Achieving h APP iness on your mobile device mHealth apps for EDs Kirsty Short, Advanced Trainee in Emergency Medicine (ECI)
Apps for Clinicians
Improving Patient Experience • Translation apps • Procedure explanations • Departmental ipads
~ Emergency ~ Ac I NSW Agency for Clinical Care Tnstitute lnnovat1 on
~ Emergency ~ Ac I NSW Agency for Clinical Care Tnstitute lnnovat1 on
Piedmont-based companies develop medical apps to improve patient care | MyFOX8.com - News, Weather, Sports and more from WGHP Fox 8 Television
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~ ~-~- Emergency ~ !I 1 ncr-·d oed o~ ic Li c. S ~ art ) Care Institute
1 ~ •••• () Optus 4G 9:23 93% I I • • Paediatric Basic Life Support Algorithms Ad v anud Li ft 5upfH1rl Paediatric Advanced Life Support Calendar Cardiac Arrest Management IJ.\ Courses The Choking Child :h .. lngCh ll d • • • I! Anaphylaxis Management
· ~ •••• :J Optus 4G •••• o Optus 4G 9:24 93% I 9:23 93% I I • I• - SVT (Supra-Ventricular - • ·1 I . .. . Tachycardia) Managem ... a pis Status Epilepticus !I • I BI 1!111!11 VT (Ventricular Tachycardia) Managem ... Condder pre - hospita l m e dlca tJ ons Decreased Conscious Level Management Status Epilepticus 20mln Rapid Sequence Induction with Thiopentone or Propofol Cervical Spine Management
~ Emergency ~ NSW Agency Ac I Care Tnstitute for Clinical lnnovat1on
• 1Pad 9 7:41 am 98% - " Discussion CT Scan Discus si on Case 10: Appendicitis This patient also has appendicitis. No contrast is seen within the appendix despite excellent filling of the cecum. There is subtle but definite adjacent stranding in the mesentery. The mucosa enhances more than in other parts of the bowel. There is thickening of the cecum at the base of the appendix. This case is less obvious than Case 9, but the findings are still there. If you did not immediately find the appendix, "run" the colon again. Here is the ileocecal valve. The proximal ascending colon is situated superiorly. The cecum is then inferior and the appendix originates from the same side of the cecum as the ileocecal valve. See schematic. Once you find the appendix you must decide if it is normal. If the appendix is filled with air or contrast filled it is normal. This is the most useful finding because it virtually excludes appendicitis. Appendicitis is caused by obstruction of the appendix and an obstructed appendix does not fill with air or oral contrast. Occasionally, a small amount of air can remain present in the tip of the appendix because it has become trapped by the inflammation. This is uncommon. Contrast should never be seen only in the tip (how could it get there if the lumen is obstructed?). The mucosa enhances secondary to hyperemia: inflammed bowel becomes hyperemic. Mesenteric stranding is related to inflammation in the surrounding fat. Thickening of the cecal tip is secondary to the inflammation in the adjacent appendix. There are times where the CT findings are indeterminate. For example, what if the appendix is air or contrast filled but measures 8 mm (greater than 6 mm). What if the appendix will not fill with contrast, measures only 5 mm, and is neither hyperemic nor surrounded by fat stranding? What if you cannot fi nd the appendix? If there are mixed signs use clinical signs and symptoms and discuss the case with the surgeon. Watching and waiting is appropriate in many subsets of patients.
1 ad ";"' :41 am % _ .. • Discussion CT Scan Di sc u ss i on Return to discussion.
Emergency ~ ~ NSW Agency Ac I for Clmical Care Institute Innovation
* ~ ~ ~ ~ ~ ~ iP ad 9 7:35am 1 00 % - 0. Search Cat e gor ie s A v )?: A -a 0 2 Grad i ent and R atio Alveolo-arterial oxygen gradient and ratio Abbrevia t ed Burn Severity I ndex Anesthesiology Cardiology Diabetes Outcome of burn injuries A BC D 2 Score Risk of stroke after TIA - A BC D 3 - I Score l£ Risk of stroke after TIA A ABG Ana l yzer B Blood gas interpretation Evidence-Based ER -I CU El ec t rolytes c Medic i ne Al varado Score D Diagnostic score for appendicitis E Anion Gap (Serum) Diagnosis of metabolic acidosis F A ni on Gap (U r ine) G Source of bicarbonate loss H Infecti ous Di sease Gastrointestinal Neurology A P AC H E II Severity of disease in the ICU K APGAR L Newborn initial assessment !} A M ASA Cl assification N Assessment of risk before surgery 0 AVP U Sca le Nu rses Obstetrics Oncology p Assessment of level of consciousness a B R Basa l E nergy Expenditure 0 fU Harris-Benedict formula llt\ s Basa l Metabolic Ra te T Mifflin-St Jeor formula u Ped i atrics Pulmonary Renal Behavioral Pain Scale v Assessing pain in noncommunicative patient w Bicarbonate Deficit Estimation of bicarbonate loss & . Blatchford Score Risk assessment for upper Gl bleeding Body Surface Area Trauma Several formulas for BSA assessment Burn Ar ea (rule of n ines) Quick assessment of burned area c • <> - (j) 1> - 1> - Patients Formulas Cate ories
* iPad 9 7:36am 1 00% - CD X ABCD 2 Score Di abetes ID Hypertension - Age 2: 60 years - Clinical Features Unilater al Sym ptom Duration 1 0 - 59 min Score 6 high risk Similar > Stroke Risk > ABCD 3 -I Score > Cardiovascular Risk (ACC/AHA) > CHADS 2 Score > CHA 2 DS 2 -VASc Score Stroke Diagnosis > Aphasia Classification > Cincinnati Prehosp. Stroke Scale > ROSIER Scale Disability > Barthel Index > Glasgow Outcome Scale > Modified Rankin Scale > NIH Stroke Scale
Emergency ~ ~ NSW Agency Ac I for Clmical Care Institute lnnovat ton
Search Browse > Brand Name > Generic Name > MIMS Therapeutic Class > Action and Indications > Company * 000
Search Browse Q Enter the name of a drug to search for Cadati n 5/20 Tablets Amlodipine - Atorvastatin Cadati n 5/40 Tablets Amlodipine - Atorvastatin Cadati n 5/80 Tablets Amlodipine - Atorvastatin Caduet 10/1 0 Tablets Amlodipine - Atorvastatin Caduet 10/20 Tablets Amlodipine - Atorvastatin Caduet 10/40 Tablets Amlodipine - Atorvastatin Caduet 10/80 Tablets
Reset Pill Identifier Search Any > Shape Any > Color Any > Scoring Any > Form Any > Class of Drug Any > Company * 000
~ Emergency ~ Ac I NSW Agency for Clinical Care Tnstitute lnnovat1 on
* iPad 9 7:37am 100% - CD palm EM ABCs Abdominai/GI Cardiovascular Dermatology ENT Environmental Heme/One Infectious Disease Neurology OB/GYN Orthoped ics Pediatrics Pulmonary Procedures Psych Radiology 0 1:? "' Q. Jv.- " Gate o Pedi Tape Search Meds Favorites
* iPad 9 7:36am 100% - rn B ack Pediatric Rashes • Age: 3-12y, nonimmune adults • Season: Winter/Spring • Prodrome: Nonspecific fever and malaise • Morphology: Macular Erythema on face, erythematous macular eruption f or first week followed by lacy erythema • Distribution: Face followed by extremities; lacy rash over extensor surfaces • Associations: Aplastic c ri sis; hydrops fetalis; papularpurpuric socks syndrome HAND-FOOT-MOUTH DISEASE (COXSACKIEVIRUS A-16) • Age :< 10y, occasionally older • Season: Summer/Early Fall • Prodrome: Fever, anorexia, sore throat • Morphology: Small vesicles or red papules; ulcerations in mouth • Distribution: Hand, foot, mouth, tongue, tonsils • Associations: Dehydration, ferbile seizures, herpangina
t::$1 am ol 1U '¥o ~ Pedi Tape 3 kg (6.6 lbs) Newborn: 18-20 inches (46-52 em) 4 kg (8.8 lbs) 1 month old: 20-22 inches (52-57 em) 5 kg (11 .0 lbs) 2 month old: 22-24 inches (57-61 em) 6 kg (13.0 lbs) 3 month old: 24-25 inches (61-64 em) 7 kg (15.4 lbs) 4 month old: 25-27 inches (64-68 em) 8 kg (17 .6 lbs) 6 month old: 27-28 inches (68-71 em) 9 kg (19 .8 lbs) 9 month old: 28-30 inches (72-75 em) 1 0 kg (22 .0 lbs) 1 year old: 30-31 inches (75-80 em) 11 kg (24.3 lbs) 1 year, 3 month old: 31-33 inches (80-85 em) 12 kg (26.5 lbs) 1 year, 6 month old: 33-35 inches (85-90 em) 13 kg (28. 7 lbs) 2 year old: 35-37 inches (90-94 em) 14 kg (30.9 lbs) 2 year, 4 month old: 37- 39 inches (94-98 em) 15 kg (33.1 lbs) 2 year, 7 month old: 39-40 inches (98-1 02 em) 16 kg (35 .3 lbs) 3 year old: 40-41 inches (102-104 em) 17 kg (37 .5 lbs) 3 year, 4 month old: 41-42 inches (1 05-108 em) 18 kg (39. 7 lbs) 3 year, 7 month old: 42 -43 inches (1 08-110 em) 19 kg (41.9 lbs) 4 year old: 43 -45 inches (11 0-114 em) 20 kg (44.1 lbs) -At- * 4 year, 4 month old: 45 - 46 inches (1 14 -117 em) a ..&. u Category Pedi Tape Search Meds Favorites
~ Emergency ~ Ac I NSW Agency for Clinical Care Tnstitute lnnovat1 on
Links ECI Apps Page: http://www.ecinsw.com.au/ed-applications SMACC talk: http://intensivecarenetwork.com/723-smacc-tessa-davis- how-to-create-a-medical-app/ App development: iclinicalapps.com
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