The following is a sponsored post written by EvidenceCare. EvidenceCare is an online decision support reference that quickly enables physicians to access evidence based treatment pathways. For a limited time, iMedicalApps readers will get 33% off the premium subscription with the promo code IMED01.

A 30-year-old pregnant female presents to the emergency room critically ill with dyspnea, hypoxia, and hypotension. There is concern for massive PE.

Is the patient a candidate for fibrinolytic therapy?

Does this sound familiar?

It did to Brian Fengler, an emergency room physician who realized early on in his career that there was no way for any one person to know all the answers all of time. Dr. Fengler, who researched pulmonary embolism extensively while he was a resident at the University of Virginia and published a protocol on how to manage these patients in the ER, was faced with this exact scenario…only the patient happened to also be 36 weeks pregnant. He felt confident that treating her with a fibrinolytic drug was best for the patient, but he was unsure how this therapy would impact her unborn baby.

As most clinicians do in these situations, when they have a clinical question, he turned to the internet looking for answers. Unable to find information on the risk of giving a pregnant woman fibrinolytic therapy, he made the call to move forward and have that difficult conversation we’ve all had with patients when we have limited information to support us. Luckily, mother and baby did well. It did, however, leave a burning question in him Brian as to why, in an era of technology and innovation, healthcare providers still don’t have tools at the bedside to help them deliver the right care to every patient they treat.

Being a physician is “one of very few careers where you are expected to be perfect 100% of the time. My patients expect me to know the answer and get it right every time.”
– Emergency Room Physician, Ryan Stanton

Inspired by this case, Dr. Fengler didn’t set out to build just another app, he wanted to create something that would change the way providers practice medicine. Unlike the variety of clinical decision support (CDS) products on the market, Fengler wanted something that was intuitive to use, tailored to each unique patient, and enhanced a provider’s workflow. The result is EvidenceCare, a clinical decision support (CDS) tool that allows providers to access patient-specific, actionable evidence-based treatment recommendations at the bedside, in as little as 30 seconds.

And, to bring more meaning back to the limited time we have with our patients, Fengler designed a feature that enhances the shared-decision making process. To ease the burdens of documentation that plague our EDs, he built in a feature that accelerates charting in any EHR.

“There are probably physicians who go their entire career without seeing a pregnant patient with a massive PE, but I’ve actually seen two. The first time I was unable to ease her fears because I didn’t know the information myself… I was flying with no instruments. The second time, I was armed with EvidenceCare. The patient came in terrified that she was going to die and concerned about how our treatment efforts would impact her baby. I was able to share with her the data specific to her clinical scenario, and give her confidence that we were making the right decision.”- Brian Fengler, MD.

Each EvidenceCare pathway quickly guides the provider through a series of considerations and rules that define actionable recommendations and illustrate risks related to decisions made. The interface is highly intuitive and delivers the precise evidence and guidelines that are relevant to the specific patient’s conditions. In addition, it provides convenient links to full studies and guidelines. Below are a few screens from EvidenceCare’s PE pathway to illustrate how a physician would handle a pregnant female who has presented with a massive PE.

The Pulmonary Embolism protocol, which is authored by nationally acclaimed Dr. Jeff Klein from Indiana University, is just one of the many in-depth protocols offered on the most complex conditions in medicine including Sepsis, Stroke and Pneumonia, to name a few. Like Pulmonary Embolism, all EvidenceCare pathways are authored by national experts such as Dr. Amal Mattu and Dr. Peter DeBlieux.

In addition to pathways which cover the most costly and complex conditions we see, there is a comprehensive Antibiotic Guide that covers all infectious diseases, is integrated with Tarascon Pharmacopoeia, and provides real-time, local prescription pricing. EvidenceCare supports better care by ensuring each decision is made more thoughtfully, using patient focused evidence-based medicine, and by engaging patients in more meaningful care discussions.

EvidenceCare’s core content is free to all healthcare providers. Premium subscribers have access to advanced features such as the patient communication tool, documentation capture for any EHR, and CME credits for time spent in the platform. iMedicalApps readers get 33% off the premium subscription with the promo code IMED01. To learn more about EvidenceCare visit our website.