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NLM’s 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
 Hébert 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)
        NLM’s Mission: Collect, organize, and disseminate health-
                          related information.

    World’s 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 Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                5
http://disasterinfo.nlm.nih.gov/




                                                 National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                6
NLM’s challenges

Need to compile authoritative, trustworthy information

Information needs to meet the needs of the users

Users need to have access when and where they need it

Users need easy access, e.g., during emergencies

Information evolves

Ways 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 for
Emergency Responders (WISER)




                 www.wiser.nlm.nih.gov




                                                 National Library of Medicine
NATIONAL 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 History




Palm Pilot     Pocket PC
                                                              Laptop
August 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 PCs

Apple’s iPhone and iPod touch devices
Google Android devices

Windows Mobile devices

BlackBerry devices (Internet connectivity
needed)

Palm OS PDAs
                                                    National Library of Medicine
   NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                             11
WebWISER

With Internet connection, use Web browser
to access same functionality of standalone
WISER

Supports PC and other browsers, including
on BlackBerry, iPhone, and Android devices



                                                 National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          12
WISER Basics

Either you know what you’re dealing with…




                            … or you don’t!
                                                          National Library of Medicine
         NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                   13
Examples of Recent Announcements

March 1, 2012: Version 2.0 WISER for iPhone/
iPod touch available

January 19, 2012: Protective distance mapping
for WebWISER available

August 24, 2011: Version 1.0 of WISER for
Android available


                                                   National Library of Medicine
  NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                            14
WISER for iPhone/iPod touch 2.0

What’s new?

WISER's popular Help Identify Chemical capability
is now available on the iOS platform.

Use WISER's protective distance mapping feature
on 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 Identify
Chemical

   Identify using physical properties, signs/
   symptoms, categorization, NFPA placards, and
   transportation containers

Can save a help identify search for later recall and
freely 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 based
on the following criteria:

•  Physical properties of the substance gathered by
observation or sensors

•  Signs and symptoms of victims of exposure

•  Categorize a substance, such as a substance used in a
meth 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 Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          18
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          19
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          20
As of March 1, 2012, WISER for iPhone/iPod
touch 2.0 is now available.

What’s new?

WISER's popular Help Identify Chemical capability
is now available on the iOS platform.

Use WISER's protective distance mapping feature
on 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 substance
directly on your iPhone or iPod touch

Track both current position and the location of a plotted
protective distance area

WISER must have permission to use location services to
track your current location

Accuracy of this capability is affected by the capabilities
of 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
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          23
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          24
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                          25
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 Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                29
Coming Soon to WISER
Univeral (iPad) support

Help identify, tools, and protective distance mapping
for WISER for Android

Biological agent additions (e.g., H1N1)

Enhanced ERG integration

Protective distance mapping enhancements

and 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 Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                31
http://disasterinfo.nlm.nih.gov/




                                                 National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                                32
http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html
                                                    National Library of Medicine
NATIONAL 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 Medicine
National Institutes of Health
Bethesda, MD USA


pertti.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

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Wiser slides

  • 1. NLM’s 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 Hébert 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
  • 2. 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
  • 3. U.S. National Library of Medicine (NLM) NLM’s Mission: Collect, organize, and disseminate health- related information.   World’s 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
  • 4. 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
  • 5. http://disaster.nlm.nih.gov/ National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 5
  • 6. http://disasterinfo.nlm.nih.gov/ National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 6
  • 7. NLM’s challenges Need to compile authoritative, trustworthy information Information needs to meet the needs of the users Users need to have access when and where they need it Users need easy access, e.g., during emergencies Information evolves Ways to deliver and access the information evolve National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 7
  • 8. Wireless Information System for Emergency Responders (WISER) www.wiser.nlm.nih.gov National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 8
  • 9. 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
  • 10. WISER Platforms – A Little History Palm Pilot Pocket PC Laptop August 2011 Android Blackberry iPhone WebWISER National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 10
  • 11. Download as a standalone application on: Microsoft Windows PCs Apple’s iPhone and iPod touch devices Google Android devices Windows Mobile devices BlackBerry devices (Internet connectivity needed) Palm OS PDAs National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 11
  • 12. WebWISER With Internet connection, use Web browser to access same functionality of standalone WISER Supports PC and other browsers, including on BlackBerry, iPhone, and Android devices National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 12
  • 13. WISER Basics Either you know what you’re dealing with… … or you don’t! National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 13
  • 14. Examples of Recent Announcements March 1, 2012: Version 2.0 WISER for iPhone/ iPod touch available January 19, 2012: Protective distance mapping for WebWISER available August 24, 2011: Version 1.0 of WISER for Android available National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 14
  • 15. WISER for iPhone/iPod touch 2.0 What’s new? WISER's popular Help Identify Chemical capability is now available on the iOS platform. Use WISER's protective distance mapping feature on your iPhone or iPod touch. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 15
  • 16. WISER for iPhone/iPod touch 2.0 includes: Fully featured implementation of Help Identify Chemical Identify using physical properties, signs/ symptoms, categorization, NFPA placards, and transportation containers Can save a help identify search for later recall and freely search the result list using any identifier National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 16
  • 17. Identify and validate an unknown chemical based on the following criteria: •  Physical properties of the substance gathered by observation or sensors •  Signs and symptoms of victims of exposure •  Categorize a substance, such as a substance used in a meth 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
  • 18. “Help Identify” Unknown Chemical National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 18
  • 19. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 19
  • 20. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 20
  • 21. As of March 1, 2012, WISER for iPhone/iPod touch 2.0 is now available. What’s new? WISER's popular Help Identify Chemical capability is now available on the iOS platform. Use WISER's protective distance mapping feature on your iPhone or iPod touch. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 21
  • 22. Visualize protective distance data for a given substance directly on your iPhone or iPod touch Track both current position and the location of a plotted protective distance area WISER must have permission to use location services to track your current location Accuracy of this capability is affected by the capabilities of 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
  • 23. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 23
  • 24. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 24
  • 25. National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 25
  • 26. 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
  • 27. 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
  • 28. 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
  • 29. Tools Emergency Response Guidebook (ERG) Triage flowchart Radiation Events National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 29
  • 30. Coming Soon to WISER Univeral (iPad) support Help identify, tools, and protective distance mapping for WISER for Android Biological agent additions (e.g., H1N1) Enhanced ERG integration Protective distance mapping enhancements and more! National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 30
  • 31. How to stay informed National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 31
  • 32. http://disasterinfo.nlm.nih.gov/ National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 32
  • 33. http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html National Library of Medicine NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 33
  • 34. " 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 Medicine National Institutes of Health Bethesda, MD USA pertti.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