Radiation Emergency Medical Management Resource

Open https://www.remm.nlm.gov/

in another browser window to work through this tutorial side by side.

Welcome to the tutorial for the Radiation Emergency Medical Management (REMM) resource. This tour allows you to follow along in the live REMM website in the right-side frame, while following directions in this left-side panel. It is intended to provide a brief overview of the type of information, tools, and resources available through REMM. 

Use the arrows below to navigate through the tour. 

Important note: If you'd like to go to a previous section of the tutorial, use the arrows below. Using your browser's back button will cause you to exit the tutorial.

Let's get started!

What is REMM?

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REMM was designed to provide guidance to health care providers about the clinical diagnosis and treatment of radiation injury during nuclear and radiological emergencies. 

Many physicians do not have formal radiation medicine experience, but in an emergency, they may be called upon to provide care. The goal of REMM is to provide evidence-based, usable information when it is needed. 

REMM can be downloaded to a computer or mobile device, so it can be used without an Internet connection. 

Click Overview in the top menu bar to see your downloading options. 

Return to the REMM home page before moving on. 

What is REMM?

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REMM is organized into 6 key content areas:

  • What kind of emergency?
  • Patient Management
  • Initial Incident Activities
  • Management Modifiers
  • Practical Guidance
  • Other Audiences
We'll highlight a few key features of each section, but you're welcome to explore on your own.

What is a radiation emergency?

On March 11, 2011 a large earthquake and tsunami led to major problems at the Fukushima Daiichi Nuclear Power Plant. This is just one type of nuclear incident. 

REMM describes 5 types of radiological or nuclear emergencies. 

Let's take a look at the type of information available in this section.

Click Nuclear Power Plant/Reactor Incidents

Scan the Emergency Planning and Response Section. 

Workers close to the reactor could be affected by

What's the difference between exposure and contamination?

Return to the REMM home page by clicking on the REMM logo at the top to learn more. 

Patient Management

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A key question in radiation emergency medical management is whether people have been exposed to radiation, contaminated by radiation, or both. 

Watch this short (2 minute) video to learn about the basics of radiation. 

In the Patient Management section, you will find information on how to assess if a patient has been exposed or contaminated and algorithms for how to proceed. 

Patient Management

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In this section, you'll also find links to established mass casualty triage algorithms. 

Click Triage Guidelines. 

Under "SALT," notice that the algorithm has been adapted for a large radiation emergency. 

In the SALT Mass Casualty Triage algorithm, what does the A stand for?

Think about who at your institution might be interested in these tools. 

Return to the REMM home page to continue. 

Initial Incident Activities

In this section, you'll find guidance for what do to on the site of an incident, how to transport victims, and procedures for hospital activities. 

Click on Hospital Activities.

To prepare for nuclear or radiological incidents, hospitals should have a properly equipped emergency department. 

Which of the following is NOT listed in the suggested supply list for decontamination in the emergency department?

 Return to the REMM home page to continue.

Management Modifiers

During a radiation emergency, combined injury is very common. 

Click Radiation + Trauma to learn more about combined injury and treatment priorities. 

A combined injury is a physical, chemical or thermal trauma combined with radiation exposure. This is common during a radiation mass casualty event. 

Return the the REMM home page. 

Notice that this section also provides links to mental health resources for the public, health professionals and emergency responders (Under Psychological Issues). 

There are also additional considerations for certain at-risk or special needs populations. 

Explore this section and then return the REMM home page. 

Practical Guidance & Other Audiences

In the Practical Guidance section, you'll find very specific information that is useful to several groups, including:

  • Critical information on the use of blood products
  • Procedures for management of the deceased
  • Guidance on developing a radiation response plan

In the Other Audiences section, you can connect to a wealth of resources for additional roles regarding radiation emergencies. 

Can you find information on how to design and evaluate radiation emergency drills?

Return to the REMM home page before moving on. 

Tools & More

Before you finish the REMM tutorial, explore the top menu bar as well. 

3 key features to find:

  • Multimedia Library
  • Dose estimator for exposure
  • Top 10 Items for Radiation Emergencies

End of REMM Tutorial

Congratulations, you have completed the REMM tutorial! 

 

 

 

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