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  • Perhaps a brief video link demonstrating basic navigation of this page
  • b/c it remains in testing stages, CHEMM-IST is not intended for patient care yetProvide learners with several scenarios and have them open to link and to use tool
  • At end: ask learner to find specific information/procedures regarding certain agents (which section will ultimately depend on audience)
  • Activity here (or at end) asking learners to find specific information relevant to their situation; scenario learning – provides relevancy and engages user
  • Sample search: To search for mydriasis, for example, the user would simply click on “M” and scroll down the selected page until finding the desired word.
  • Profile tailors application to meet user type/specialtyThe Substance Data Screen will be talked about in an upcoming slide
  • To use the Known Substance text field, click in the text field with your mouse and begin typing. When you have finish typing in the whole or partial value click on the Search button and the list will advance to the closest match to the supplied text. A ‘*’ character can be entered in the search text as a wildcard character (e.g. Entering “*fluoride” as the search text results in a list of substances whose name contains “fluoride”. A wildcard character at the end of the search text is always implied. The Search by drop-down menu selection controls whether the substance name or an identification number should be entered, and controls the ordering of the list. The options available are as follows:Name: list is ordered alphabetically by nameUN/NA: list is ordered by UN/NA numberCAS RN: list is ordered by CAS registry numberSTCC: list is ordered by STCC numberProbably good to include a small in class demo and/or mini question activity here so users can learn how to navigate this
  • Included in the Data Screen is the name of the substance, its CAS registry number, aliases, applicable UN/NA and STCC numbers, and key info.Key info is the summary of the most immediate, critical aspects of a substance.‘Hot links’ provide information most specific and relevant to the selected user profile (1st responder, Hazmat Specialist, EMS). Data elements under Basic, Properties, Hazmat, Medical and Environment contents also vary according to profile. In addition to the WISER information, Substance Data Screen also provides links to HSDB, TOXMAP, TOXNET, and PubMed for the selected substance; provides complete and comprehensive information .**conduct a guided search using this feature as a class; and then give learners time to do it on their own with a set of prompts (i.e., guided and individual search questions/prompts should have own slides) **
  • Ifsi presentation

    1. 1. HazMat ResourcesA guide to different Hazardous Materials web resources designed for first responders.
    2. 2. http://chemm.nlm.nih.gov/ Chemical Hazards Emergency Management Produced by U.S. Dep. of H.H.S. and the NLM Designed to enable first responders/providers and emergency personnel to plan for and respond to effects of mass-casualty incidents involving chemicals Downloadable and web-based resource Contains interactive tools, checklists, guidelines, lists, directories, scenarios and other materialCHEMM: Introduction
    3. 3. • Link to this section found on homepage • Access site and information two ways, depending on new users background and intent 1) first responders and/or hospital providers in a chemical emergency scenario 2) new users unfamiliar with CHEMM and its organization.http://chemm.nlm.nih.gov/wheretostart.htm • Both sections contain the same information and links • Select whichever technique is more relevant to needs or comfortable to useCHEMM: New users
    4. 4. Find materials on web site according to:Content treestructure map Personnel status or readiness Chemical emergency scenario aspectsCHEMM: Site Navigation
    5. 5. • A prototype support tool for identifying the chemical a patient was exposed to in a mass casualty incident • Asks up to 15 multiple-choice questions to determine a hypotheticalhttp://chemm.nlm.nih.gov/chemmist.htm patient‘s syndrome.• Not intended for actual patient careCHEMM: CHEMM-IST
    6. 6. • Guidelines provided for specific chemical agents like ammonia and hydrogen cyanide for pre-hospital and emergency dept./hospital managements• Each agent webpage consists of • Chemical agent management overview (identification, rescuer protection, decontamination, et c.) • Hot Zone information • Decontamination zone facts • Support zone information http://chemm.nlm.nih.gov/mmghome.htmCHEMM: Acute Patient CareGuidelines
    7. 7. Resource also provides a continually updated list hazardous chemicals organized by type and category Each hyperlinked hazardous chemical type or category listed is linked to its own web page and broken down into more readable, specific information…http://chemm.nlm.nih.gov/agentcategories.htmCHEMM: Chem. Types/Categories
    8. 8. Each chemical type comes with: links to infoa definition from the CDC, WISER, and CAMEO such as agent names, properties, traits, PPE, symptoms,Additional supplementary and otherinformation ChemIDPlus and emergencythe Hazardous Substances response dataData Bank (NIH/NLM)CHEMM: Chem. Types/Categories
    9. 9. A list of basic Emergency Contacts for the general public and professionals is featured. In addition, the full web page lists agencies, phone numbers, and websites for more specific professionals such as response providers and medical/hospital providers and public and community resources.http://chemm.nlm.nih.gov/emergencycontacts.htmCHEMM: Emergency Contacts
    10. 10. • Dictionary adapted from the CDC/ATSDR ―Managing Hazardous Materials Incidents‖ and the CIA ―Chemical/Biological/Radiol ogical Incident Handbook‖ • Searched by selecting the http://chemm.nlm.nih.gov/dictionary.htm first letter of the word in question.• Includes links to additional dictionaries like the Glossary of Terms (CDC/ATSDR), IUPAC Glossary of Terms Used in Toxicology, and Common Toxicology Terms (Society of Toxicology).CHEMM: Dictionary
    11. 11. http://webwiser.nlm.nih.gov/getHomeData.do• The Wireless Information System for Emergency Responders (WISER) is a system concept for providing First Responders at the scene of hazardous material incidents – chemical, biological, or radioactive – with integrated information, decision support, and communications• Information available on stationary and mobile devices• Substance information and identification properties come from the Hazardous Substances Data Bank (HSDB), developed and maintained by the National Library of Medicine.• This guide focuses on the web application versionWISER: Introduction
    12. 12. • Developed by the National Library of Medicine (NLM), WISER provides a wide range of information on hazardous substances, including chemical identification support, physical characteristics, human health information, and containment and suppression information.• WISER consist of the following primary screens: • Substance List Page: lists all available substances • Substance Data Page: displays substance data for a selected substance • Help Identify Page: identification of unknown chemicals • Tools Page: general tools and reference materialsWISER: Content Overview
    13. 13. • WISER allows the user to specify 1 of 3 roles they are currently performing at the scene: emergency responder, Hazmat Specialist, and EMS Specialist First Responder • PPE• Along with basic information, users • Protective Distance • Fire Procedures given information most relevant to • Reactivities their respective role • Treatment Hazmat Specialist• Profile determines how certain • Phystical Properties information is presented by Summary • PPE WISER, i.e., what ‗hot links‘ • IDLH are presented on the • Flammability Limits • NFPA 704 Classification Substance Data Screen‘s data menu, ensuring that the most EMS Specialist • Treatment relevant information is the • Health Effects most readily available. • Toxicity Summary • IDLHWISER: User Profiles • NFPA 704 Classification
    14. 14. If the name of a substance is known, users can search the list and find information about the substance relevant to their role http://webwiser.nlm.nih.gov/knownSubstanceSearch.do Users can search1. Use A-Z through the list in uplinks as seen to 4 ways:in the image.Option is onlyavailablewhen the listis in a 2. Search by moving―Search By through the arrowsName‖ state. located toward the bottom of the screenWISER: Substance List
    15. 15. Filter by3. Filtering substance “type”based on the―type‖ of Field for text searchingsubstance (all A-Z links usedsubstances, all to movechemicals, all through the substance listbiologicals, allradiologicals) Sets the starting substance in the list Current Navigation Controls to move status through the list 4. Entering one of the substance‘s ID numbers in the Known Substance field • UN/NA, CAS registry or STCC numberWISER: Substance List
    16. 16. After locating the desired substance in the list, clicking it displays the Substance Data Screen for that compound.Ex. Diethyl Ether (alias of Ether) Finish note section at bottom; Us.Gu.; perhaps include on next slide?WISER: Substance List/Data Screen
    17. 17. Ex. Diethyl Ether (alias of Ether)Commonto alluserprofiles Basic substance information remains the same but other information provided is tailored to user type (i.e., first responder, etc.). WISER: Data Screen & Profile
    18. 18. • Free, Web-based system of databases on toxicology, environmental health, hazardous chemicals, toxic releases, chemical nomenclatures, and specialty areas such as occupational health and consumer products.• Not formatted for web-devices, not designed for first responders/those on the scene.• TOXLINE and DART citations cover 1965 to the present. You may also find a few citations dating back to the 1940s. http://toxnet.nlm.nih.gov/TOXNET: Introduction
    19. 19. • http://sis.nlm.nih.gov/enviro/databasedescriptions.html• Toxnet is a collection of 20 different databases. Click the link above for a description of each database.TOXNET: The Databases
    20. 20. From the main TOXNET page, you can also learn more about thedatabases by clicking on the question marks next to each databasename. Clicking on a question mark takes you to a short description, example below.TOXNET: The Databases (cont.d)
    21. 21. There are two ways to search Toxnet—You can either search aspecific database or enter a term in the main search box which willsearch all of them. Once you hit search, the results will tell you which databases the information is coming from.TOXNET: Search Techniques
    22. 22. TOXNET:• Uses Boolean operators (and, or, not)• Truncation• Phrase searching—Put quotation marks around your terms to search as a phrase• Synonym—By default the system will search for the exact name, synonyms, and CAS number. Select ―no‖ to search only exact term or CAS number. • To do an ―advanced‖ search, click the ―limits‖ box underneath the search window. This will expand and give options for how to limit the search.TOXNET: Search Techniques
    23. 23. Once you click on a database on the results page, you willencounter a list of the articles with this set of buttons on the left-hand side: Save Checked Items—save items in a set for displaying, sorting, and downloading Sort—sort the entire search results or items in a saved set Download—download the entire search results or items saved in a set in brief, full, abstract, or tagged form. Modify Search—make changes to the most recent search Basic Search—conduct a new search in the same database Browse Index—browse all words, CAS Registry Number, chemical name, and in bibliographic databases MeSH headings/keywords and authors Go to the Help file for that database Go to TOXNET HomeTOXNET: Managing Results http://sis.nlm.nih.gov/enviro/toxnetmanualfeb2011. pdf