NLMs 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 Hbert 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

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

U.S. National Library of Medicine (NLM) NLMs Mission: Collect, organize, and disseminate health- related information. Worlds 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

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

http://disaster.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 5

http://disasterinfo.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 6

NLMs 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

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

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

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

Download as a standalone application on:Microsoft Windows PCsApples 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

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

WISER BasicsEither you know what youre dealing with or you dont! National Library of Medicine NATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 13

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

WISER for iPhone/iPod touch 2.0Whats 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

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

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

Help Identify Unknown Chemical National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 18

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As of March 1, 2012, WISER for iPhone/iPodtouch 2.0 is now available.Whats 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

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

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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

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

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

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

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

How to stay informed National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 31

http://disasterinfo.nlm.nih.gov/ National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 32

http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html National Library of MedicineNATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 33

" 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