1. Alternative Routes to NLMs Chemical Information

2. NLM’s Hazmat/CBRN Tools Wireless Information System for Emergency Responders (WISER) Chemical Hazards Emergency Medical Management (CHEMM) (Incorporated into WISER apps)

3. WISER

4. Information Sources Used in WISER

5. WISER Users First Responders/Fire Fighters EMS/Paramedics Hazmat Healthcare Providers

6. WISER – Accessing the Information Identify a known substance Explore the wealth of substance data Map the protective distance Identify an unknown chemical Investigate identification criteria Analyze and compare results

7. Known Substance Type in substance name (Chlorine) or ID # (UN 1017) Select information needed

8. Help Identify an unknown chemical based on: Properties Signs/symptoms (shown at right) Categories NFPA placard Transportation type Unknown Chemical – Help Identify

9. Other Helpful Features Protective Distance Mapping Biological Agent Imagery 9

10. CHEMM

11. CHEMM Website Tool for mass casualty chemical events Scope : Training Planning Response during event Available on the internet & downloadable (for times when internet connectivity is unavailable) Integration into WISER brings CHEMM to mobile platforms & leverages WISER’s wide user-base http://chemm.nlm.nih.gov/

12. WISER/CHEMM Integration – 2 Chemical Identification Tools Help Identify – 2 Options

13. CHEMM-IST Toxic Syndrome Prediction Determine toxic syndrome/group (rather than individual chemical) based on signs/symptoms Specific questions asked – answers drive prediction tool to most likely syndrome

14. Poll

15. Thank you! Any questions? Please contact : Jen Pakiam pakiamj@mail.nih.gov (301) 402-0213