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National Library of Medicine Resources for Disaster Planning & Response

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Slides from talk given by Elizabeth Norton at DC/SLA meeting on June 12, 2012. Slides describe resources and programs from the National Library of Medicine related to disaster planning, response and recovery, including information about a new disaster information specialization program.

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National Library of Medicine Resources for Disaster Planning & Response

  1. 1. National Library of MedicineResources for Disaster Planning &ResponseDC/SLAJune 12, 2012Disaster Information Management Research CenterSpecialized Information ServicesNational Library of Medicine National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  2. 2. It’s Always Something! National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2
  3. 3. NLM Long-Range Plan NLM will:  Bea 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) Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 3
  4. 4. Disaster Information Management Research Center Connecting people to quality disaster health information and fostering a culture of community resiliencyMission:To develop and provide access to health information resources and technology for disaster preparedness, response and recovery National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. 5. DIMRC Objectivesrganize and provide access to disaster health literature and resourcesevelop emergency response toolsutreach and partnerships, Disaster Info Specialists Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  6. 6. Scope of DIMRC InterestsAll disaster phases: preparedness, mitigation, response,recoveryAll topics related to: • ESF #6. Mass Care, Emergency Assistance, Housing, and Human Services • ESF #8. Public Health and Medical ServicesMany sources: • Local, state, federal and tribal government • Non-government organizations (NGOs) • Private sector Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  7. 7. Disaster Workforce: Licensed/credentialedhealth professionals (ESAR – VHP, 2011) Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 7
  8. 8. Disaster Workforce: Additional licensed or trained professionals Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 8
  9. 9. Disaster Information Management Research Center  Compilation of resources and tools:  Topic pages  Tools  Disaster literature  For/about librarians  Databases  Health organizations  Stay informed http://disasterinfo.nlm.nih.gov Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  10. 10. Disaster Information Management Research Center http://disasterinfo.nlm.nih.gov Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  11. 11. Topic Pages/Subject Guides National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  12. 12. Mobile Connections- Apps • Disaster medicine tools • Disaster resources • Information about events and disasters • Others to look for http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  13. 13. Disaster Health InformationPeer-reviewed scholarlyliterature HazLit• Journal articles Database• Books“Grey” Literature• Reports• Summaries• Surveillance data• Training materials• Conference proceedings National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  14. 14. 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 Disaster InformationPlanning Emergency Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 14
  15. 15. Resource Guide forDisaster Medicine and Public Health  Gateway to grey literature resources  Resources are freely available on Internet http://disasterlit.nlm.nih.gov Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  16. 16. Emergency Access Initiative http://eai.nlm.nih.gov Sample Journal Titles Sample Book TitlesAmerican journal of infection control  Merck manual of diagnosis and therapyBurns  Public health and prevention managementDepression and anxiety  TraumaEmergency radiology  Human virologyEnvironmental toxicology and  Emergency medicine procedurespharmacology  Infectious diseases: the clinician’s guide toJournal of emergency medicine diagnosis, treatment and preventionJournal of traumatic stress  AHFS Drug InformationNew England journal of medicine Activated for Haiti earthquake, Gulf oil spill, floods in Pakistan, and disaster in Japan 30+ books, 200+ journals Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  17. 17. MedlinePlus http://medlineplus.gov Consumer-oriented resources Examples:  Floods  Earthquakes  Radiation exposure  PTSD  Tsunamis  Winter weather emergencies Available in multiple languages Disaster Information Management Research CenterNATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  18. 18. Hazmat/CBRN(Chemical, Biological, Radiological and Nuclear)Preparedness and Response Resources Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  19. 19. WISER, REMM, CHEMM UsersFirst Responders/Fire Fighters HazMat Teams Emergency Dept. Personnel EMS/Paramedics National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  20. 20. WISER: Wireless Information System for Emergency Responders • Easy to use, intuitive tool for Hazmat/CBRN events • Information tailored to the specific needs and roleswiser.nlm.nih.gov of first responders, Hazmat, EMS, & first receivers • Includes chemical, biological, and radiological agents • Helps to identify unknown chemicals via signs/symptoms and properties • Contains information for triaging patients during mass casualty events Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  21. 21. WISER: Wireless Information System for Emergency Responders  Downloads :  Windows = >191,000wiser.nlm.nih.gov  BlackBerry (released July 2010) = >30,000  iPhone (released June 2010) = >67,000  Android (released Sept. 2011) = >23,000 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  22. 22. WISER Content WMD Hazardous Response Substances Guidebook Data Bank (HSDB)• Over 400 chemicals• 20 radiological agents•CDC Category Abiological agents Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  23. 23. Search Known Substance Disaster Information Management Research CenterNATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  24. 24. “Help Identify” Unknown ChemicalIdentify chemicalsbased on what isknown or observed:Propertiesof chemicalSymptoms of exposureSubstance CategoriesTransportation IDNFPA 704 Codes Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  25. 25. Protective Distance Mapping Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  26. 26. 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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  27. 27. WISER Platformshttp://wiser.nlm.nih.govPC iPhone Blackberry Windows Mobile Android National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  28. 28. REMM: Radiation Emergency Medical Management • Guidance for health care providers about clinical diagnosis and treatment of radiation injury during radiological and nuclear events and emergencies. • Evidence-based information that makesremm.nlm.gov 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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  29. 29. What you will find in REMM National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  30. 30. REMM Usage Usage spiked during the Fukushima nuclear incident in Japan Disaster Information Management Research CenterNATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 30
  31. 31. Japanese Translation of REMM Content National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 31
  32. 32. REMM Platforms http://remm.nlm.govPC iPhone Blackberry Windows Mobile Android National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  33. 33. CHEMM: Chemical Hazards Emergency Medical Management • 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 chemm.nlm.nih.gov • Used for : • Training • Planning • Response at time of an emergency National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 33
  34. 34. 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. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  35. 35. CHEMM PlatformsPC: Downloaded or Web-based http://chemm.nlm.nih.gov Disaster Information Management Research CenterNATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 35
  36. 36. Environmental Health & Toxicology Collection of information topic pages and resources about environmental health and toxicology  Enviro-health links  Occupational health  Diseases and the environment  Pesticide exposurehttp://tox.nlm.nih.gov Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  37. 37. Databases: TOXNET  Collection of toxicology and environmental health databases  Includes: • Database of potentially hazardous chemicals • References to toxicology literature • Chemical dictionary • Chemical structureshttp://toxnet.nlm.nih.gov/ database Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  38. 38. Sample TOXNET Search  Enter “chlorine” into “Search All Databases”  Searches all databases simultaneously Disaster Information Management Research CenterNATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  39. 39. 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? Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  40. 40. NLM and Disaster Information Research Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 40
  41. 41. Prototype Tool for Family ReunificationTested at Local Disaster Drill Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  42. 42. Patient Tracking Tools Tested at Local Disaster Drill Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  43. 43. Virtual World Disaster Training• 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 Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 43
  44. 44. Disaster Information Outreach:Librarians, Libraries and Disasters National Library of MedicineNATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  45. 45. 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 National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 45
  46. 46. NN/LM Emergency Preparedness ToolkitAssists librarians indevelopingpreparedness plansand continuingservices duringdisaster recoveryProvides:  Emergency contacts  Sample forms  Preservation information nnlm.gov/ep Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  47. 47. 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.shtm9523.3 Provision of Temporary Relocation Facilities, http:// www.fema.gov/government/grant/pa/9523_3.shtm National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
  48. 48. Building a Community of Practice…How does DIMRC Encourage Librarian Involvement? DISASTR-OUTREACH-LIB listserv, 800+ subscribers disasterinfo.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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 48
  49. 49. Disaster Information Specialization www.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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  50. 50. Course Topics - BasicDisaster Health Information Sources: The Basics Robin FeatherstoneUS Response to Disasters and Public Health Emergencies Mary Moore, Kimberley LoperRoles in Disaster Preparedness, Response, Recovery Robin FeatherstoneNational Incident Management System, an Introduction Online from FEMAIntroduction to Incident Command System Online from FEMA Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  51. 51. Course Topics - AdvancedDisasters in an International Context John Scott, Pat BittnerEthical and Legal Aspects of Response Barb Folb, Patti ReynoldsA Seat at the Table: Working with Local Responders Rebecca Hamilton, Diane BrownCBRN [Chemical, Biological, Radiological, Nuclear] andHazmat Information Resources Jen Pakiam, Elizabeth Norton Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  52. 52. DIMRC Goals for Supporting InstructorsDevelop courses and course materials that can be adapted asneeded for: •Librarians, disaster workforce or other audiences •Local circumstances •Specific disaster eventsLibrary of slides, images, tutorials, video clipsUse existing infrastructure •Experienced trainers •MLA CE (continuing education) credit •Educational Clearinghouse Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  53. 53. 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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  54. 54. 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 Medicinehttp://disasterinfo.nlm.nih.gov/dimrc/2011disasteroutreachawards.html Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  55. 55. 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 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH
  56. 56. Questions?Elizabeth F. Norton Librarian Disaster Information Management Research Center Specialized Information Services National Library of Medicine National Institutes of Health nortone@nlm.nih.gov 301-443-9420 Disaster Information Management Research Center NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

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