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Training and Education

• Resources for First Responders and First Receivers
• Resources for Health Care Professionals
• Resources for Toxicology and Industrial Hygiene Professionals
• Professional Societies, Organizations, and Discussion Groups

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Resources for First Responders and First Receivers

The following training and education resources are primarily intended for first responders and/or first receivers. Resources include individual classes and organizations that provide multiple classes. Training delivery may be online and/or classroom. Offerings have been organized by phase of incidents: preparedness and response.

Preparedness and Response

Site/Resource (Provider)	Target Audience		Delivery Method
	First Responders	Hospital Receivers	Online	Classroom
Outreach and Training (DOT/PHMSA)
Training and Qualifications (DOT/PHMSA)
Training for Chemical Emergencies (HHS/CDC)
CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosives) Response Efforts and Information Training (Recorded Webinar, NLM/DIMRC) ASPR CBRNE Branch Science & Response (PowerPoint, 10.5 MB)
Recognition of Illness Associated with Chemical Exposure (CD-ROM, HHS/CDC)
Training & Outreach (IAFF) **
EPA Region 8 Preparedness Unit (EPA)
HazMat for Healthcare (EnMagine) *
Hazardous Material Training Program (HazMat Solutions) *
TRANSCAER Resources (TRANSCAER)				Onsite

* Offered for a fee
** Requires log-in

Preparedness Only

Site/Resource (Provider)	Target Audience		Delivery Method
	First Responders	Hospital Receivers	Online	Classroom
Chemical Warfare Agents: An Overview (video - 01:11:10) (HHS)
Guidelines for HazMat/WMD Response, Planning, and Prevention Training (DHS/FEMA) This is the 2003 version. A 2017 version is being developed.
National Preparedness Directorate (DHS/FEMA)
Center for Domestic Preparedness (DHS/FEMA)
Emergency Management Institute (DHS/FEMA)
National Training and Education Division (DHS/FEMA)
OSHA Directorate of Training and Education, Training and Reference Materials Library (OSHA)

Response Only

Site/Resource (Provider)	Target Audience		Delivery Method
	First Responders	Hospital Receivers	Online	Classroom
Advanced HAZMAT Life Support * (AHLS)
An Orientation to Hazardous Materials for Medical Personnel (DHS/FEMA)
ACE Toolkit (HHS/CDC/ATSDR)
Assessment of Chemical Exposures (ACE) Program (part of the National Toxic Substance Incidents Program [NTSIP]) (HHS/CDC/ATSDR)
Basic HAZMAT Life Support (AHLS)
Becoming a Disaster Health Information Power User (University of Miami Miller School of Medicine)
Chemical Casualty Care Division (USAMRICD)
Environmental Health Training in Emergency Response (EHTER) (HHS/CDC, DHS/FEMA)
Hazardous Waste Operations and Emergency Response - HAZWOPER (OSHA)
HAZMAT IQ *
HM-IQ Above The Line — Below The Line *
First Responder Offensive *
Advanced IQ *
Air Monitoring *
Decon IQ *
Tox-Medic© *
Hospital-Based Decontamination: Hazard Recognition *
Hospital Hazmat (WMD) Operational Level Training
National Emergency Response & Rescue Training Center (TEEX/DHS/FEMA)
OSHA Directorate of Training and Education, Training and Reference Materials Library (OSHA)
Outreach & Training (DOT/PHMSA)
Training and Qualifications (DOT/PHMSA)
Training for Chemical Emergencies (HHS/CDC)

*Offered for a fee

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Resources for Health Care Professionals

The following resources are primarily intended for health care professionals, to supplement the training and education resources listed above.

Educational and Facility Competencies

• ACEP Toxicology Section Antidote App (iOS) (American College of Emergency Physicians)

• ACEP Toxicology Antidote App (Android) (American College of Emergency Physicians)

• TRAIN Learning Network - CBRN, CBRNE, and other relevant courses (Public Health Foundation)

• American Heart Association (for ACLS, BLS, PALS Training)

• Association of Occupational and Environmental Clinics, Educational Resources (AOEC)

  Especially:

  • Bioterrorism Responses by Health Care Professionals

  • Worker Preparedness and Response to Bioterrorism

• Emergency and Terrorism Preparedness for Environmental Health Practitioners (ETP) (HHS/CDC)

• Environmental Medicine Education for Health Professionals (HHS/CDC/ATSDR)

• HazMat Safety & Training - Worker Education and Training Program (WETP) (HHS/NIH/NIEHS)

• Center for Poison Treatment Facility Assessment Guidelines (ACMT)

• OSHA Best Practices for HOSPITAL-BASED FIRST RECEIVERS OF VICTIMS from Mass Casualty Incidents Involving the Release of Hazardous Substances (OSHA)

Case Studies of Medical Response

• Case studies in environmental medicine (HHS/CDC/ATSDR)

• Case Studies of Medical Response to Mass Chemical Exposure (HHS/NLM)

  • South Carolina train derailment (chlorine)

  • Tokyo sarin gas attack (sarin)

  • Indianapolis, Indiana, industrial accident (cyanide)

  • Operation Desert Storm SCUD attacks

• Culley JM, Richter J, Donevant S, Tavakoli A, Craig J, DiNardi S. Validating Signs and Symptoms From An Actual Mass Casualty Incident to Characterize An Irritant Gas Syndrome Agent (IGSA) Exposure: A First Step in The Development of a Novel IGSA Triage Algorithm. J Emerg Nurs. 2017 Jul;43(4):333-338. [PubMed citation] (Note: Pages 381-382 of journal have questions to answer for CE hours.)

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Resources for Toxicology and Industrial Hygiene Professionals

The following resources are intended for professionals in the toxicology or industrial hygiene fields. The information may be useful for first responders and first receivers interested in a more in-depth discussion of toxicological principles and training.

• American Academy of Clinical Toxicology (AACT)

• Chemicals and Human Health, Toxicology Problem set (University of Arizona)

• Environmental Health Science Education (HHS/NIH/NIEHS)

• Office of Environmental Health Hazard Assessment (OEHHA), Risk Assessment for the Lay Person (OEHHA, State of California)

• Dose-Response Assessment Boot Camp* (University of Cincinnati College of Medicine, Risk Science Center)

• Toxicology Reference Data (ACMT)

• Introduction to Medical Toxicology (ACMT)

• American College of Medical Toxicology (ACMT) course: Chemical Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs) & Toxic Industrial Materials (TIMs) (ACMT)

• American College of Medical Toxicology (ACMT) webinar series: Chemical Agents of Opportunity for Terrorism: Toxic Industrial Chemicals (TICs) & Toxic Industrial Materials (TIMs) (ACMT)

• ToxTutor (HHS/NIH/National Library of Medicine)

*Offered for a fee

Quizzes

• Phosgene Exposure (The Poison Review)

Cartoons and Videos about Toxidromes

• Toxidrome Flashcards (LITFL)

  • Anticholinergic Toxidrome (YouTube video)

  • Cholinergic Toxidrome

  • Cyanide Poisoning (YouTube video)

  • Hydrogen Sulfide Poisoning (YouTube video)

  • Cyanide Poisoning Antidotes

• More Youtube videos

  • Hydrofluoric Acid Toxidrome (YouTube video)

  • Carbon Monoxide Poisoning (YouTube video)

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Professional Societies, Organizations, and Discussion Groups

Professional societies and associations can be useful tools for chemical management, identification, and human health information. These societies include experts, and making connections can provide a wealth of information.

Medical Societies

• American College of Medical Toxicology (ACMT)

• American College of Occupational and Environmental Medicine (ACOEM)

• Association of Occupational and Environmental Clinics (AOEC)

• International Consumer Products Health and Safety Organization (ICPHSO)

• Occupational Health Disaster Expert Network (OHDEN)

• Disaster Preparedness Advisory Council (American Academy of Pediatrics)

Toxicological and Risk Assessment Organizations

• European Center for Ecotoxicology and Toxicology of Chemicals (ECETOC)

• Harvard Center for Risk Analysis (HCRA)

• International Society of Exposure Science (ISES)

• International Union of Toxicology (IUTOX)

• Society of Toxicology (SOT)

• Society for Risk Analysis (SRA)

• University of Cincinnati, Risk Science Center (Formerly knows as TERA, Toxicology Excellence for Risk Assessment)

Other Organizations

• American Industrial Hygiene Association (AIHA)

• ACGIH® (formerly the American Conference of Governmental Industrial Hygienists) (ACGIH)

• Decision Analysis Society (DAS)

• European Chemicals Agency (ECHA)

• Joint Institute for Food Safety and Applied Nutrition at the University of Maryland (FoodRisk.org) (JIFSAN)

• International Life Sciences Institute (ILSI)

• Weapons of Mass Destruction (WMD) Special Interest Group (AACT)

• Toxicology Investigators Consortium (ToxIC/ACMT)

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