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ABG Acid-Base eval walks a clinician through a stepwise approach to analyse ABG's and electrolytes in order to arrive at acid-base disorders and diagnostic ideas about ill patients. It is based mainly upon a worksheet developed by Dr. Erik Rupard from the medical literature. This tool not only yields answers, but just as importantly teaches the stepwise thinking process and the necessary concepts along the way. A clinician or learner will wind up with good information that assists patient care and should wind up a little smarter...

Eating Disorders provides guidance at the point of care for clinicians evaluating and treating people for the eating disorders named in DSM-IV. The app presents evidence based tools for screening (SCOFF questionanaire), comprehensive evaluation, laboratory workup, and guidance on treatment setting. The app addresses such common questions as: •how can I screen for Anorexia & Bulimia Nervosa? how good is the screening tool? •what are the elements of comprehensive diagnostic evaluation? •what labs and workup should I get for a pat...

The Bishop Scores app presents three different scoring schemes which help a clinician decide whether proposed induction of labor is likely to be successful and consider whether cervical ripening is warranted. The three schemes are the classic original Bishop Score from 1964, the Bishop Score with Modifiers from Hughey in 1976, and the recent statistically rigorous Simplified Bishop Score of Laughon in 2011. Discussion, explanations, and references are included. This app is written and intended for practicing clinicians like obst...

Lead Screen presents guidance for clinicians on lead poisoning screening in children based upon the New York State Department of Health guideline of October, 2011. It puts at your fingertips information on whom to screen, how to screen, what to do with various levels of blood lead level test results, signs & symptoms of lead poisoning, lead exposure risk factors, assessment for elevated levels, and a discussion of variations among guidelines on this topic. The app addresses such common questions as: - what are the indications ...

Warfarin Guide offers three resources essential for systematic and careful evidence-based anticoagulation with Warfarin. First it reviews recommendations on indications, INR targets, and treatment duration from the American College of Chest Physicians 8th Edition guidelines on Antithrombotic and Thrombolytic Therapy from 2008, updated for the 2012 guideline. Second it offers a protocol for Warfarin dose adjustment depending upon INR result. And third is a discussion of protocols for the initiation of Warfarin. These resources c...

This app is for physicians (not the lay public). All babies lose weight after childbirth, but different amounts of weight loss warrant different levels of alarm. This app quickly and easily lets a clinician enter a birth weight in any units of measure and a current weight in any units of measure, then reports the % weight loss thus far, and shows 5%, 10%, and 15% weight loss thresholds. For failure to thrive (FTT) management and supervised feeding, a clinician needs to calculate weight gain per day over a time interval, which th...

The First Trimester Bleeding app is for CLINICIANS (not the lay public). It helps a clinician move through the complex evaluation protocols for women early in pregnancy suffering bleeding and pain. The app also reviews guidance on management of early pregnancy loss and ectopic pregnancy. The app answers questions such as: - what information and investigations do I need for a woman with early pregnancy bleeding? - how do I distinguish pregnancies which are viable, non-viable, and of uncertain viability? - what do I do if no pregn...

You suspect your patient warrants a pneumococcal vaccine. But which one? How many? In what order? At what intervals? For what indications? And what comes next? It used to be easy when it was just PPSV23 (PneumoVax) for old folks. But now we’ve got indications for complex regimens for younger adults, and the addition of PCV13 (Prevnar) to the regimens has made it super-complicated to keep straight and do properly. That’s where the app comes in. PneumoVaccines organizes and presents the practical and hard-to-remember guidan...

This app is for physicians (not the lay public). This app puts a variety of calculators and decision-support guidance for clinicians caring for newborns, infants, and toddlers. The app quickly and easily lets a clinician enter a birth weight in any units of measure and a current weight in any units of measure, then reports the % weight loss thus far, and shows 5%, 10%, and 15% weight loss thresholds. For failure to thrive (FTT) management and supervised feeding, a clinician needs to calculate weight gain per day over a time inter...

The Step-by-Step Approach is an evaluation scheme based upon clinical factors and lab testing which allows clinicians, typically in the Peds ED, to decide which young (≤ 90 days old) febrile infants are at high, intermediate, and low risk of invasive bacterial infection (bacteremia, sepsis, meningitis). Risk assessment allows a clinician to choose less intensive, less invasive management of some young febrile infants depending on local standards, local resources, and particulars of the clinical case. The app is adapted from the v...