It doesn't even need that. It should start by grouping the options by severity - separate the real alerts from the test alerts via section headers and you solve 99% of the problem.
Given the cost of a mis-click, I'd also implement a Github-style confirmation box that can't just be subconciously clicked-through ("To confirm that you wish to send a PACOM Alert, type 'pacom alert'").
[1]: https://twitter.com/iamlucamilan/status/953201356545974272