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  • 1. NLM’s Free Downloadable, Online, and Smartphone Tools for First Responders and Others. Part 1: WISER (Wireless Information System for Emergency Responders) Pertti (Bert) J. Hakkinen, Ph.D. Senior Toxicologist, and Toxicology and Environmental Health Science Advisor Specialized Information Services, National Library of Medicine National Institutes of Health Also: Adjunct Associate Professor, Biomedical Informatics Department, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 1
  • 2. Times and Technologies are Changing! Photo courtesy of Cesar Bandera, Ph.D. New Jersey Institute of Technology National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2
  • 3. U.S. National Library of Medicine (NLM) NLM’s Mission: Collect, organize, and disseminate health- related information.  World’s largest biomedical library   Millions of items in collection  Services: PubMed, MedlinePlus and many others   Several hundred million searches of PubMed each year   Articles from several thousand journals indexed monthly  Research and Development   Biomedical informatics and communications  Relatively new focus (within Specialized Information Services): Disaster information National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 3
  • 4. NLM Disaster and Emergency Response Tools  Wireless Information System for Emergency Responders (WISER) --- released about eight years ago  Chemical Hazards Emergency Medical Management (CHEMM) --- released in mid-2011  Radiation Emergency Medical Management (REMM) --- released about four years ago National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 4
  • 5. http://disaster.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 5
  • 6. http://disasterinfo.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 6
  • 7. NLM’s challengesNeed to compile authoritative, trustworthy informationInformation needs to meet the needs of the usersUsers need to have access when and where they need itUsers need easy access, e.g., during emergenciesInformation evolvesWays to deliver and access the information evolve National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 7
  • 8. Wireless Information System forEmergency Responders (WISER) www.wiser.nlm.nih.gov National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 8
  • 9. WISER - Strategic Objectives  Easy to use, intuitive  Information tailored to the specific needs and roles of 1st responders, HazMat, EMS, & 1st receivers  Reliable, complete, and trustworthy information  Unknown substance identification capabilities  Provide a platform that can be expanded to support other emergency response needs  Rich, stand-alone capability with enhanced connected (wireless) capabilities  Cross-platform, multi-device architecture National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 9
  • 10. WISER Platforms – A Little HistoryPalm Pilot Pocket PC LaptopAugust 2011 Android Blackberry iPhone WebWISER National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 10
  • 11. Download as a standalone application on:Microsoft Windows PCsApple’s iPhone and iPod touch devicesGoogle Android devicesWindows Mobile devicesBlackBerry devices (Internet connectivityneeded)Palm OS PDAs National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 11
  • 12. WebWISERWith Internet connection, use Web browserto access same functionality of standaloneWISERSupports PC and other browsers, includingon BlackBerry, iPhone, and Android devices National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 12
  • 13. WISER BasicsEither you know what you’re dealing with… … or you don’t! National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 13
  • 14. Examples of Recent AnnouncementsMarch 1, 2012: Version 2.0 WISER for iPhone/iPod touch availableJanuary 19, 2012: Protective distance mappingfor WebWISER availableAugust 24, 2011: Version 1.0 of WISER forAndroid available National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 14
  • 15. WISER for iPhone/iPod touch 2.0What’s new?WISERs popular Help Identify Chemical capabilityis now available on the iOS platform.Use WISERs protective distance mapping featureon your iPhone or iPod touch. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 15
  • 16. WISER for iPhone/iPod touch 2.0 includes:Fully featured implementation of Help IdentifyChemical Identify using physical properties, signs/ symptoms, categorization, NFPA placards, and transportation containersCan save a help identify search for later recall andfreely search the result list using any identifier National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 16
  • 17. Identify and validate an unknown chemical basedon the following criteria:•  Physical properties of the substance gathered byobservation or sensors•  Signs and symptoms of victims of exposure•  Categorize a substance, such as a substance used in ameth lab or a flammable substance•  Hazard values from NFPA 704 placards•  Transportation identification, including DOT placards,type of road trailer, and type of rail car National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 17
  • 18. “Help Identify” Unknown Chemical National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 18
  • 19. National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 19
  • 20. National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 20
  • 21. As of March 1, 2012, WISER for iPhone/iPodtouch 2.0 is now available.What’s new?WISERs popular Help Identify Chemical capabilityis now available on the iOS platform.Use WISERs protective distance mapping featureon your iPhone or iPod touch. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 21
  • 22. Visualize protective distance data for a given substancedirectly on your iPhone or iPod touchTrack both current position and the location of a plottedprotective distance areaWISER must have permission to use location services totrack your current locationAccuracy of this capability is affected by the capabilitiesof device (note that not all iOS devices include a GPS) National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 22
  • 23. National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 23
  • 24. National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 24
  • 25. National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 25
  • 26. CBRNE Information in WISER  ~420 Chemical Agents  ~20 Radiological Agents  CDC Category A Biological Agents National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 26
  • 27. WISER Training, updates, and 24/7 accessibility   Training materials can be downloaded   WISER email list keeps users updated   WebWISER accessible 24/7 if Internet available National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 27
  • 28. WISER Training Materials  Ready-made material for hazmat training on the use of WISER  Scenario-based “modules”   MS PowerPoint slides (with embedded Video & screen shots)   Instructor Guides/Scripts   Student Handouts   Can be changed by trainer to suit specific needs   Overturned tanker, mall bomb, mobile meth lab, and warehouse scenarios  Available online at wiser.nlm.nih.gov   Single download National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 28
  • 29. Tools Emergency Response Guidebook (ERG) Triage flowchart Radiation Events National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 29
  • 30. Coming Soon to WISERUniveral (iPad) supportHelp identify, tools, and protective distance mappingfor WISER for AndroidBiological agent additions (e.g., H1N1)Enhanced ERG integrationProtective distance mapping enhancementsand more! National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 30
  • 31. How to stay informed National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 31
  • 32. http://disasterinfo.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 32
  • 33. http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 33
  • 34. " Comments?" Suggestions?Pertti (Bert) J. Hakkinen, Ph.D.Senior Toxicologist, and Toxicology and Environmental Health Science Advisor (to the Director)Specialized Information Services, National Library of MedicineNational Institutes of HealthBethesda, MD USApertti.hakkinen@nih.gov http://sis.nlm.nih.gov/ National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 34

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