About REMM
- What are the goals of this site?
- Who produced this site?
- Guidelines for Selecting References for REMM
- Medical Disclaimers
- Using REMM assets
- List of consultants
- Sign up for REMM email updates
- Contact us: Provide site feedback
- Download REMM to your computer/mobile device
- REMM Web site wins awards
- REMM system requirements
- Linking policy
What are the goals of this site?
- Provide guidance for health care providers, primarily physicians, about clinical diagnosis and treatment of radiation injury during radiological and nuclear emergencies
- Provide guidance for the wider health care community (see Other Audiences), including trainers, about issues related to planning for and responding to radiation mass casualty incidents
- Provide just-in-time, evidence-based, usable information with sufficient background and context to make complex issues understandable to those without formal radiation medicine expertise
- Provide web-based information that is also downloadable in advance, so that it would be available during an emergency if the internet is not accessible
Who produced this site?
- REMM was produced by the US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. The REMM Team is grateful for the professional input from many subject matter experts from the US government as well as experts from academia in the US and internationally. See list of REMM consultants.
- Those with major responsibility for the REMM Web site and their affiliations are listed below:
The REMM Team
Name Expertise Agency Group Degree CAPT Judith Bader
USPHS (Ret.)
Managing EditorRadiation Oncologist
Senior Medical Advisor, CBRN: Radiological and Nuclear mass casualty issuesNIH
HHSNCI
ASPR/BARDA
(contractor)M.D. C. Norman Coleman
Senior EditorRadiation Oncologist
Senior Medical AdvisorNIH
HHSNCI
ASPRM.D. H. Florence Chang
Technology LeadComputer Scientist NIH NLM (contractor) M.S.
Medical Disclaimers
- Health care providers should consider the specific circumstances of each patient encountered during an emergency and use his/her clinical judgment in providing care. REMM information is meant to supplement principles of good clinical management.
- Recommendations for any patient's medical care should consider not only the specific circumstances of that patient but also the resources available during the emergency.
- Inclusion of any bibliographic reference on REMM does not constitute official US government endorsement of its contents, data and/or conclusions. Inclusion in a REMM reference list may be simply to facilitate consideration and understanding of the complexities of that topic.
- Reference in this Web site to any specific commercial product, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. government or the U.S. Department of Health and Human Services or any of its agencies. HHS is not responsible for the contents of any "off-site" Web page referenced on this site.
- When visiting our site, your Web browser may produce pop-up advertisements. These advertisements were most likely produced by other sites you visited or by third-party software installed on your computer. HHS does not endorse or recommend products or services whose pop-up advertisements may appear on your computer screen while visiting our site.
- REMM medical recommendations are not the official policy of the U.S. government, HHS, or any of its agencies, including those agencies of the REMM developers.
- Neither the U.S. government nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal responsibility for the accuracy, completeness, or usefulness of any information on this site.
- REMM recommendations are based on what is considered to be the best clinical evidence available. Whenever possible, primary sources of this evidence are cited, and users are encouraged to read these documents.
- HHS and REMM authors and consultants are not responsible for the accuracy of hyperlinked content on Web sites outside of REMM.
- REMM is updated frequently as new information becomes available. We encourage all REMM users to sign up for REMM email updates to be notified about these updates, especially if you have downloaded an earlier version of REMM.
- REMM recommendations are not intended for use in claims for insurance reimbursement.
- REMM recommendations are not intended for use in medicolegal claims.
Dose Estimator Disclaimer
- Neither the US Government nor any of its agencies or departments makes any claim about the accuracy and validity of the REMM Dose Estimator for Exposure.
- The Biodosimetry Assessment Tool (BAT), on which the REMM Dose Estimator for Exposure is based, has been used extensively by the US military and others to evaluate radiation victims.
- The dose estimation output from BAT is based on many, well-studied clinical observations.
- The REMM Dose Estimator for Exposure should always be used in conjunction with appropriate clinical judgment about each individual patient and the particulars of the incident.
- The REMM Dose Estimator for Exposure has NOT been approved for clinical use by the US Food and Drug Administration.
- See also the Medical Disclaimer for the entire REMM web site which also applies to this Dose Estimator Tool.
Scarce Resources Triage Tool Disclaimer
- Neither the US government not any of its agencies or departments makes any claim about the accuracy and validity of the Scarce Resources Triage Tool and its suggestions for Triage Categories and Myeloid Cytokine Use.
- The Tool is a product of the Nuclear Detonation Scarce Resources Project Working Group. It represents one part of the ten publications from this group.
- The Tool provides suggestions but not formal guidelines or mandates.
- Clinicians are urged to consider the specifics of every patient individually and the conditions (scarcity, danger, existing standards of care) where the patient is evaluated when making triage and cytokine recommendations.
- The Tool should always be used in conjunction with appropriate clinical judgment about each patient.
- The Tool has not been approved for clinical use by the US Food and Drug Administration.
- See also the Medical Disclaimer for the entire REMM web site which also applies to this Scarce Resources Triage Tool.
Specific Advice on Medical and Other Queries from Our Users
- REMM will not offer any official medical advice or recommendations about specific patients sent to our Contact Us Email.
- REMM will not offer any official advice or recommendations to individuals or groups about specific equipment, devices, calculations, or plans sent to our Contact Us Email.
Using REMM Assets
- Unless otherwise noted, material presented on the REMM Web site is considered federal government information and is in the public domain.
- That means this information may be freely copied and distributed. We request that you use appropriate attribution to REMM.
- Many checklists and other materials are available in PDF format for ease of duplication. Note that if material is adapted or modified, all REMM citations and logos must be removed.
- If copyrighted content, documents, images, or other materials appear at REMM, it will be noted, and the copyright holder should be consulted before that material is reproduced.
- Web site managers are encouraged to link to REMM.
- The REMM logo may be used in conjunction with your link. Click here to download the image.
- REMM has links to other federal agencies and to private organizations. You are subject to that site's privacy policy when you leave REMM.
- The information at REMM provides general summary information for the public. Information at REMM does not supersede, preempt, or replace statutes, regulations, or other aspects of federal law.
- REMM provides links to other Internet sites only for the convenience of World Wide Web users. REMM is not responsible for the availability or content of these external sites, nor does REMM endorse, warrant or guarantee the products, services or information described or offered at these other Internet sites. It is the responsibility of the user to examine the copyright and licensing restrictions of linked pages and to secure all necessary permission.
- REMM is maintained by the U.S. government and is protected by various provisions of Title 18 of the U.S. Code. Violations of Title 18 are subject to criminal prosecution in federal court.
- For site security purposes and to ensure that this service remains available to all users, we employ software programs to monitor traffic to identify unauthorized attempts to upload or change information or otherwise cause damage. In the event of authorized law enforcement investigations, and pursuant to any required legal process, information from these sources may be used to help identify an individual.
List of consultants
REMM reviewers
- Reviewers are not responsible for the text or editing of REMM content.
- Listing as a reviewer does not imply his/her agreement with any specific REMM content.
- Listing of a reviewer's institution is for information purposes only. It does not imply endorsement of any REMM content by the institution.
- Each consultant is listed with the institution where they worked when they reviewed content for REMM. Subsequently, they may have changed institutions or status.
Content Expertise / Institution / Name |
---|
Acute Radiation Syndrome/Radiation Medicine |
University of New Mexico Fred Mettler Armed Forces Radiobiology Research Institute William Dickerson Centers for Disease Control and Prevention James M. Smith Radiation Emergency Assistance Center/Training Site (REAC/TS) Albert Wiley Patrick Lowry Yale University, Bridgeport Hospital Nicholas Dainiak Duke University Nelson Chao University of Rochester Paul Okunieff Oak Ridge Associated Universities/ REAC/TS Albert Wiley Walter Reed Army Institute of Research Alan Epstein University of Arkansas Martin Hauer-Jensen Medical College of Wisconsin Eric Cohen John Moulder Penn State University Kenneth Miller Hartford Hospital, Hartford CT Andrew Salner National Institute of Radiological Sciences, Chiba, Japan Makoto Akashi National Research Institute for Radiobiology & Radiohygiene, Budapest, Hungary István Turai HHS/Office of the Secretary James Donlon National Cancer Institute Nicole Simone |
Biodosimetry |
Radiation Protection Bureau, Health Canada Helen Griffiths Armed Forces Radiobiology Research Institute William Blakely Pataje G. S. Prasanna Patricia Lillis-Hearne MJW Corporation Ronald Goans |
Blood Banking |
National Institutes of Health Harvey Klein Harvey J. Alter Charles Bolan HHS Jerry A. Holmberg |
Burn Care |
American Burn Association Joshua Carson Rachel Williams Colleen M. Ryan William Hickerson James C. Jeng Annette Matherly David Greenhalgh Food and Drug Administration Suzanne Schwartz University of Texas Health Sciences at San Antonio Steven Wolf Washington Hospital Center, Washington, D.C. James C. Jeng |
Dose Reconstruction |
Cascade Scientific, Eugene, OR Helen Grogan |
Drug Countermeasures |
Food and Drug Administration Zishan Zhao Cheryl Turner Larry Cress Brad Leissa Alla Shapiro Narayan Nair Joanne Holmes Douglas Throckmorton Mark Gonitzke Robert Yaes Patricia Keegan |
Emergency Response/Policy |
HHS/Office of the Assistant Secretary for Preparedness and Response Frederick Kass HHS/Regional Emergency Coordinator Michelle Watters Hawaii State Department of Health Paul Collins Washington Hospital Center, Washington, D.C. Susan Eckert Craig DeAtley |
Food Safety |
Food and Drug Administration Michael Noska |
Organ System Evaluation and Treatment |
Medical College of Wisconsin Eric Cohen John Moulder |
Pediatric Radiation Medicine |
Food and Drug Administration Alla Shapiro |
Personal Protective Equipment |
Centers for Disease Control and Prevention Michael Schwartz Armin Ansari Douglas Trout Environmental Protection Agency John Cardarelli New York City Department of Health and Mental Hygiene Katherine Uraneck Vienna (Austria) EMS Andreas Ziegler |
Physics/Radiation Safety |
Department of Homeland Security Brooke Buddemeier Centers for Disease Control and Prevention James M. Smith Charles W. Miller Oak Ridge Associated Universities/ REAC/TS Steve Sugarman Albert Wiley University of California Davis Health System Jerrold Bushberg National Cancer Institute James Deye National Institutes of Health Robert Zoon Food and Drug Administration, Center for Devices and Radiological Health Michael Noska Health Protection Agency Centre for Radiation, Chemicals and Environmental Hazards Protection/UK Duncan Cox Mayo Clinic Richard J. Vetter Health Canada, Co-ordination and Operational Preparedness Helen Griffiths National Council on Radiation Protection and Measurements (NCRP) David Schauer Brookhaven National Laboratory Stephen Musolino |
Protective Action Guides |
EPA Sara DeCair |
Psychological Responses to Mass Casualty Incidents |
HHS/Office of the Assistant Secretary for Preparedness and Response Ann Norwood David Reissman University of Alabama, Birmingham Steven Becker |
Radiation and Environmental Epidemiology |
National Cancer Institute Steve Simon |
Radiation Biology |
National Cancer Institute Helen Stone |
Stem Cell Transplantation |
National Marrow Donor Program Nelson Chao David Weinstock |
Strategic National Stockpile |
Centers for Disease Control and Prevention Susan Gorman |
Template for Hospital Orders |
Memorial Sloan Kettering Cancer Center Ann Jakubowski, M.D |
Transportation Accidents |
Department of Energy Tom Clawson Technical Resources Group, Inc., Contractor to DOE/TEPP |
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Contact us: Provide site feedback
- Contact REMM with questions/feedback
- Report any issues or suggestions for REMM online or Mobile REMM.
- Tell us about broken links, browser issues, difficulty with animations or video, difficulty with downloading REMM, typographical or numerical errors, content errors or suggestions, usability issues.
- We sincerely appreciate your feedback, and will try to respond to your email and fix reported problems as soon as possible.
Download REMM to your computer/mobile device
- Download REMM to your computer (12/2019)
- Download Mobile REMM (3/2019)
REMM Web site wins awards
The REMM Web site has received a number of top awards, including the following:
- Freddie Award: International Health and Medical Media
Finalist - Community Health Category (2008) - Web Health Awards: best Web-based health-related content for consumers and professionals
Bronze - Miscellaneous/Professional Class (Government Web Site Category) (2009) - eHealthcare Leadership Award
Silver - Best Care/Disease Management Site, Physician/Clinician-Focused Site (2010)
REMM system requirements
- Browser: IE 8 or higher, Firefox, Google Chrome, Safari, or Opera
- System: Windows, Mac, or Linux
- Javascript: Enabled
- View Images: Allowed
- Pop-ups: Allowed from REMM Web-site
- Cookies: None set by REMM
- Screen resolution: Best viewed at 1024 x 768 pixels
- WinZip: Required to extract (unzip) files from REMM download
- Viewers and Players:
You may need to download the following viewers and players to your computer in order to access NLM content in various formats.
Viewer or Player How It Works Example
FormatsApple Quicktime Media Player Play video and audio files on Apple operating systems. mov Apple iTunes Download NLM podcasts and applications. mp3
mp4
movAdobe Reader Read and print Portable Document Format (PDF) from your Web browser. pdf Adobe Flash Player View applications, content, and videos developed with
Flash on any platform or browser.swf
flvReal Media Player Play video and audio files on PC operating systems. mp3
mpeg4
mov
ram
wav
wmzWindows Media Player Play video and audio files on PC operating systems. mp3
wav
wmzMicrosoft Excel Get an Excel App xls
xslxMicrosoft PowerPoint Get a PowerPoint App ppt
pptxMicrosoft Word Get a Word App doc
docx
Linking policy
- The REMM encourages links to its pages. Links to the REMM home page (https://www.remm.nlm.gov) are preferred but links to individual pages within the REMM Web site are also permissible, provided attribution is made to HHS and/or REMM and any descriptive notes accurately reflect the content of the linked page(s). Links should refer to REMM as "Radiation Emergency Medical Management: REMM (US Department of Health and Human Services)."
- We also encourage use of our logo for linking to REMM, provided the entire logo is used and the "alt tag" specifies "Radiation Emergency Medical Management: REMM (US Department of Health and Human Services)."
Click here to download the image.
- You may not frame or manipulate Web addresses (URLs) so that REMM pages appear on a URL other than http://remm.nlm.gov or one of its subpages. You may not give the impression or create the illusion that REMM content is under another domain name or location.
- Some pages on REMM may contain links to external Web sites. These links are provided for convenience and informational purposes, and do not represent endorsement of any specific commercial products. Links should not be displayed in any manner that would imply such an endorsement by REMM or the Department of Health and Human Services.