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 3

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

Radiation Emergency Medical Management (REMM)

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 10

Overview of the REMM Website

Emergency Types

Initial Incident Activities

Patient Management

Management Modifiers

Tools and Guidelines

Other Audiences

Content for Planners Example

Quick Links

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

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 Team Managing Editor: Judith Bader, MD, NCI ASPR Project Manager: Norman Coleman, MD, NCI Technical Team Florence Chang, NLM Jennifer 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

Additional Resources of Note Disaster Literature Topic pages R&D Social Media Apps HazMat/CBRN Tools Disaster Info Specialists

DIMRC Disaster Apps Page

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/ .htm remm.nlm.gov/ .htm Look at DIMRC site for more apps disaster.nlm.nih.gov

Kelli Ham, MLIS Consumer Health and Technology Coordinator National Network of Libraries of Medicine, Pacific SW Region UCLA Louise M. Darling Biomedical Library Thank You!