at the beginning of the broadcast.

Individuals should register and complete an evaluation/critique 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 to contact the 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. In order to receive a certificate (CME/CNE/CEU), you must register, view 100% of this program, and complete an evaluation/critique. Video taping the live broadcast to support future educational activities is encouraged.

Ensure your organization has assigned a local site facilitator to 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). Video taping the live broadcast to support future educational activities is encouraged. All viewers should individually register for the broadcast or for viewing of videotape.