remm radiation emergency medical management: guidance on diagnosis and treatment for health...
TRANSCRIPT
REMM
Radiation Emergency Medical Management:Guidance on Diagnosis and Treatment for Health Providers
Kelli Ham, MLIS
Consumer Health and Technology Coordinator
National Network of Libraries of Medicine, Pacific Southwest Region
National Library of Medicine
Information Resources – • MEDLINE/PubMed, REMM, and many more
Outreach Programs – • NN/LM (National Network of Libraries of Medicine)
Divisions and Centers• DIMRC (Disaster Information Management Resource Center)
Agenda
• Overview• Content Areas• Formats and Devices• Demos• Scenarios• Exercises
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REMM Site Goals
• Provide guidance for clinical diagnosis and treatment during radiological emergencies
• Just-in-time, evidence-based information
• For responders without formal radiation medicine expertise
• Provide resources in variety of formats most useful in emergency situations
Training Goals
Participants will:
• Be familiar with content
• Be aware of various formats & devices for use different settings
• Gain skills in navigating and finding guidelines, calculators, and tools
Content and Resources in REMM
• Radiation principles (e.g., exposure vs. contamination)
• Patient management algorithms
• Initial onsite activities
• Decontamination procedures
• Assess internal contamination
• Countermeasures
• Training and Education
• Emergency Medical Treatment
REMM Users:Clinicians and First Responders
REMM Usage – Fukushima 2011
Japanese Translation of REMM Content
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Overview of the REMM Website
http://www.remm.nlm.gov
Emergency Types
Initial Incident Activities
Patient Management
Management Modifiers
Tools and Guidelines
Other Audiences
Content for Planners Example
Quick Links
Quick Links Detail
Reference Data Center
Search and Browse
Search Results
Advanced Search
Site Map - Comprehensive List
Training: Start Here
Training: REMM’s Multimedia Library
Scroll through illustrations/videos in a carousel format or click on categories
Training: Important Radiation Concepts
Animations, illustrations, and photos teach important radiological and clinical concepts
Medical Treatment: Patient Management Algorithms
Medical Treatment: Algorithm Content Example
Choose Appropriate Algorithm: Contamination and/or Exposure
Medical Treatment: Dose Estimator for Exposure Tools
Countermeasures
Countermeasures: KI
REMM Bibliography
REMM Bibliography: Example
REMM Platforms and Devices
Running REMM from USB Drive
REMM App
Isotopes of Interest Example
More Content and Tools
A Few Exercises
1. Search REMM to find out how to perform a survey for radiation contamination
2. Search REMM to answer the question:
What is the treatment for a patient who presents with no injuries and was exposed to radiation at 9:00 today and began vomiting at 15:00?
REMM Team
• Partnership: ASPR, NIH/NCI, CDC, NLM
• Content TeamManaging Editor: Judith Bader, MD, NCIASPR Project Manager: Norman Coleman, MD, NCI
• Technical TeamFlorence Chang, NLMJennifer Pakiam, NLM
• Over 50 Subject Matter Experts
NLM’s CBRN Tools• Wireless Information
System for Emergency Responders (WISER)
• Chemical Hazards Emergency Medical Management (CHEMM)
• Radiation Emergency Medical Management (REMM)
Disaster Information Management Research Center from NLM
Access WISER, CHEMM and REMM all from the DIMRC Home Page http://disasterinfo.nlm.nih.gov/
Additional Resources of Note
• Disaster Literature • Topic pages• R&D• Social Media• Apps• HazMat/CBRN Tools• Disaster Info
Specialists
DIMRC Disaster Apps Page
http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html
Discussion: Next Steps
• What will you do with this knowledge?• How can you help your organization prepare?
To Do List
Download REMM to computer
Try out mobile app
Check out the content areas
Watch some videos
Sign up for REMM listserv
remm.nlm.gov/email.htm
Look at DIMRC site for more apps
disaster.nlm.nih.gov
Questions?
Kelli Ham, MLISConsumer Health and Technology Coordinator
National Network of Libraries of Medicine, Pacific SW Region
UCLA Louise M. Darling Biomedical Library
http://nnlm.gov/psr
Thank You!