Radiation event medical management (REMM): Website guidance for health care providers
Radiation event medical management (REMM): Website guidance for health care providers
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DOI：
10.1080/10903120701710595
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发表时间：
2008-01-01
影响因子：
2.4
通讯作者：
Coleman, Norman
中科院分区：
文献类型：
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作者：
Bader, Judith L.;Nemhauser, Jeffrey;Coleman, Norman
对潜在的化学、生物、放射性、核和爆炸（CBRNE）恐怖事件进行规划和实施医疗应对是大多数卫生保健提供者的新责任。在潜在的CBRNE事件中，辐射和/或核（rad/nuc）事件被认为得到卫生保健提供者和规划人员的关注最少。为了协助临床医生，美国卫生与公众服务部（HHS）创建了一个新的创新工具包，即辐射事件医疗管理（REMM）门户网站（http://remm.nlm.gov）。REMM的目标包括：(1)在大规模伤亡rad/nuc事件中提供算法式、循证的临床诊断和治疗指导；(2)及时的、同行评审的、可用的信息，有足够的背景材料和背景支持，使复杂的诊断和管理问题能够被没有正规放射医学专业知识的人理解；(3)一个完整的门户网站文件的压缩文件，可以提前下载，这样网站就可以在没有互联网连接的情况下离线使用；(4)简明的可打印的关键文件集合，这些文件可以在活动期间带到现场；(5)为医疗队和个人启动rad/nuc规划和培训制定框架；(6)与rad/nuc响应相关的关键、同行评审和官方指导文件的广泛参考书目。自推出以来，REMM受到了全国和国际上个人应急人员和团队的好评。它已被广泛使用，特别是在训练演习期间。定期的内容更新和添加的新功能正在进行中。本文回顾了REMM的开发及其一些关键内容领域、特性和未来开发计划。
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.