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REMM

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 –

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REMM

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  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

  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

  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

  20. Quick Links Detail

  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 Estimatorfor Exposure Tools

  33. Countermeasures

  34. Countermeasures: KI

  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 • Search REMM to find out how to perform a survey for radiation contamination • 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 TeamManaging Editor: Judith Bader, MD, NCIASPR Project Manager: Norman Coleman, MD, NCI • Technical TeamFlorence Chang, NLMJennifer 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/

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

  50. 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

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