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In recent years there has been growing concern that many of the most likely terrorist threats will involve "agents of opportunity - AoO" or materials that are readily available in most communities around the country.
This online CME course is designed to familiarize healthcare providers and others who might have a role in planning and preparations for an emergency response to toxic exposures with a variety of toxic syndromes. The course will review the fundamentals of radiation physics, radiation detection/measurement/identification, prevention of the spread of contamination, how to minimize radiation dose to victims and providers, and the role of medical/health physicists in caring for contaminated patients. Other topics include early evaluation and treatment of the acute radiation syndrome (ARS), acute local injuries, cutaneous and combined injuries, and the psychological consequences of exposures. It also provides an introduction to common sources of ionizing radiation, radiological/nuclear terrorism and hospital preparedness and is recommended not only for practicing nursing and medical communities, but also for medical students, physician assistant students, and nursing students to ensure that these soon-to-be graduated practitioners have adequate basic training in recognizing and managing such incidents. Early basic training in graduate health sciences education will ultimately reduce costs, maximize fund of knowledge at an early stage of development and promote direct application to real-world medicine, thus, benefiting 21st Century healthcare.
For more information on AoO courses, please visit the REAC/TS website
Module Options and Fees
This educational module activity is presented in an online, narrative slide presentation format. There are 3 options for completing the online modules:
1. Completing one or more of the eight individual online modules (within 3 months from enrollment) in the TRMs Day One AoO course at the following price scale:
$15 for each 1 hour module of CME credit
$12 for each .75 hour module of CME credit
$7.50 for each .50 hour module of CME credit
2. Completing the full series of eight online AoO TRMs Day One modules (within one year from enrollment) at a cost of $94.50 Modules should be completed in sequence.
3. Completing the entire 2-day AoO course (TRMs/Day One & TIMs/Day Two) (within one year from enrollment) at a cost of $181.50 Modules should be completed in sequence.
Review Date: April 23, 2014
Original Release Date: June 5, 2014
Termination Date: April 23, 2017
There is a short, one time, introductory video required to be completed before start of module(s). The video is listed below under "Prerequisite" as AoO-TRMs (REM) Introduction to TRMs (00:03:48).
Accreditation and Designation Statements
The Oak Ridge Institute for Science and Education (ORISE) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide AMA PRA Category 1 Credit™ for physicians.
CME educational activities were planned and produced in accordance with the ACCME Essentials.
Lincoln Memorial University DeBusk College of Osteopathic Medicine (LMU-DCOM) is accredited by the American Osteopathic Association (AOA) Council on Continuing Medical Education (CCME) to sponsor Category 1-B online (enduring) continuing medical education for physicians and other health care professionals.
A Certificate of Completion is provided after the completion of required activities (video, post-test, and evaluation) for non-physicians and other health care professionals who want to self-claim Continuing Education (CE) credit.
It is the practice of ORISE and LMU-DCOM to ensure balance, independence, objectivity and scientific rigor in all its educational programs. All participating faculty, CME planners, and reviewers in these programs are required to disclose any relevant financial relationship(s) they have with a commercial interest that benefits the individual in any financial amount occurring withthin the past 12 months; and the opportunity to affect the content of CME about the products or services of the commercial interest.
The ORISE and LMU-DCOM CME Committees also review activity content and the required financial disclosures to identify any relevant financial relationships potentially affecting CME activities.
If necessary, the providers will be required to make changes to activity content as a result of these reviews. ORISE and LMU-DCOM will ensure that any conflicts of interest are resolved before the educational activity occurs. Information concerning faculty financial interests or its absence will be conveyed to participants at the beginning of all CME activities.
The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME webcast: Doran Christensen DO—has nothing to disclose; Rob Beauchamp RN EMT-P—has nothing to disclose; Steve Sugarman MS CHP CHCM; has nothing to disclose.
The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME webcast: Here is a list of our CME Committee and they have no financial relationships to disclose.
|Dr. Stephen Ellis||Dr. Warren B. Sayre||Dr. Carol Iddins||Mark Hart|
|Dr. Seaton Garrett||Stan Roberts, PA||Dr. Ronald Goans||Becky Murdock|
Click here for LMUDCOM's full policy on privacy and confidentiality
Primary Care Physicians - Emergency Medicine, Occupational, Family Practice, General Surgery, Internal Medicine Physicians
Medical Directors for the Emergency Medical Services (EMS) System
Medical Students, Nursing Students, Physician Assistant (PA) Students, Paramedic Students
Nurses, Nurse Practitioners, Nurse Clinicians
Physician Assistants (PA)
Pre-Hospital First Responders (EMTs)
Upon completion of this one-day activity, the participant will be able to:
- Discuss the concepts of radiation physics and radiobiology that are important in the emergency care of the radiation victim.
- Define: exposure, contamination, internal contamination and radionuclide incorporation.
- Select and prepare an appropriate treatment/decontamination area within the hospital and determine staff and patient needs.
- Describe radiation protection and contamination control techniques that can be utilized during the emergency care of contaminated radiation accident victims.
- Given the identity of an internally deposited radioactive contaminant, select the appropriate pharmacological intervention.
- Name sources of assistance that are available during real or presumed radiation accidents.
- Describe radiological and nuclear incidents of concern and the medical consequences.
- Discuss the roles and responsibilities of physicians and nurses during a radiation accident affecting a large population.
Click on the module links below to begin the CME educational activity. Each module will have a step-by-step process for completing the required components for CME credit. These steps include:
- Unscored pre-test
- Video presentation
- Post-test with 3 attempts
- Certificate of completion.
Video length is indicated as (00:00:00). Module video links can open in a 2nd tab and be viewed for review when completing the post-test.
For a 3-minute (optional) preview of each module click on the following link(s):
AoO-TRMs (REM-1) Basic Health Physics and Radiation Protection
AoO-TRMs (REM-2) Medical Management of Acute Radiation Syndrome (ARS)
AoO-TRMs (REM-3) Basic Radiation Instrumentation
AoO-TRMs (REM-4) Acute Local Radiation Injury (LRI) & Case Reviews
AoO-TRMs (REM-5) Emergency Department Protocol for Management of Radiation Accident Victims
AoO-TRMs (REM-6) Common Sources of Radiation
AoO-TRMs (REM-7) Medical Management of Internal Contamination with Radioactive Materials
AoO-TRMs (REM-8) Management of Radiation Emergency Patients
A bibliography for further study is provided at the bottom of this page.
Course Prerequisite Reminder
There is a short, one time, introductory video required to be completed before start of module(s). Once you complete the prerequisite you will no longer see it on the landing page. The video is listed below under "Prerequisite" as AoO-TRMs (REM) Introduction to TRMs (00:03:48).