alt (9)

alt (8)

These would be extremely useful in any situation that is not used to seeing burns and calculating Parkland dosing – such as rural hospitals or third-year medical student burn trauma rotations. The only thing I would’ve liked to have seen in addition is the ability to split up some of the burn sections by halves or fourths to get a more accurate percentage.

The app also contains some great trauma algorithms and visual information. Each has good, basic, step-by-step information which is extremely important but may not be entirely practical to use in a true emergency. The reference use here likely exceeds the clinical use, since much of this information is best when known by heart in a situation where every second counts.

Here’s the cardiac arrest algorithm and posturing reference for an example.

alt (19)

alt (4)

alt (5)

The posturing reference is one of the only areas in which I noticed an overt bug in the app. What I assume to be examples of different postures does not load on the app. These tend to be difficult concepts to keep straight, so the usefulness of having this reference is obvious. I’d like to see that fixed.

The PALS Section includes a lot of great algorithms and information for emergent situations that may be useful clinically in some situations, but for the most part still to be best used for studying or review in cases where you have notification prior to an emergency arriving.

alt (13)

alt (17)

alt (11)

Emergency Medications Section has great info, though, the color-coding can be a bit overwhelming at times. Perhaps the color system may be better used with black text and colored bullet-point to avoid the eye-crossing it can induce when switching between colors so often. While great information is contained here, I suspect most will prefer to stick with the typical pharm app that they are used to.

alt (26)

alt (25)

The patient notes section at the bottom is useful, but since the app is not password-coded or encrypted there are some obvious HIPAA issues if people truly use this to store information on patients.

alt (10)

The app also includes some other really well-designed and useful calculators. The Glasgow Coma Scale being one example, particularly considering the fact that there is a separate one for infants. The user may be initially turned off by the developer’s decision to stray from typical iPhone-scrolling options, however the way the menu pops up seems to make the process of option-selection a bit quicker.

alt (14)

From the GCS calculation you can click on the red “INTUBATE” button if your patient falls into that category and you’ll be taken to an ET Tube Size calculator. Again, this is great for rural hospitals that may not be intubating neonates or children on a regular basis.

alt (16)

Their APGAR Calculator is also one of the better ones I’ve seen, with a built-in timer and directions to ensure proper timing of the assessments. However, if you click off the section the timer stops and looks like it has forgotten your assessment. The alarm will still sound, but you aren’t able to see the time elapsed and may be confused into thinking it has stopped counting. I’d like to see a timer that only reset when the reset button were clicked or it had been ticking away for an exorbitant amount of time without use.

alt (24)

The app also includes a wealth of other information, such as a very-useful conversions section, Pediatric Trauma Score, and a Pediatric Dosing Calculator that I suspect will be largely ignored due to preferences being so strong for other pharmacology apps with pediatric dosage adjustments.

alt (7)

alt (6)

The Normal Vitals By Age in the calculator section is also a great tool, especially for Family Med doctors who don’t solely see children, medical students who aren’t accustomed to typical pediatric vitals, etc. There is also a bookmarks and search feature for quick-access to important things

alt (23)

Price:

  • $3.99

Likes:

  • Wealth of Information
  • Great learning and review tool with well-vetted information
  • Unique calculator functions and array of pediatric information
  • Bits and pieces of adult information sprinkled in
  • Great value, significantly less-expensive than the book it’s based on

Dislikes:

  • Color coding can be a bit overwhelming at times
  • Minor development bugs should be addressed (a couple of broken images)
  • Burn calculators don’t offer option for ½ or ¼ of a pre-dedicated section
  • APGAR timer disappears if you click off the screen

Conclusion:

  • This app is a great tool for anyone who expects to be treating children at some point
  • It seems most useful for learning or quick-review en route to a trauma
  • The information is particularly great for those who don’t solely treat children and may therefore not be as accustomed to the differences between adult and pediatric emergency medicine. This group would include Family and Adult Emergency Medicine nurses and doctors, rural physicians and their staff, and even the occasional Ob/Gyn who ends up needing to provide basic infant resuscitative care (again, most likely in a rural situation)
  • Well worth the money based on the amount of information and as compared to the price of the print-book it is based on.


iTunes Link