The Certified Ophthalmic Medical Technologist (COMT) certification designation recognizes those individuals who have progressed through the COA and COT levels or are training program graduates as accomplished eye care professionals.
The DSCA mission includes the broader scope of support that the DOD provides to states upon request, to include support to hurricane, wildland fire, earthquakes, and other natural disasters, through the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act). (21) The Stafford Act is the primary statutory authority for both the DOD DSCA mission and the JTF-CS CBRNE consequence management mission. (22) In accordance with the principles of federalism embodied in the Stafford Act, DOD supports civil authorities during consequence management operations at the direction of the Secretary of Defense to support the lead federal agency (LFA).
Drugs that act on muscarinic acetylcholine receptors, such at atropine, can be poisonous in large quantities, but in smaller doses they are commonly used to treat certain heart conditions and eye problems. Scopolamine, which acts mainly on muscarinic receptors in the brain, can cause delirium and amnesia.4) Acetylcholine binds to postsynaptic receptors. (5) This binding causes ion channels to open and allows sodium ions to flow into the muscle cell. (6) The flow of sodium ions across the membrane into the muscle cell generates an action potential which induces muscle contraction.