History n The University of Arizona Emergency Medicine

History n. The University of Arizona Emergency Medicine Research Center q q 1994 Hazmat training program in Tucson, Arizona n. Standardized national course: 1997 n. AACT (American Academy of Clinical Toxicology): 1998

Mission of AHLS To educate and train emergency and health care personnel in the knowledge and medical management of hazardous material exposures

The Goal of the AHLS Provider Course The AHLS Provider Course is designed to provide an educational curriculum regarding the medical management of the most prevalent hazardous materials exposures

The AHLS Team n AEMRC (Arizona Emergency Medicine Research Center) q q q n Established in Oct. 1990 Conduct research, training and education in emergency medicine, toxicology, EMS and injury prevention and control Physicians, firefighters/paramedics, EMS agencies, and public health organizations AACT (American Academy of Clinical Toxicology) q q Founded in 1968 Clinical and research toxicologists, physicians, veterinarians, nurse, pharmacists, etc.

AHLS courses n n AHLS Provider course AHLS Instructor course

AHLS Provider course (1) n 16 hours, two-day continuing medical education course q q q Didactic lectures Interactive scenario discussion Pre and post test

AHLS Provider course (2) n Participants q q q n All health care providers Industrial, toxicology and military personnel Certified paramedics, nurses, physician assistants, physicians, pharmacists, certified toxicologists Course size q q Maximum students: 100 Student/faculty ratio: 25: 1

AHLS Provider course : Materials n n Pre and posttests Manual q n n Updated every four years Research and Evaluation Course Evaluation

Six Sections of Course manual n. General Principles of AHLS n. Toxic Inhalations n. Pesticide poisoning n. Toxic Terrorism q Chemical, biological, radiological and nuclear terrorism n. Corrosives and Solvents n. Miscellaneous Toxicants q Hydrazines, HF, Semiconductor Gases, Ethylene Oxide, Carbon disulfide, mercury

Components of Each Chapter n. Objectives of the chapter n. Names, Numbers and Sources of Exposure n. Physical properties of the material n. Routes of Exposure n. Toxicodynamics n. Signs and Symptoms n. Targets of Toxicity - ABCDE n. Treatment Decon Primary Survey and Resuscitation Poisoning Treatment Paradigm Alter Absorption Antidote Basics Change Catabolism Distribute Differently Enhance Elimination

AHLS Instructor Course n A 6 -hour, one-day continuing education course q q q n Didactic lectures Workshops a posttest Objects q q q Make aware of the policies and procedures of the AHLS program The step by step approach on how to set up a course, get course approval and actually run the provider and instructor program Introduction into adult education

AHLS Instructor course : Participants and course size n Participants q q q n AHLS provider Completed and passed the full two days of the provider course including the posttest Medical personnel Course size q q 100 students per course Student/faculty ratio: 25: 1

AHLS Instructor course : Materials n n n Manual Posttest Course Evaluation

五大症狀 n 剌激性氣體中毒症候群(irritant gas toxidrome) n 窒息劑中毒症候群(asphyxiant toxidrome) n 膽鹼激性中毒症候群(cholinergic toxidrome) n 腐蝕劑中毒症候群(corrosive toxidrome) n 碳氫化合物和鹵化碳氫化合物中毒症候群 (hydrocarbon and halogenated hydrocarbon toxidrome)

謝謝 ! ! n Email: cjchang@vghtc. gov. tw