HazMat ResourcesA guide to different Hazardous Materials web resources

designed for first responders.

CHEMM: Introduction

http://chemm.nlm.nih.gov/Chemical Hazards Emergency ManagementProduced by U.S. Dep. of H.H.S. and the NLMDesigned to enable first responders/providers

and emergency personnel to plan for and respond to effects of mass-casualty incidents involving chemicals

Downloadable and web-based resourceContains interactive tools, checklists, guidelines,

lists, directories, scenarios and other material

CHEMM: New users

http://chemm.nlm.nih.gov/wheretostart.htm

• Link to this section found on homepage

• Access site and information two ways, depending on new users background and intent

1) first responders and/or hospital providers in a chemical emergency scenario

2) new users unfamiliar with CHEMM and its organization.

• Both sections contain the same information and links• Select whichever technique is more relevant to needs

or comfortable to use

CHEMM: Site Navigation

Find materials on web site according to:

Personnel status or readiness

Chemical emergency scenario aspects

Content tree structure map

CHEMM: CHEMM-IST

• A prototype support tool for identifying the chemical a patient was exposed to in a mass casualty incident

• Asks up to 15 multiple-choice questions to determine a hypothetical patient’s syndrome.

http://chemm.nlm.nih.gov/chemmist.htm

• Not intended for actual patient care

CHEMM: Acute Patient Care Guidelines

• Guidelines provided for specific chemical agents like ammonia and hydrogen cyanide for pre-hospital and emergency dept./hospital managements

• Each agent webpage consists of• Chemical agent management

overview (identification, rescuer protection, decontamination, etc.)

• Hot Zone information• Decontamination zone facts• Support zone information

http://chemm.nlm.nih.gov/mmghome.htm

CHEMM: Chem. Types/Categories

Resource also provides a continually updated list hazardous chemicals organized by type and category

Each hyperlinked hazardous chemical type or category listed is linked to its own web page and broken down into more readable, specific information…

http://chemm.nlm.nih.gov/agentcategories.htm

CHEMM: Chem. Types/Categories

Additional supplementary information ChemIDPlus and the Hazardous Substances Data Bank (NIH/NLM)

Each chemical type comes with:

a definitionlinks to info from the CDC, WISER, and CAMEO such as agent names, properties, traits, PPE, symptoms, and other emergency response data

CHEMM: Emergency Contacts

A list of basic Emergency Contacts for the general public and professionals is featured. In addition, the full web page lists agencies, phone numbers, and websites for more specific professionals such as response providers and medical/hospital providers and public and community resources.

http://chemm.nlm.nih.gov/emergencycontacts.htm

CHEMM: Dictionary

• Dictionary adapted from the CDC/ATSDR “Managing Hazardous Materials Incidents” and the CIA “Chemical/Biological/Radiological Incident Handbook”

• Searched by selecting the first letter of the word in question.

http://chemm.nlm.nih.gov/dictionary.htm

• Includes links to additional dictionaries like the Glossary of Terms (CDC/ATSDR), IUPAC Glossary of Terms Used in Toxicology, and Common Toxicology Terms (Society of Toxicology).

WISER: Introduction

• The Wireless Information System for Emergency Responders (WISER) is a system concept for providing First Responders at the scene of hazardous material incidents – chemical, biological, or radioactive – with integrated information, decision support, and communications

• Information available on stationary and mobile devices

• Substance information and identification properties come from the Hazardous Substances Data Bank (HSDB), developed and maintained by the National Library of Medicine.

• This guide focuses on the web application version

http://webwiser.nlm.nih.gov/getHomeData.do

WISER: Content Overview

• Developed by the National Library of Medicine (NLM), WISER provides a wide range of information on hazardous substances, including chemical identification support, physical characteristics, human health information, and containment and suppression information.

• WISER consist of the following primary screens:• Substance List Page: lists all available substances• Substance Data Page: displays substance data for a selected

substance• Help Identify Page: identification of unknown chemicals• Tools Page: general tools and reference materials

WISER: User Profiles

• WISER allows the user to specify 1 of 3 roles they are currently performing at the scene: emergency responder, Hazmat Specialist, and EMS Specialist

• Along with basic information, users given information most relevant to their respective role

• Profile determines how certain information is presented by WISER, i.e., what ‘hot links’ are presented on the Substance Data Screen’s data menu, ensuring that the most relevant information is the most readily available.

First Responder• PPE• Protective Distance• Fire Procedures• Reactivities• Treatment

Hazmat Specialist• Phystical Properties

Summary• PPE• IDLH• Flammability Limits• NFPA 704 Classification

EMS Specialist• Treatment• Health Effects• Toxicity

Summary• IDLH• NFPA 704

Classification

WISER: Substance List

If the name of a substance is known, users can search the list and find information about the substance relevant to their role

2. Search by moving through the arrows located toward the bottom of the screen

Users can search through the list in up

to 4 ways:

http://webwiser.nlm.nih.gov/knownSubstanceSearch.do

1. Use A-Z links as seen in the image. Option is only available when the list is in a “Search By Name” state.

WISER: Substance List

Field for text searching

 A-Z links used to move through the substance list

 Sets the starting substance in the list

 

Navigation Controls to move through the list

 

Current status

 

Filter by substance “type”

 

4. Entering one of the substance’s ID numbers in the Known Substance field• UN/NA, CAS registry or STCC number

3. Filtering based on the “type” of substance (all substances, all chemicals, all biologicals, all radiologicals)

WISER: Substance List/Data Screen

After locating the desired substance in the list, clicking it displays the Substance Data Screen for that compound.

Ex. Diethyl Ether (alias of Ether)

Finish note section at bottom; Us.Gu.; perhaps include on next slide?

WISER: Data Screen & Profile

Basic substance information remains the same but other information provided is tailored to user type (i.e., first responder, etc.).

Ex. Diethyl Ether (alias of Ether)

Common to all user profiles

TOXNET: Introductionhttp://toxnet.nlm.nih.gov/

• Free, Web-based system of databases on toxicology, environmental health, hazardous chemicals, toxic releases, chemical nomenclatures, and specialty areas such as occupational health and consumer products.

• Not formatted for web-devices, not designed for first responders/those on the scene.

• TOXLINE and DART citations cover 1965 to the present. You may also find a few citations dating back to the 1940's.

TOXNET: The Databases

• http://sis.nlm.nih.gov/enviro/databasedescriptions.html • Toxnet is a collection of 20 different databases. Click the link

above for a description of each database.

TOXNET: The Databases (cont.d)

From the main TOXNET page, you can also learn more about the databases by clicking on the question marks next to each database name.

Clicking on a question mark takes you to a short description, example below.

TOXNET: Search Techniques

There are two ways to search Toxnet—You can either search a specific database or enter a term in the main search box which will search all of them.

Once you hit search, the results will tell you which databases the information is coming from.

TOXNET: Search Techniques

• To do an “advanced” search, click the “limits” box underneath the search window. This will expand and give options for how to limit the search.

TOXNET: • Uses Boolean operators (and, or, not)• Truncation• Phrase searching—Put quotation marks around your terms to

search as a phrase• Synonym—By default the system will search for the exact

name, synonyms, and CAS number. Select “no” to search only exact term or CAS number.

TOXNET: Managing Results

Once you click on a database on the results page, you will encounter a list of the articles with this set of buttons on the left-hand side:

Save Checked Items—save items in a set for displaying, sorting, and downloadingSort—sort the entire search results or items in a saved set

Download—download the entire search results or items saved in a set in brief, full, abstract, or tagged form.Modify Search—make changes to the most recent search

Basic Search—conduct a new search in the same databaseBrowse Index—browse all words, CAS Registry Number, chemical name, and in bibliographic databases MeSH headings/keywords and authorsGo to the Help file for that databaseGo to TOXNET Home

http://sis.nlm.nih.gov/enviro/toxnetmanualfeb2011.pdf