Surety Medicine

Surety Medicine

Last Updated: August 08, 2025

​​​​​​​​​​​​​​​​​​​​​​Surety medicine focuses on protecting the health of the personnel who deal with nuclear, biological or chemical materials, and on medical requirement compliance to help ensure the security of the materials and the work force.

August 2025 Surety Medicine Teleconference

Red Blood Cell Cholinesterase Monitoring:
What Every Competent Medical Authority Should Know

Wednesday, 20 August 2025 will bring the next monthly Surety Medicine Teleconference at 1 pm (1300 hrs) Eastern Time.  The topic for August is “Red Blood Cell Cholinesterase Monitoring:  What Every CMA Should Know​."  The presenter will be the Senior Occupational Health Physician for the Army Office of The Surgeon General Surety Medicine Branch.​

To request additional information, email the Army Surety Medicine Branch at: 

usarmy.jbsa.medcom-hq.mbx.surety-medicine@army.mil​



FY25 Surety Medicine Teleconferences

​Presentation Title                                           Date      

​Red Blood Cell Cholinesterase Monitoring:                            08/20/2025
What Every CMA Should Know

​​Hearing in Noise Testing                                                           09/17/2025

​​



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FY26 Surety Medicine Teleconferences

​Presentation Title                                              Date     

​Medical Policy Guidance for PRP Relevant Information         15 OCT 2025
​​​​​Documentation, Assessment, and Reporting to 
Certifying Officials

Cardiovascular Screening (includes MIs, Arrhythmias,           19 NOV 2025
Stents, PCIs, and CABGs)

Hazard-specific Medical Surveillance Examinations                17 DEC 2025
(Chemical, Biological, Nuclear)

Potential Exposure Evaluations                                                  21 JAN 2026 

Worksite Visits (Planning, Conducting, Documenting)            18 FEB 2026

Fitness For Duty Evaluations (5 CFR 339)                                  18 MAR 2026

Chemical, Biological, Nuclear Incident/Mishap                        15 APR 2026
Response and Assistance

Sleep Disordered Breathing, OSA, and the PRP                        20 MAY 2026  

MHS Genesis, Medical Record Audits, Peer Review,                17 JUN 2026 
Quality Assurance Checks in PRP records        

Respiratory Protection Program, Respirator Clearances,        15 JUL 2026
and Respirator Use Testing  

PRP Mental Health Reliability Screening                                    19 AUG 2026

Advanced Life Support Pre-Hospital Care (Capnography,        16 SEP 2026​ 
Ventilation, Emergency Respiratory Support)






--ALER​T--

NERVE AGENT ANTIDOTE SHELF LIFE EXTENSION PROGRAM

Specific lots of DuoDote(R) combined nerve agent antidote auto-injectors were approved for shelf life extensions beyond labeled expiration dates; all of these have now expired.  

NO PREVIOUSLY EXTENDED NERVE AGENT 
ANTIDOTES ARE NOW APPROVED FOR USE.

Previously, the U.S. Food and Drug Administration (FDA) provided extended expiry dates for specific lots of AtroPen (atropine), CANA (diazepam), DuoDote, morphine sulfate, and pralidoxime chloride auto-injectors. However, because no further expiry dating extensions of these lots are possible, FDA is alerting civilian health care professionals and emergency responders that all of these extended lots are no longer useable and should be properly disposed of.

Complete FDA information related to the auto-injector shelf life extension program can be found at this  FDA Drug Sa​fety Page​.​