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.

Here at iMedicalApps, 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, PEMSoft, and Paediatric Emergencies.

Pedi Crisis 2.0 is the sequel to Pedi Crisis, which was reviewed by iMedicalApps back in 2014. Back then, we liked the simple checklist-based format and incorporated timer but felt some of the steps were cumbersome and it took too long to get drug dosages. The app is produced by the Society of Pediatric Anesthesia and is now compatible with both iOS and Android as well as the 64bit requirement for iOS apps. The app now covers 26 pedi emergencies — compared to the original 18 — scenarios. The app allows providers to quickly jump between scenarios and, once a crisis is selected, to jump between the differential diagnosis, treatment, and drugs for that scenario. Steps for resuscitation based on the current PALS guidelines are also included. The steps to calculate drug dosages have been simplified, but some functions such as the timer have been removed.

Evidence-based medicine

The app is produced by the Society for Pediatric Anesthesia. The app claims to be peer-reviewed — however, no references are included in the app. The app covers 26 of the most common pedi crisis encountered in pedi anesthesia.

What providers would benefit from this App?

Providers who perform pediatric anesthesia/work in pediatric ORs, or any providers who treat critically ill pediatric patients including students, CRNA’s, pedi anesthesiologists, etc.

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
    • Many pediatric emergency conditions covered — 26 in all
    • Calculates drug doses across app once patient weight entered
    • Available for Android
  • Dislikes
    • No references or description of peer review process
    • Might be too text heavy for some, but not comprehensive enough for others
    • No timer function or true “checking” of checklists.
  • Overall

    A well-designed pediatric emergency app for pediatric anesthesiologists from a reputable organization. The app covers more scenarios than its predecessor (26 vs. 18 crises) and is easy to use. The app lacks references but claims to be peer-reviewed. Certainly, worth a download (it is a free app) for pediatric anesthesiologists.

  • Overall Score
  • User Interface

    Intuitive interface with ability to quickly jump from DDx to Tx to Drugs to Crisis sections and between scenarios.

  • Multimedia Usage

    App calculates all drug doses once weight is entered and can jump between topics via extensive internal hyperlinks. No external links or references.

  • Price

    App is free.

  • Real World Applicability

    If you are a pediatric anesthesiologist and/or care for critically ill pediatric patients, Pedi Crisis 2.0 should be on your mobile device. The ability to quickly run through a differential and begin treatment with calculated drug dosages for 26 of the most common pedi anesthesia emergencies makes this app highly useful. It lacks references or evidence statements so for more detail recommend Pedi Crisis alongside UpToDate and/or Dynamed Plus.

  • Device Used For Review

    iPhone 8 running iOS 12.0

  • Available for DownloadAndroidiPhoneiPad