In this section, two scenarios are given as a
tutorial for using WISER. In the first scenario, the substance is
known; in the second, the substance is not known. WISER can be used
in both of these scenarios to assist in responding to the
incident.
In this
scenario, you are the first responder at a scene. There is an
overturned cargo tank with ‘Hydrogen Peroxide’ on the side; the
papers on board and driver verify that it is hydrogen peroxide. There
is a small fire caused by the engine on the cargo tank. The driver of
the truck has been splashed with the hydrogen peroxide and may have
ingested some of it.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image103.jpg)
The immediate
tasks are to clear out an appropriate area around the tanker truck, treat the
driver, and correctly respond to the small fire. Using the WISER application,
you can use Graffiti (the native Palm alphabet) to write an ‘h’ in the text
field. The list of substances will scroll down to substances beginning with
‘h’. Continue entering letters until hydrogen peroxide is visible in the list
(or use your devices scroll buttons to advance the rest of the way).
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image104.jpg)
Tap on hydrogen peroxide. This will bring up the Data
Page for hydrogen peroxide, showing the Key Info.
To
determine the appropriate area to clear out, bring up the menu by
tapping on Key Info, then tap on Protective Distance option in the
menu, as shown below. This brings up the Evacuation distance
information from the DOT Emergency Response Guidebook (ERG). (The ERG
is also accessible in its entirety by tapping the HAZMAT submenu.)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image033.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image109.jpg)
For
information on the appropriate response to the fire, bring up the menu
by tapping on Protective Distance and then tap on the Fire Procedures
link in the data menu, as shown below. (The fire procedures is
also accessible from the HAZMAT submenu).
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image033.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image112.jpg)
Finally, treatment
of the driver can be determined by tapping on the Treatment hot link, as shown
below. (The treatment data is also accessible from the Medical submenu).
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image033.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image115.jpg)
If more in-depth
information is required, such as physical properties, it can be found by selecting
the category of interest in the data menu, and then the desired data element from
the resulting submenu. For example, to view information about decomposition,
you select the category ‘Properties’ from the data menu, and then ‘Decomposition’
from the resulting submenu.
In this scenario,
you are the Hazardous Materials Specialist responding to an incident at a
warehouse. The warehouse has been cleared and the situation has been
stabilized. Your primary task is to identify the substance and provide
information and recommendations to the Incident Commander.
The substance in
question has been leaking from an unmarked barrel. It has been described as a
colorless liquid with an alcohol smell. The workers from the warehouse are showing
the following symptoms: nausea, dizziness, headache, eye irritation, and low
body temperature.
Using WISER in
this situation, you tap on the Help Identify button on the Main page.
If there is an existing search in progress, you should tap on New Search
to save the search and clear out the symptoms and properties.
To enter the
properties of the substance, first tap on ‘State’ to bring up the possible
values of physical state and tap on ‘liquid’. Liquid is now shown in the
selected list and the number of matching substances has been reduced to 266 of
the original 390.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image118.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image121.gif)
Then, following
the same process, select colorless from the Color property and select
‘alcohol-like from the Odor property. For ‘alcohol-like’ odor, you might need
to scroll to see that option in the list as shown below.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image118.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image118.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image127.gif)
The result of using the properties liquid, colorless, and
alcohol-like odor is that the original list of 390 substances has been reduced
to 35. To enter victim symptoms, tap on the symptoms button at the top of the
Properties page.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image130.gif)
The
patient symptoms (nausea, dizziness, headache, eye irritation, and low
body temperature) are selected by tapping on the body part that shows
the symptom. For nausea, tap on the stomach and then tap on the nausea symptom
from the list that pops up. Nausea will be added to the selected list.
For dizziness and headache, tap on the brain. After dizziness has been
selected, the neurological list can also be brought up by tapping on the
dizziness symptom from the Selected list.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image139.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image144.gif)
The symptoms of eye
irritation and low body temperature are selected similarly. For eye
irritation, tap on the eyes in the image of the human body. Then, tap on
irritation. For low body temperature, tap on the image of the thermometer and
then tap on low body temperature. The result of the symptoms, combined with
the previously entered properties is shown below. To view the results of the search,
tap on the Results button.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image150.gif)
The result of the search to this point has resulted in 4
substances that match the symptoms and properties selected. To determine the
correct substance, the Results page allows the user to group and sort the
substance in different ways, remove substances that are known to be incorrect,
and go to the Data pages for the substances. In this tutorial, the user groups
by various symptoms and properties until getting to Specific Gravity, and that
information is used to narrow down the substances even more. Here, the user
taps on the Group-by button, and selects Specific Gravity. Based on the
results of the grouping, the user tests the substance and observes that the
substance is not soluble and floats on water. This information is used
below. Since the substance is known to float, the sinks in water substance
can be removed. This is done by tapping in the box to the right of the ‘sinks
in water’ grouping.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image154.gif)
The remaining substances need to be examined in
more detail to determine the correct substance. First, examine Sulfur
Trioxide by tapping on the substance name. The Key Info indicates
that it is water-reactive. It is likely that this substance
can be removed. If it is decided later to re-examine substances, they can all be
returned by tapping the Show All box on the bottom right.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image140.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image160.gif)
Next, examine Zirconium Nitrate. This substance is
water-soluble and hence is unlikely to be the correct substance.
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image148.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image148.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image148.gif)
![](/peth04/20041014213507im_/http://wiser.nlm.nih.gov/images/image171.gif)
The final result
of the search is Isopropanol. Information about this substance can be obtained
by tapping on the name and using the Data page as described for known
substances.