Despite a successful intubation, epinephrine, antihistamines, steroids, and IVF, our patient loses his pulse and enters what appears to be PEA. The team immediately starts CPR and you prepare the next dose of epinephrine using the PALS algorithms in the app. The algorithms contain helpful tips icons such as the “H’s and T’s” of reversible causes. In our case, the intubation and subsequent ventilation triggered a tension pneumothorax. The astute resident picks up on the decreased breath sounds and JVD and quickly needle decompresses the patient. The patient stabilizes and is transferred to a higher level of care and makes a full recovery.
Peds Meds has a settings icon with instructional videos on how to use the app as well as numerous options to change the default weight algorithm, layout of the app, ability to change the order of the subsections of the app to a sequence that your prefer, and more. You can even edit the app and add content to sections! I really like the flexibility the app gives to the end user. It also gives background information on the app developers.
How to use the app in clinical practice
This app is clearly meant to be used at the point of care for rapid information retrieval in a true pediatric emergency. The app is easy to use and you can rapidly find critical information using the patient’s age, weight or estimated weight. Unfortunately, the app does not offer the ability to put in a patient’s Broselow color.
Evidence based medicine
The app does not give any specific references for its medication dosing or calculations. It does include some of the formulas utilized in the app and comes from a reputable organization. However, I would more strongly recommend it if it did include more evidence/references.
What providers would benefit from this App?
Any provider who treats pediatric patients — especially Emergency Medicine, Pediatrics, and Family Medicine physicians, nurses, PA’s and NP’s.
- Intuitive and speedy user interface.
- Common emergencies covered.
- Flexible interface and ability to add content to to the app.
- PALS algorithms.
- Great icons and easy to read text.
- Some content separated in subsections when it should be together.
- No Broselow option.
- No references or evidence listed for recommendations.
- No Android version.
An excellent peds emergency app that is a worthy competitor to PediSTAT.
- Overall Score
- User Interface
Intuitive, quick, customizable interface.
- Multimedia Usage
Nice icons for sections, instructional videos, but no true graphics/algorithms.
Not unreasonably priced, but some highly rated competitors such as PediSTAT are cheaper ($2.99).
- Real World Applicability
Great resource for any pediatric provider.
- Device Used For Review
iPhone 6 running iOS 8.3. Also used iPad Air Gen 1 running iOS 8.3.
- Available for DownloadiPhoneiPad