National Library of Medicine Resources for Disaster Planning & Response

National Library of Medicine

NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

National Library of Medicine Resources for Disaster Planning & Response

Disaster Information Management Research CenterSpecialized Information ServicesNational Library of Medicine

DC/SLAJune 12, 2012



It’s Always Something!

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Disaster Information Management Research Center

NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

NLM Long-Range Plan NLM will:

Be a partner in Federal disaster preparedness and recovery efforts

Demonstrate how medical libraries and librarians can provide critical disaster information services

Ensure access to health information and effective use of libraries/librarians in disasters

Establish a Disaster Information Management Research Center (DIMRC)

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Mission:

To develop and provide access to health information resources and technology for disaster preparedness, response and recovery

Connecting people to quality disaster health information and fostering a culture of community resiliency



DIMRC Objectives

Organize and provide access to disaster health literature and resources

Develop emergency response tools

Outreach and partnerships, Disaster Info Specialists

Conduct health IT research and development



Scope of DIMRC Interests

All disaster phases: preparedness, mitigation, response, recovery

All topics related to:• ESF #6. Mass Care, Emergency Assistance, Housing,

and Human Services • ESF #8. Public Health and Medical Services

Many sources: • Local, state, federal and tribal government• Non-government organizations (NGOs)• Private sector



Disaster Workforce: Licensed/credentialed health professionals (ESAR – VHP, 2011)

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Disaster Workforce: Additional licensed or trained professionals

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Compilation of resources and tools:

Topic pages Tools Disaster literature For/about librarians Databases Health organizations Stay informed

http://disasterinfo.nlm.nih.gov




http://disasterinfo.nlm.nih.gov



Topic Pages/Subject Guides



Mobile Connections- Apps

http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html

• Disaster medicine tools

• Disaster resources

• Information about events and disasters

• Others to look for



Disaster Health Information

Peer-reviewed scholarly literature• Journal articles• Books

HazLit Database

“Grey” Literature• Reports• Summaries• Surveillance data• Training materials• Conference proceedings



PubMed References on Disasters

80,000 references to “disasters”

•American Journal of Disaster Medicine• Disasters• Disaster Management and Response• Prehospital and Disaster Medicine• Biosecurity and Bioterrorism• Disaster Med and Public Health Preparedness•Journal of Business Continuity and Emergency Planning

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Resource Guide for Disaster Medicine and Public Health

http://disasterlit.nlm.nih.gov

Gateway to grey literature resources

Resources are freely available on Internet



Emergency Access Initiativehttp://eai.nlm.nih.gov

Sample Journal TitlesAmerican journal of infection controlBurnsDepression and anxietyEmergency radiologyEnvironmental toxicology and pharmacologyJournal of emergency medicineJournal of traumatic stressNew England journal of medicine

Sample Book Titles Merck manual of diagnosis and therapy Public health and prevention management Trauma Human virology Emergency medicine procedures Infectious diseases: the clinician’s guide to

diagnosis, treatment and prevention AHFS Drug Information

Activated for Haiti earthquake, Gulf oil spill, floods in Pakistan, and disaster in Japan

30+ books, 200+ journals



MedlinePlus

http://medlineplus.gov

Consumer-oriented resources

Examples: Floods Earthquakes Radiation

exposure PTSD Tsunamis Winter weather

emergencies

Available in multiple languages



Hazmat/CBRN (Chemical, Biological, Radiological and Nuclear)

Preparedness and Response Resources



WISER, REMM, CHEMM Users

First Responders/Fire Fighters HazMat Teams

EMS/ParamedicsEmergency Dept. Personnel



WISER: Wireless Information System for Emergency Responders

• Easy to use, intuitive tool for Hazmat/CBRN events

• Information tailored to the specific needs and roles of first responders, Hazmat, EMS, & first receivers

• Includes chemical, biological, and radiological agents

• Helps to identify unknown chemicals viasigns/symptoms and properties

• Contains information for triaging patients during mass casualty events

wiser.nlm.nih.gov



WISER: Wireless Information System for Emergency Responders

wiser.nlm.nih.gov

Downloads : Windows = >191,000

BlackBerry (released July 2010) = >30,000

iPhone (released June 2010) = >67,000

Android (released Sept. 2011) = >23,000



WISER Content

Hazardous Substances Data Bank (HSDB)

WMD Response Guidebook

• Over 400 chemicals• 20 radiological agents•CDC Category A biological agents



Search Known Substance



“Help Identify” Unknown Chemical

Identify chemicals based on what is known or observed:

Properties of chemicalSymptoms of exposureSubstance CategoriesTransportation IDNFPA 704 Codes



Protective Distance Mapping



Tools Guidebooks :

US Department of Transportation Emergency Response Guide Book (DOT ERG)

WMD Response Guidebook

Triage Procedures : START – Adult Triage Algorithm JumpSTART – Pediatric Triage Algorithm

Radiological Tools : Dose Estimator Radiation Unit Converter Emergency Contacts + more…

Training Materials



WISER Platforms

iPhone Blackberry Windows Mobile AndroidPC

http://wiser.nlm.nih.gov



REMM: Radiation Emergency Medical Management

remm.nlm.gov

• Guidance for health care providers about clinical diagnosis and treatment of radiation injury during radiological and nuclear events and emergencies.

• Evidence-based information that makes complex issues understandable to those without formal radiation medicine expertise

• Web-based information that is also downloadable in advance and therefore available even if the Internet is not accessible



What you will find in REMM



REMM Usage

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Usage spiked during the Fukushima

nuclear incident in Japan



Japanese Translation of REMM Content

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REMM Platforms

http://remm.nlm.gov

iPhone Blackberry Windows Mobile AndroidPC



CHEMM: Chemical Hazards Emergency Medical Management

chemm.nlm.nih.gov

• Is a resource to assist planners, first responders, first receivers, and other healthcare providers with mass-casualty incident involving chemicals.

• Can download and use in an emergency without an Internet connection

• Used for :• Training• Planning• Response at time of an emergency

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CHEMM-IST: The CHEMM Intelligent Syndromes Tool

• Identifying a toxic syndrome using the CHEMM-IST tool :

• Identify a chemical group, not an individual chemical - chemical groups can have similar properties & similar effects on the human body, & can be treated using similar countermeasures and/or therapeutics.



CHEMM Platforms

PC: Downloaded or Web-based http://chemm.nlm.nih.gov

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Environmental Health & Toxicology

http://tox.nlm.nih.gov

Collection of information topic pages and resources about environmental health and toxicology

Enviro-health links Occupational health Diseases and the

environment Pesticide exposure



Databases: TOXNET

http://toxnet.nlm.nih.gov/

Collection of toxicology and environmental health databases

Includes:

• Database of potentially hazardous chemicals

• References to toxicology literature

• Chemical dictionary

• Chemical structures database



Sample TOXNET Search

Enter “chlorine” into “Search All Databases”

Searches all databases simultaneously



Scenario

A truck overturned on the highway, spilling its contents. The driver is unconscious and there is no way to identify what the chemical in the truck is.

Which resource could first responders use to determine how close they can get to the truck?



NLM and Disaster Information Research

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Prototype Tool for Family Reunification Tested at Local Disaster Drill



Patient Tracking Tools Tested at Local Disaster Drill



Virtual World Disaster Training

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• Evaluating the use of a Virtual World platform to enhance Hospital Incident Command training

• Evaluating the use of 3-D mapping to enhance emergency training and planning



Disaster Information Outreach:Librarians, Libraries and Disasters



Disaster Information Outreach:Librarians, Libraries and Disasters – Why? NLM Long Range Plan:

Ensure…effective use of libraries and librarians when disasters occur.

[demonstrate] how libraries and librarians can be part of the solution.

Events of the last decade have focused national attention on disasters

Attributes of the profession: service-oriented, motivated to connect people and information

Skills of the profession: collect, organize, disseminate quality information crucial to disaster work and public health emergencies

Library buildings, computers, Internet access can help communities re-connect and re-build

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NN/LM Emergency Preparedness Toolkit

Assists librarians in Assists librarians in developing developing preparedness plans preparedness plans and continuing and continuing services during services during disaster recoverydisaster recovery

Provides:Provides: Emergency Emergency

contactscontacts Sample formsSample forms Preservation Preservation

informationinformation nnlm.gov/ep



About the Stafford Act

Authorizes FEMA response to disasters including the Public Assistance Grant Program

Libraries are “essential community services” eligible for federal assistance “for the provision of temporary facilities”

“Eligible public facilities include police, fire protection/ emergency services, medical care, education, libraries, utilities and other essential community services.

Robert T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288 as amended), http://fema.gov/about/stafact.shtm

9523.3 Provision of Temporary Relocation Facilities, http://www.fema.gov/government/grant/pa/9523_3.shtm



DISASTR-OUTREACH-LIB listserv, 800+ subscribersdisasterinfo.nlm.nih.gov/dimrc/dimrclistserv.html

Monthly conference calls that are open to all Networking and information sharing Training Outreach projects – funding for partnerships between a

library and a responder agency

Building a Community of Practice…How does DIMRC Encourage Librarian

Involvement?

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Disaster Information Specializationwww.mlanet.org/education/dis

Medical Library Association continuing education program funded by NLM

No cost to students

Courses for both librarians AND for disaster health workforce

All courses will be available online.

Five required courses (each 3 hours) for basic level; additional 12 contact hours for advanced level

All program courses and activities earn MLA continuing education credit and may also be used toward AHIP

Awareness Basics Confidence



Course Topics - Basic

Disaster Health Information Sources: The Basics Robin Featherstone

US Response to Disasters and Public Health Emergencies Mary Moore, Kimberley Loper

Roles in Disaster Preparedness, Response, Recovery Robin Featherstone

National Incident Management System, an Introduction Online from FEMA

Introduction to Incident Command System Online from FEMA



Course Topics - Advanced

Disasters in an International Context John Scott, Pat Bittner

Ethical and Legal Aspects of ResponseBarb Folb, Patti Reynolds

A Seat at the Table: Working with Local RespondersRebecca Hamilton, Diane Brown

CBRN [Chemical, Biological, Radiological, Nuclear] and Hazmat Information Resources

Jen Pakiam, Elizabeth Norton



DIMRC Goals for Supporting Instructors

Develop courses and course materials that can be adapted as needed for:

•Librarians, disaster workforce or other audiences•Local circumstances•Specific disaster events

Library of slides, images, tutorials, video clips

Use existing infrastructure•Experienced trainers•MLA CE (continuing education) credit•Educational Clearinghouse



Disaster Health Information Outreach and Collaboration Projects

• 7 proposals awarded in Summer 2011

• Collaborations between library and disaster/emergency organizations for improving access to disaster medicine and public health information for the disaster health workforce

• One year; $15,000 – 30,000

• Based on success of pilot projects



2011-12 Disaster Health Information Outreach and Collaboration Projects

American Academy of Pediatrics (Elk Grove Village, IL) and University of Illinois at Chicago Library of the Health Sciences

Health Sciences Library, University of Alabama (Tuscaloosa, AL) with EMPACT (Emergency Medical Programs and Community Training) West Alabama and the University of Alabama Institute for Rural Health Research

Inova Fairfax Hospital (Falls Church, VA) with the Inova Fairfax Hospital Health Sciences

Library and the Northern Virginia Hospital Alliance Kanawha-Charleston Health Department (Charleston, WV) with the West Virginia School of

Osteopathic Medicine and Concord University Marshall County Health Department (Benton, KY) with the Marshall County Public Library Monroe County Department of Public Health (Rochester, NY) with the Rochester Public Library University of New Mexico Health Sciences Center (Albuquerque, NM) with the UNM Health

Sciences Library and Informatics Center and the UNM Center for Disaster Medicine

http://disasterinfo.nlm.nih.gov/dimrc/2011disasteroutreachawards.html



Staying Connected and Informed Stay connected:

• @NLM_DIMRC on Twitter

• DISASTR-OUTREACH-LIB listserv

• RSS feed

Stay informed:• New documents

from the Resource Guide

• New in PubMed• Disaster News



Elizabeth F. Norton

LibrarianDisaster Information Management Research CenterSpecialized Information ServicesNational Library of MedicineNational Institutes of [email protected] 301-443-9420

Questions?

Health & Medicine

National Library of Medicine Resources for Disaster Planning & Response