1. 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

2. 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)

3. Agenda Overview Content Areas Formats and Devices Demos Scenarios Exercises 3

4. 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

5. 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

6. Radiation Emergency Medical Management (REMM) http://www.remm.nlm.gov/

7. 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

8. REMM Users: Clinicians and First Responders

9. REMM Usage – Fukushima 2011

10. Japanese Translation of REMM Content 10

11. Overview of the REMM Website http://www.remm.nlm.gov

12. Emergency Types

13. Initial Incident Activities

14. Patient Management

15. Management Modifiers

16. Tools and Guidelines

17. Other Audiences

18. Content for Planners Example

19. Quick Links

21. Reference Data Center

22. Search and Browse

23. Search Results

24. Advanced Search

25. Site Map - Comprehensive List

26. Training: Start Here

27. Training: REMM’s Multimedia Library Scroll through illustrations/videos in a carousel format or click on categories

28. Training: Important Radiation Concepts Animations, illustrations, and photos teach important radiological and clinical concepts

29. Medical Treatment: Patient Management Algorithms

30. Medical Treatment: Algorithm Content Example

31. Choose Appropriate Algorithm: Contamination and/or Exposure

32. Medical Treatment: Dose Estimator for Exposure Tools

35. REMM Bibliography

36. REMM Bibliography: Example

37. REMM Platforms and Devices

38. Running REMM from USB Drive

39. REMM App

40. Isotopes of Interest Example

41. More Content and Tools

42. 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?

43. 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

44. NLM’s CBRN Tools Wireless Information System for Emergency Responders (WISER) Chemical Hazards Emergency Medical Management (CHEMM) Radiation Emergency Medical Management (REMM)

45. Disaster Information Management Research Center from NLM Access WISER, CHEMM and REMM all from the DIMRC Home Page http://disasterinfo.nlm.nih.gov/ http://disasterinfo.nlm.nih.gov/

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

47. DIMRC Disaster Apps Page http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html

48. Discussion: Next Steps What will you do with this knowledge? How can you help your organization prepare?

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

51. Kelli Ham, MLIS Consumer Health and Technology Coordinator National Network of Libraries of Medicine, Pacific SW Region UCLA Louise M. Darling Biomedical Library kkham@library.ucla.edu http://nnlm.gov/psr Thank You!