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HazMat Resources
A guide to different Hazardous Materials web resources
                          designed for first responders.
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 material

CHEMM: Introduction
• 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 use


CHEMM: New users
Find materials on web site according to:

Content tree
structure map               Personnel status or readiness




 Chemical
 emergency
 scenario
 aspects




CHEMM: Site Navigation
• 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
                                           hypothetical
http://chemm.nlm.nih.gov/chemmist.htm      patient‘s
                                           syndrome.
• Not intended for actual patient care


CHEMM: CHEMM-IST
• 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.htm




CHEMM: Acute Patient Care
Guidelines
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.htm



CHEMM: Chem. Types/Categories
Each chemical type comes with:




                                                links to info
a definition                                    from the
                                                CDC, WISER,
                                                and CAMEO
                                                such as agent
                                                names,
                                                properties,
                                                traits, PPE,
                                                symptoms,
Additional supplementary                        and other
information ChemIDPlus and                      emergency
the Hazardous Substances                        response data
Data Bank (NIH/NLM)

CHEMM: Chem. Types/Categories
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.htm




CHEMM: Emergency Contacts
• 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
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 version

WISER: Introduction
• 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 materials


WISER: Content Overview
• 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
                                            • IDLH


WISER: User Profiles
                                            • NFPA 704
                                              Classification
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 search
1. Use A-Z                                   through the list in up
links as seen                                     to 4 ways:
in the image.
Option is only
available
when the list
is in a                                      2. Search by moving
―Search By                                   through the arrows
Name‖ state.                                 located toward the
                                             bottom of the screen




WISER: Substance List
Filter by
3. Filtering                                                            substance
                                                                        “type”
based on the
―type‖ of                                                               Field for text
                                                                        searching
substance (all                                                         A-Z links used
substances, all                                                        to move

chemicals, all
                                                                       through the
                                                                       substance list
biologicals, all
radiologicals)                                                         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 number


WISER: Substance List
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
Ex. Diethyl Ether (alias of Ether)
Com
mon
to all
user
profil
es




 Basic substance information remains the same but other information
      provided is tailored to user type (i.e., first responder, etc.).

 WISER: Data Screen & Profile
• 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 1940's.
                http://toxnet.nlm.nih.gov/
TOXNET: Introduction
• 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
From the main TOXNET page, you can also learn more about the
databases by clicking on the question marks next to each database
name.




                                Clicking on a question mark takes
                                you to a short description,
                                example below.




TOXNET: The Databases (cont.d)
There are two ways to search Toxnet—You can either search a
specific database or enter a term in the main search box which will
search all of them.

                                                 Once you hit
                                                 search, the
                                                 results will tell
                                                 you which
                                                 databases the
                                                 information is
                                                 coming from.




TOXNET: Search Techniques
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
Once you click on a database on the results page, you will
encounter 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 Home



TOXNET: Managing Results
              http://sis.nlm.nih.gov/enviro/toxnetmanualfeb2011.
              pdf

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Ifsi presentation

  • 1. HazMat Resources A guide to different Hazardous Materials web resources designed for first responders.
  • 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 material CHEMM: Introduction
  • 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 use CHEMM: New users
  • 4. Find materials on web site according to: Content tree structure map Personnel status or readiness Chemical emergency scenario aspects CHEMM: Site Navigation
  • 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 hypothetical http://chemm.nlm.nih.gov/chemmist.htm patient‘s syndrome. • Not intended for actual patient care CHEMM: CHEMM-IST
  • 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.htm CHEMM: Acute Patient Care Guidelines
  • 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.htm CHEMM: Chem. Types/Categories
  • 8. Each chemical type comes with: links to info a definition from the CDC, WISER, and CAMEO such as agent names, properties, traits, PPE, symptoms, Additional supplementary and other information ChemIDPlus and emergency the Hazardous Substances response data Data Bank (NIH/NLM) CHEMM: Chem. Types/Categories
  • 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.htm CHEMM: Emergency Contacts
  • 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. 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 version WISER: Introduction
  • 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 materials WISER: Content Overview
  • 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 • IDLH WISER: User Profiles • NFPA 704 Classification
  • 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 search 1. Use A-Z through the list in up links as seen to 4 ways: in the image. Option is only available when the list is in a 2. Search by moving ―Search By through the arrows Name‖ state. located toward the bottom of the screen WISER: Substance List
  • 15. Filter by 3. Filtering substance “type” based on the ―type‖ of Field for text searching substance (all A-Z links used substances, all to move chemicals, all through the substance list biologicals, all radiologicals) 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 number WISER: Substance List
  • 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. Ex. Diethyl Ether (alias of Ether) Com mon to all user profil es 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. • 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 1940's. http://toxnet.nlm.nih.gov/ TOXNET: Introduction
  • 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. From the main TOXNET page, you can also learn more about the databases by clicking on the question marks next to each database name. Clicking on a question mark takes you to a short description, example below. TOXNET: The Databases (cont.d)
  • 21. There are two ways to search Toxnet—You can either search a specific database or enter a term in the main search box which will search all of them. Once you hit search, the results will tell you which databases the information is coming from. TOXNET: Search Techniques
  • 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. Once you click on a database on the results page, you will encounter 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 Home TOXNET: Managing Results http://sis.nlm.nih.gov/enviro/toxnetmanualfeb2011. pdf

Notas do Editor

  1. Perhaps a brief video link demonstrating basic navigation of this page
  2. 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
  3. At end: ask learner to find specific information/procedures regarding certain agents (which section will ultimately depend on audience)
  4. Activity here (or at end) asking learners to find specific information relevant to their situation; scenario learning – provides relevancy and engages user
  5. 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.
  6. Profile tailors application to meet user type/specialtyThe Substance Data Screen will be talked about in an upcoming slide
  7. 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
  8. 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) **