Radiation event medical management (REMM): website guidance for health care providers. 2008

Judith L Bader, and Jeffrey Nemhauser, and Florence Chang, and Bijan Mashayekhi, and Marti Sczcur, and Ann Knebel, and Chad Hrdina, and Norman Coleman
National Cancer Institute, National Institutes of Health, USA. jbader@mail.nih.gov

Planning for and exercising the medical response to potential chemical, biological, radiological, nuclear, and explosive (CBRNE) terrorist events are new responsibilities for most health care providers. Among potential CBRNE events, radiological and/or nuclear (rad/nuc) events are thought to have received the least attention from health care providers and planners. To assist clinicians, the U.S. Department of Health and Human Services (HHS) has created a new, innovative tool kit, the Radiation Event Medical Management (REMM) web portal (http://remm.nlm.gov). Goals of REMM include providing (1) algorithm-style, evidence-based, guidance about clinical diagnosis and treatment during mass casualty rad/nuc events; (2) just-in-time, peer-reviewed, usable information supported by sufficient background material and context to make complex diagnosis and management issues understandable to those without formal radiation medicine expertise; (3) a zip-file of complete web portal files downloadable in advance so the site would be available offline without an Internet connection; (4) a concise collection of the printable, key documents that can be taken into the field during an event; (5) a framework for medical teams and individuals to initiate rad/nuc planning and training; and (6) an extensive bibliography of key, peer-reviewed, and official guidance documents relevant to rad/nuc responses. Since its launch, REMM has been well received by individual responders and teams across the country and internationally. It has been accessed extensively, particularly during training exercises. Regular content updates and addition of new features are ongoing. The article reviews the development of REMM and some of its key content areas, features, and plans for future development.

UI MeSH Term Description Entries
D011832 Radiation Injuries Harmful effects of non-experimental exposure to ionizing or non-ionizing radiation in VERTEBRATES. Radiation Sickness,Radiation Syndrome,Injuries, Radiation,Injury, Radiation,Radiation Injury,Radiation Sicknesses,Radiation Syndromes,Sickness, Radiation,Sicknesses, Radiation,Syndrome, Radiation,Syndromes, Radiation
D004189 Disaster Planning Procedures outlined for the care of casualties and the maintenance of services in disasters. Disaster Management,Emergency Preparedness,Disaster Relief Planning,Management, Disaster,Planning, Disaster,Planning, Disaster Relief,Preparedness, Emergency,Relief Planning, Disaster
D004634 Emergency Medical Technicians Allied health personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution. Advanced EMT,Advanced Emergency Medical Technicians,Emergency Medical Technician,Emergency Medicine Technicians,Medical Technician, Emergency,Medical Technicians, Emergency,Technician, Emergency Medical,Technicians, Emergency Medical,Advanced EMTs,EMT, Advanced,EMTs, Advanced,Emergency Medicine Technician,Technician, Emergency Medicine,Technicians, Emergency Medicine
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000465 Algorithms A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task. Algorithm
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D014483 United States Dept. of Health and Human Services A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services. DHHS,Department of Health and Human Services (U.S.),United States Department of Health and Human Services,United States Department of Health, Education, and Welfare,Department of Health and Human Services,United States Department of Health,United States Department of Health, Education and Welfare,United States Department of Health, Human Services,United States Department of Human Services,United States. Dept. of Health and Human Services
D018788 Radioactive Hazard Release Uncontrolled release of radioactive material from its containment. This either threatens to, or does, cause exposure to a radioactive hazard. Such an incident may occur accidentally or deliberately. Accidents, Nuclear,Accidents, Nuclear Reactor,Accidents, Radiation,Nuclear Accidents,Nuclear Reactor Accidents,Radiation Accidents,Accident, Radiation,Radiation Accident,Accident, Nuclear,Accident, Nuclear Reactor,Hazard Release, Radioactive,Hazard Releases, Radioactive,Nuclear Accident,Nuclear Reactor Accident,Radioactive Hazard Releases,Reactor Accident, Nuclear,Reactor Accidents, Nuclear,Release, Radioactive Hazard,Releases, Radioactive Hazard
D020407 Internet A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange. World Wide Web,Cyber Space,Cyberspace,Web, World Wide,Wide Web, World

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