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Archive for the ‘Emergency Preparedness and Response’ Category

NLM’s TOXNET and TOXMAP Now Include TRI 2012 Data

The National Library of Medicine (NLM) TOXNET TRI and TOXMAP now include the TRI 2012 National Analysis data, the most current final information available. The Toxics Release Inventory (TRI), a resource of the US EPA, is a set of publicly available databases containing information on releases of specific toxic chemicals and their management as waste, as reported annually by US industrial and federal facilities. This inventory was established under the Emergency Planning and Community Right to Know Act (EPCRA) of 1986. TRI’s data, beginning with the 1987 reporting year, covers air, water, land, and underground injection releases, as well as transfers to waste sites. In agreement with the Pollution Prevention Act of 1990, source reduction and recycling data is also included in TRI.

21,024 facilities reported to the TRI program in 2012 as required by EPCRA, with almost 80,000 submissions. A complete list of TRI chemicals required to be reported is available on EPA web site. TOXMAP maps on-site TRI releases and also includes EPA Superfund data.

New DIMRC Topic Page: Influenza Pandemic Preparedness and Response!

A new topic page is available from the NLM Disaster Information Management Research Center (DIMRC), Influenza: Pandemic Preparedness and Response. The page focuses on flu outbreaks that exceed the predicted prevalence of seasonal flu, threaten to overwhelm medical resources, and could affect the everyday functioning of communities. The page highlights resources that health professionals and emergency planners may find useful in planning for and responding to pandemics; an important part of all-hazards planning for many institutions and government agencies. DIMRC provides topic pages on a wide range of disaster types and related topics, including a page on Avian Influenza A(H7N9) Virus.

WebWISER 4.5 Now Available!

WISER logoWebWISER 4.5 is now available. WISER is a system designed to assist emergency responders in hazardous material incidents. WISER provides a wide range of information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice.

This new release integrates Chemical Hazards Emergency Medical Management (CHEMM) content and updates the Emergency Response Guidebook (ERG) content to 2012. CHEMM integration brings the following new features to WISER:

  • New hospital provider and preparedness planner profiles, along with a customized home screen for all WISER profiles
  • Acute care guidelines for six known mass casualty agents/agent classes
  • The addition of a wealth of CHEMM reference material
  • CHEMM Intelligent Syndrome Tool (CHEMM-IST), a new help identify tool designed to diagnose the type of chemical exposure after a mass casualty incident

Continuing Education Course Materials for MLA Disaster Information Specialization Available from NLM!

MLA Disaster Information Specialization Program logoDisaster health information courses and supporting materials are now available from the Disaster Information Management Research Center (DIMRC) at the National Library of Medicine. The courses are open to anyone at no cost and are approved for Medical Library Association (MLA) continuing education credit. Completion of a series of courses may be used toward the MLA Disaster Information Specialization certificate. The application fee is $55 for MLA members and $75 for non-members. To earn the Basic certificate, students complete the following required 15 hours of courses:

An additional 12 hours of courses can be used toward the Advanced level certificate:

Course materials may be used and adapted by anyone giving presentations or classes on this content. When using or adapting materials, please give credit to the original course authors and NLM. DIMRC would like to hear about the use of these course materials and what they can offer (improve) that would make it easier to teach this material. If you are interested in being an online or classroom instructor for one or more of these courses, please send your name, title, organization, city, and state/country to Katie Chan.

Many thanks to MLA for coordinating the initial development of courses and for hosting the course materials and registration on their web site (with funding from NLM)!

WISER for Windows 4.5 Now Available!

The National Library of Medicine’s WISER for Windows 4.5 is now available. This new version of WISER fully integrates Chemical Hazards Emergency Medical Management (CHEMM) content and updates the Emergency Response Guidebook (ERG) content to 2012.

Here’s a closer look at what’s new in this release:

  • Full integration of CHEMM content, which includes:
    • New hospital provider and preparedness planner profiles, along with a customized home screen for all WISER profiles
    • Acute care guidelines for six known mass casualty agents/agent classes
    • The addition of a wealth of CHEMM reference material
    • CHEMM Intelligent Syndromes Tool (CHEMM-IST), a new Help Identify tool designed to diagnose the type of chemical exposure after a mass casualty incident
  • ERG content is now updated to the 2012 release. This includes the full ERG 2012 tool.

WISER for Windows 4.5 can be downloaded directly from the WISER website.

Coming Soon

Look for these exciting additions in the coming months:

  • WebWISER 4.5, which includes CHEMM integration, ERG 2012 updates, and more
  • WISER for Android 3.1, which adds Help Identify Chemical and protective distance mapping to this popular platform

NLM’s Emergency Access Initiative Activated for the Philippines

The National Library of Medicine announces the activation of the Emergency Access Initiative (EAI) in support of medical efforts in the Philippines and surrounding areas following the devastating typhoon. The EAI is a collaborative partnership between NLM and participating publishers to provide free access to full-text articles from over 650 biomedical serial titles and over 4,000 reference books and online databases to healthcare professionals and libraries affected by disasters.

The EAI serves as a temporary collection replacement and/or supplement for libraries affected by disasters that need to continue to serve medical staff and affiliated users. It is also intended for medical personnel responding to the specified disaster. EAI is not an open access collection; it is only intended for those affected by the disaster or assisting the affected population. If your library is working with a library or organization involved in relief efforts in the Philippines or other affected areas, please let them know of this service.

NLM thanks the participating publishers for their generous support of this initiative: American Academy of Pediatrics, American Association for the Advancement of Science, American Chemical Society, American College of Physicians, American Medical Association, American Society of Health-Systems Pharmacists, ASM Press, B.C. Decker, BMJ, EBSCOHost, Elsevier, FA Davis, Mary Ann Liebert, Massachusetts Medical Society, McGraw-Hill, Merck Publishing, Oxford University Press, People’s Medical Publishing House, Springer, University of Chicago Press, Wiley, and Wolters Kluwer.

Sample journal titles:

  • Accident and emergency nursing
  • Annals of internal medicine
  • Archives of surgery
  • Burns
  • Depression and anxiety
  • Disaster medicine and public health preparedness . Environmental toxicology and pharmacology . International journal of cardiology . International journal of infectious diseases . JAMA : the journal of the American Medical Association . Journal of emergency medicine . Journal of traumatic stress . Lancet . New England journal of medicine . Surgery

Sample book titles:

  • Merck manual of diagnosis and therapy
  • Public health & preventive medicine
  • Trauma
  • Handbook of critical care
  • Human virology
  • Infectious diseases: the clinician’s guide to diagnosis, treatment and prevention . AHFS drug information

Online databases:

  • Cochrane database of systematic reviews . DynaMed . Essential Evidence Plus

For questions regarding the Emergency Access Initiative, please email or call 1-888-346-3656 in the United States, or 301-594-5983 internationally.

HHS Launches Second Video Game on Disaster Planning!

The Office of the National Coordinator for Health Information Technology’s (ONC) Office of the Chief Privacy Officer (OCPO) has released its second web-based security training module, CyberSecure: Your Medical Practice. This latest game focuses on disaster planning, data backup and recovery, and other elements of contingency planning. Contingency planning helps providers and staff prepare for power outages, floods, fires, or weather related events such as hurricanes or tornadoes. These events can damage patient health information or make it unavailable. Planning for these events can help ensure that patient health information is protected and that patient information can be accessed when the disaster is over. This training module uses a game format that requires users to respond to privacy and security challenges often faced in a typical small medical practice. Users choosing the right response earn points and see their virtual medical practices flourish. But users making the wrong security decisions can hurt their virtual practices.

October is National Cyber Security Awareness Month, and is an opportunity for ONC to remind providers about the need to create contingency plans to assure a safe and secure cyber environment. Contingency Planning is also required by the HIPAA Security Rule.

New NLM online class “Discovering TOXNET: From Paracelsus to Nanotechnology!”

The National Library of Medicine Training Center (NTC) is offering a new online opportunity to learn more about NLM’s environmental health resources. Join the NTC from October 21 – November 5, 2013, for Module 1 of the online class, Discovering TOXNET: From Paracelsus to Nanotechnology. TOXNET is a web-based system of databases covering hazardous chemicals, environmental health, and toxic releases. Module 1 covers three TOXNET databases; ChemIDPlus, LactMed, and TOXLINE, as well as three emergency response tools; CHEMM, REMM, and WISER. Module 2 will cover the risk assessment databases and will be offered at a later date. You will learn about the resources through videos, guided tutorials, discovery exercises, and solving real-life reference questions. Classes are designed for health sciences librarians and health sciences professionals interested in unlocking the available information in these resources!

The class will involve three hours of work on your own time, followed by a one-hour synchronous session using Adobe Connect. Participants who complete all class requirements are eligible for 4 MLA Continuing Education credits. The asynchronous work on your own (allow 3 hours) will be conducted from October 21 – 31, 2013, followed by the synchronous Adobe Connect session on November 5, 2013, at 10:00 AM PST. Enrollment is limited, so register soon! For questions, contact

Redesigned TOXNET Interface To Be Released in 2014!

An updated version of TOXNET (TOXicology Data NETwork) will be released in 2014. The new design will offer seamless navigation for non-professionals as well as professionals. The update will include a more current look and feel, improved interactive capabilities, and a better integrated “All Search Results” feature.

TOXNET is a group of databases covering toxicology, hazardous chemicals, environmental health, and related areas. The Web interface provides an easy way to search databases of varying formats and content. It can be used to locate toxicology data, literature references, and toxics release information on particular chemicals, as well as to identify chemicals that cause specific effects. TOXNET was originally designed and developed prior to the Internet, primarily for a professional audience. It has become increasingly important for its data to be accessible for a wide variety of users, many of whom are not professionals in the toxicological fields, and who are not familiar with the related vocabulary and acronyms.

August 2013 Updates to REMM and Mobile REMM

Mobile REMM screenshotMajor new versions of the REMM website and Mobile REMM apps have been released. Key changes include:

  • New multimedia in the REMM Multimedia Library
    • Incident timeline
    • Recovery Phase Continuum Timeline
    • Transportation incidents involving radioactive material (3 new US DOT videos), including decontamination techniques
    • Shrinking fallout zones after an IND detonation Watch video
    • Sheltering: Selecting a safe room after an IND detonation
    • Lethality and radiation dose: LD 50/60
    • Hospital Approach to patients Presenting after a Nuclear Detonation
    • Link to all videos on REMM
    • Graphic Showing Radiation Effect on Neutrophils
  • Update to the Isotopes of Interest table
  • Other Audiences section has 2 new groups: Public Health Emergency Researchers and Medical Examiners / Coroners
  • New pages on REMM: Collection of data: prototypes of forms for radiation safety and medical data tracking, and Describing an Incident: Definition, Severity, Phases, Timeline
  • Significant updates to key pages
    • Nuclear Detonation: Weapons, INDs
    • Transportation Incidents
    • Triage Guidelines
    • Nuclear Power Plant and Reactor Incidents: new page title and new content
    • Burn Triage and Treatment: Thermal Injuries
    • Strategic National Stockpile
    • Planners: Preparedness and Response
    • Public Information Officers
    • Training and Education: Educational Competencies for Health Care Professionals
  • Updated Prototype for Medical Orders
  • Updated fever and neutropenia information
  • REMM YouTube Channel updated
  • Improved REMM bibliography

Coming soon in October 2013 are complete redesigns of the interactive tool Managing ARS and of Mobile REMM app for iPhone, Android, and Blackberry!