Purpose of App Review

To evaluate the usefulness of PalmPEDi as a resource for pediatric emergency medicine physicians and pediatricians.

Introduction

When an emergency arises, it is of utmost importance that doctors make quick and accurate decisions.

The PalmPEDi app by Palm ER Worldwide is a resource to help physicians manage pediatric emergencies.

It is actually a component of another app, PalmEM (which we reviewed a few months ago). The app is compatible with iOS and Android.

User Interface

Though the app contains tremendously useful information, the user interface has some room for improvement.

The app opens to the following screen: a list of weights in both kilograms and pounds, with the corresponding estimated ages.

There is no indication of what kind of information you will get within the app, and the weights are in discrete values, meaning that if the patient’s weight is between two values, you will have to round up or down. This shouldn’t have huge effects clinically, but still, the ability to enter the exact weight would lead to better accuracy and lessen any confusion that may arise.

Selecting the child’s weight leads to a plethora of information, mainly medication doses, pertinent to various emergencies, including:

  • Normal vital signs
  • Equipment (sizes)
  • Fluid and blood resuscitation
  • Airway management, including premedications, induction and paralytics, and maintenance
  • Cardiac resuscitation
  • Cardiovascular support
  • Allergy/anaphylaxis
  • Asthma
  • Croup
  • Hypoglycemia management
  • Pain medication doses
  • Procedural sedation
  • Seizure

The information is laid out in an organized manner, broken down by the aforementioned categories. However, due to the lack of a search function, you are required to scroll through all of the available information to find what you want, and the information is not really in any particular order. Physicians would be able to use the app more efficiently if they could search the information of interest or quickly access the information through a menu rather than scrolling and searching.

PalmPEDi also does not list any references, which lowers my confidence in the app. Physicians should not use medical apps with blind trust in the information given, and in the case of this app, I have no idea where the information is coming from.

Clinical Utility

As far as clinical application, this app is a great resource for physicians managing pediatric emergencies, neatly presenting pertinent information for common emergent scenarios. Unfortunately, the app only gives information for children from 3 kg (6.6 lbs) to 36 kg (79.4 lbs). This presents a problem as the app will not be useful for caring for children who are heavier or lighter than this range.

It is important to note that this app only provides basic normal vital signs, sizes of equipment such as central lines and ET tubes, and medication dosages – no clinical decision algorithms.

Tapping on the “information” button in the upper right hand corner leads to additional resources, such as a map of children’s hospitals in the United States and a CDC immunization schedule.



Price

  • $1.99

Likes

  • Useful information for pediatric emergencies
  • Information is neatly presented
  • Price is affordable

Dislikes

  • List of discrete weights vs ability to input a patient’s exact weight
  • Information given only for children 3 to 36 kg
  • No search function – must scroll through copious amounts of information
  • No references given

Healthcare providers that would benefit from the app

  • Emergency medicine physicians, especially those who care for children
  • Pediatricians
  • Nurses
  • Paramedics

Conclusions

  • PalmPEDi is a useful app for managing pediatric emergencies, but is somewhat limited – it won’t help if your patient weighs less than 3 kg or more than 36 kg (average age range of newborn to 9 years and 7 months). The user interface lays the information out in an easy-to-read format, but would benefit from a search function or otherwise faster way to access the information.
  • Overall, this app does have value in clinical practice, and does a great job of narrowing down information for emergencies.

iMedicalApps recommended?

  • Yes

iTunes Link
Google Play Link

Rating: (1 to 5 stars) Overall: 4.5 stars

  • User Interface: 4 stars: Simple enough to navigate, but with room for improvement.
  • Multimedia usage: 4 stars: Multimedia usage is not really necessary for this app, but it does include the map of children’s hospitals and the immunization schedule which could be helpful.
  • Price: 5 stars: At $2.99 this app is definitely reasonably priced.
  • Real world applicability: 5 stars: This app has tremendous clinical application and could probably be used daily by pediatric ER physicians.