In February 2016, the Third International Consensus on Sepsis published “Sepsis 3.0”, the first new sepsis guidelines since 2003. Sepsis remains the 9th leading cause of disease-related death and the primary cause of infection-related death in the ICU. The new guidelines were welcomed by many since the long interval of time since “Sepsis 2.0”, but have already created a firestorm of controversy especially in emergency medicine. Much of this controversy is due to the move away from the systemic inflammatory response syndrome (SIRS) criteria in favor of the sequential organ failure assessment score (SOFA) and qSOFA scores. I encourage everyone to read the three excellent articles published by the “Sepsis 3.0” consensus group in the Journal of the American Medical Association (JAMA).
My previous “go to” sepsis app has been ESCAVO Sepsis. This is, and remains, a stellar medical app for sepsis and has also been revamped to include the new sepsis guidelines and other recent publications about the treatment of sepsis such as the PROCESS and ARISE trials. Previously here on iMedicalApps we favorably reviewed the ESCAVO Sepsis app. The latest medical app to take up the new sepsis guidelines comes from three internal medicine residents at Englewood Hospital in New Jersey — called SmartIntern: Sepsis 2016.
You may recall I previously favorably reviewed their other excellent medical app called Heart Evidence, which summarized key trials in cardiovascular medicine. They publish their medical apps under the company, SynapticMedicine.
SmartIntern Sepsis takes the new sepsis guidelines and creates a user friendly sepsis diagnosis algorithm that incorporates qSOFA and SOFA. Both calculators are built right into the sepsis app. Furthermore, the SmartIntern: Sepsis 2016 app provides commentary and excerpts of the guidelines throughout the step by step process and “changes” the output in real time based on the input you give the app about the patient you are evaluating.
Evidence based medicine
SmartIntern Sepsis 2016 provides a point of care synopsis of the new Sepsis 3.0 guidelines. In my opinion, it improves upon the published articles by operationalizing the guideline into a step by step algorithm for evaluating patients at the point of care. The app contains numerous references and links to sepsis websites such as the Surviving Sepsis Campaign and the journal PDF’s published in Feb 2016 in JAMA.
Who would benefit from this App?
Students, nurses, residents, mid-levels, faculty in any specialty who care for patients with sepsis.
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.
- Simple to follow interface with algorithm for patient evaluation using new sepsis guidelines.
- Includes the guideline highlighted calculators SOFA and qSOFA built into sepsis app.
- Numerous links to sepsis websites and journal articles/guideline PDFs.
- Expert commentary section helps decipher results of algorithm and further explains guideline.
- Commentary section of app a bit too wordy in some areas.
- Algorithm can be difficult to follow on devices with small screens.
- Not available for Android at this time.
SmartIntern: Sepsis 2016 is another hit from the internal medicine residents at Englewood Hospital! This time they are one of the 1st groups out of the gate with an app that addresses the new sepsis guideline. This medical app is simple and perfect for all providers who may be evaluating and treating septic patients. The sepsis app combines the new evidence and expert based guidelines with clinical calculators and commentary to aid in clinical decision making.
- Overall Score
- User Interface
A great interface with an easy to follow algorithm and “step by step” process to evaluate patients with suspected sepsis using qSOFA and SOFA. The outstanding commentary section at times can be difficult to read.
- Multimedia Usage
The medical app has numerous links to sepsis websites and to PDF’s of the new sepsis guidelines. Most importantly the app has built in sepsis calculators including SOFA and qSOFA.
App is free.
- Real World Applicability
A medical app that can be put to use today in ER’s, medical wards and ICU’s everywhere! The app does a superb job of distilling the key points of the new Sepsis 3.0 guidelines into an app that truly can be used at the point of care.
- Device Used For Review
iPhone 6S running iOS 9.3
- Available for DownloadiPhoneiPad