# Presentation: 699535

## WISERWireless Information System for Emergency RespondersStrategic Objectives

- Easy navigation, intuitive
- Information tailored to the specific role of the emergency responder
- Focus on 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

**Notes:**
Easy navigation, intuitive

Information tailored to the specific role of the emergency responder

Balances their data, workflow, and decision support needs 

Focus on unknown substance identification capabilities

Provide a platform that can be expanded to support other emergency response needs
Biological, radioactive, fire, rescue, EMS, etc.
Geographical Information System (GIS)
Information derived from sources other than HSDB 

Rich, stand-alone capability with enhanced connected (wireless) capabilities
Contains must-have information only

Cross-platform, multi-device architecture
Pocket-PC, Tablet-PC, Laptops, MDT, and others

## WISER Development Approach

- User Needs

- Mock-up
- Prototype
- Ops Release

- Field Testing
- Baltimore Fire Department
- Fairfax Fire Department

*Feedback*

*New Release*

**Notes:**
Worked with Baltimore County Fire Chief (Capt Brooks) and Fairfax County HAZMAT team to develop a prototype and try it out.

Remember last year with Capt. Brooks came and talked enthusastically about WISER...clipped a few sound bytes that capture a few of his key points.

On the developer side, following a build a little – test a little iterative system development approach, we have
 the WISER Project Manager, Bijan Mash ha yek hi

Key Lessons Learned from Prototype
Really liked...
Unknown Chemical ID support
Intuitive interface – easy to use
Integrated, authoritative information ‘in their Palm’
Would really like (highest priority enhancements)...
More Chemicals from HSDB
Find Chemicals by Name (& Aliases), DOT #, STCC, and CAS
Additional physical properties, exposure signs and symptoms
Candidate chemical list – be able to sort, group, delete

## How did we decide what chemicals to include?

***	******	******	******Review/analysis of 9 list sources of chemical “nasties”***
**Extremely Hazardous Substances List (EPA) – ****358**** **
**Medical Management Guidelines (ATSDR) – ****56**
**Tox Profiles, ToxFAQs and Public Health Statements (ATSDR) - ****269**
**National Priorities List (ATSDR, EPA) – ****275**
**NIOSH Pocket Guide to Chemical Hazards – ****677**
**DOT Incident Data – ****for 2002, 15,111 incidents with top 100 identified**
**New Jersey Hazardous Substances Fact Sheets **
**Local agencies and fire department incident information ****(e.g., Fairfax County has list of 45 most commonly responded to hazardous substances)**

**Notes:**
The substance lists above were downloaded and analyzed.  The result was a Microsoft Excel spreadsheet with 1905 substances that contained information about what lists each substance was on.  Then, additional information was pulled from HSDB to show the hazardousness of the substances in terms of toxicity, NFPA guide information, DOT ERG primary category, and other information.  Much of the information in the historical databases requires substantial reworking because it was not intended to be used statistically.  There are frequently misspellings, trade names, vague descriptions, and inconsistent categorization of substances.  Also, many of the lists above have little overlap.  
Each of the 1905 substances above would warrant inclusion in a list of hazardous substances to be included in a complete list.  That is, they are all hazardous and have been available in the past for possible incidents.  However, not all of them are likely to be encountered in an incident, because of limited quantities of production, limited lifespans, or the fact that they have not been available recently.  For example, some pesticides have been banned for many years, but still exist in the above lists for historical reasons or because they might appear when doing land remediation.  
To generate the list of substances, the following method was used:
Include the substances from the ATSDR MMG.  This list was used in the prototype and First Responders indicated that all the substances there merited inclusion in a final list.  
Include substances particularly called out by First Responders.  Based on lists from Fairfax County, those generated at conferences and briefings, approximately 30 additional substances were added.
Include all substances in the DOT Top 100 since they are very likely to be encountered in hazardous materials incidents.
Include all substances that occur in 5 or more of the above lists.  These were considered to be consensus substances.  
The above produced a list of approximately 200 substances.  It was felt that more substances would be 
Presentation of the remaining substances to chemist experts at the National Library of Medicine.  Independently, two groups of experts prioritized the substances based on their hazardousness and likelihood of exposure.  The substances that both groups listed as number 1 priorities were added;  this was approximately 200 substances.

....resulted in a list of 390 substances

## WISER DEMO

## Scenario – Known Substance

- Non-pressurized tanker overturned and leaking
- Know from DOT # that substance is hydrogen peroxide
- Driver splashed with substance, sitting away from vehicle, may have ingested
- Small fire from tanker engine

**Scenario – Known Substance**

**Notes:**
Huge chemical spill shuts down part of Interstate 30 in Hopkins County, East Texas
18 wheeler carrling 5,500 gallons of isoprophl alcohol (which is isopropanol)

17 people had to be treated for injures due to breathing the toxic chemical and a local school was evacuted.

Shutdown both sides of the interstate for majority of day

Liquid, colorless, alcolhol-like odor – fruity, floral, sweet
Eyes – irritated, dizziness, headache, nausea, skin burning feeling

## Scenario - Highway cargo tank overturned

- HAZMAT  Specialist is 1st on scene...
- _Substance:_ Colorless liquid, smells like alcohol
- _Symptoms:_ Headache, dizziness, eyes irritated, nausea feeling

**Notes:**
Huge chemical spill shuts down part of Interstate 30 in Hopkins County, East Texas
18 wheeler carrling 5,500 gallons of isopropyl alcohol (which is isopropanol)

17 people had to be treated for injures due to breathing the toxic chemical and a local school was evacuted.

Shutdown both sides of the interstate for majority of day

Liquid, colorless, alcolhol-like odor – fruity, floral, sweet
Eyes – irritated, dizziness, headache, nausea, skin burning feeling

## Scenario - Highway cargo tank overturned

- HAZMAT  Specialist is 1st on scene...
- _Substance:_ Colorless liquid, smells like alcohol
- _Symptoms:_
- headache, dizziness, eyes irritated, nausea feeling

**Notes:**
Huge chemical spill shuts down part of Interstate 30 in Hopkins County, East Texas
18 wheeler carrling 5,500 gallons of isoprophl alcohol (which is isopropanol)

17 people had to be treated for injures due to breathing the toxic chemical and a local school was evacuted.

Shutdown both sides of the interstate for majority of day

Liquid, colorless, alcolhol-like odor – fruity, floral, sweet
Eyes – irritated, dizziness, headache, nausea, skin burning feeling

**Notes:**
Click to walk through views

## Slide 9

**Notes:**
Click to walk through views

## Scenario - Highway cargo tank overturned

**Isopropyl alcohol = Isopropanol**

**Notes:**
i-so-pro-fil alcohol   which is synonym of
 i-so-pro-fa-nol

## Internet Availability

- WISER is available on the WEB.
- http://wiser.nlm.nih.gov
- Application and databases
- User’s guide
- Survey form
- It’s  a FREE government resource

## WISER- Future Directions

**Enhancements**
- Other devices in addition to Palm
- Substance category (vs. named) data
- Biological & radiological agent data
- Wireless interaction and dynamic data transfer
- User customization of data sets
**R&D **
- AI application for ‘unknown’s
- confidence designation and relevancy ranking
- Action oriented  - workflow (SOPs)
- Integrate with other incident factors (e.g., weather conditions, type of incident, terrain)
- Companion web-based training ‘game’
- Integrated patient care and reporting

**Notes:**
Other Devices in addition to Palm
PocketPC
Laptop/Tablet PC
Mobile Data Terminal (Vehicle equipment)
Smart Phones & RIM Blackberry
Web Based
Action Oriented  - Workflow (SOPs)
Substance Category (vs. Named) Data
Biological Agent Data – 20 of these
Radiological Agent Data
Wireless Interaction and Dynamic Data Transfer
Integrated Patient Care and Reporting
Integration with DHS Initiatives
Global Harmonization System Support

## WISER System Concept

**Local Fire and**
**Rescue Dispatch**

**First **
**Responders**

**EMS**
***(CONNECTED)***

***INCIDENT COMMAND***
- Local Incident Server (Laptop)

**HSDB**

**Wireless PDA to PDA**

**Wireless PDA to local server**

**Wireless PDA to local server**

**HAZMAT****Specialists**
***(******DISCONNECTED******)***

***LAN***

***WAN***