Clinical Scenario:

Just before the start of your shift, the day team admitted a 10 year old male with a history of moderate persistent asthma for what appeared to be a routine asthma exacerbation. However, just after sign-out, you are called STAT to see this patient for progressive respiratory distress. Upon arrival to the bedside, you find an anxious appearing male asthmatic in severe respiratory distress. The nursing staff asks you what you would like to do next…..

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As a full scope Family Medicine physician, few things are truly more frightening than emergencies in infants and children. From asthma exacerbations to seizures to trauma, pediatric emergencies test the mettle of any provider. Time is critical so you have to know much information almost instinctively. With the advent of smartphones, this information can now be accessed rapidly at the point of care.

In two prior deployments to Afghanistan as well as stateside, my pediatric emergency app of choice has been Pedi STAT. Here at we have reviewed Pedi STAT previously. We also included it in several “Top 10” app lists for Pediatrics and Family Medicine. Over the years, alternatives to Pedi STAT have come along including PalmPedi, BluCard, Pedi Crisis, Paediatric Emergencies, and most recently Pediatric Anesthesia.

The app is authored by pediatric anesthesiologist, Dr. Jerrold Lerman, from Women & Children’s Hospital of Buffalo, Dr. Charles Coté at Harvard University and Dr. Brian Anderson at the University of Auckland, New Zealand. The app is a supplement to their textbook, A Practice of Anesthesia for Infants and Children. The app is designed for pediatric anesthesia providers but can actually be used easily by any provider in any specialty who may have to treat critically ill children/pediatric emergencies.

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 (in the OR). The app is easy to use and you can rapidly find critical information which makes the app appropriate in the ER, wards, and PICU. Unfortunately, the app does not offer the ability to put in a patient’s Broselow color.

Evidence based medicine

The app is an outstanding example of a pediatric critical care app that is evidence based yet elegant and easy to use. The app is based on a well referenced pediatric anesthesia textbook edited by the authors of the app.

What providers would benefit from this App?

Providers who care for critically ill children in and out of the hospital from the original audience of pediatric anesthesia providers to first-responders, students, residents and faculty in emergency medicine, pediatrics, and family medicine.

pediatric anesthesia app

Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.

  • Price
    • Free to download and use for 3 days. Lite version is $1.19 and Pro version is $5.79.
    • Many pediatric emergency conditions covered.
    • Easy to navigate to find age/weight based drug dosing and equipment.
    • Includes “pocket card” of their textbook for a quick ref tool.
  • Dislikes
    • Pricing system for app overly complicated. Most users will want/need the Pro version.
    • Some topics covered in other peds emergency apps missing here.
    • Focus on pediatric anesthesia may not make it as generalizable as it could be.
  • Overall

    An easy to use app that literally could easily save a child’s life.

  • Overall Score
  • User Interface

    Highly intuitive, but basic interface could include other options such as Broselow color.

  • Multimedia Usage

    App works quickly and smoothly from one section to the other. No links to outside documents or websites.

  • Price

    Trial version only works for 3 days then must pay for Lite or Pro versions. Lite version very limited utility.

  • Real World Applicability

    Great resource for any pediatric providers in the pediatric anesthesia field or any other medical field that deals with pediatric emergencies.

  • Device Used For Review

    iPhone 6 running iOS 9.01

  • Available for DownloadAndroidiPhoneiPad