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Personal Digital Assistants for Doctors/Medical Practitioners
Grant E. Fraser, M.D., CEO Medical Wizards Corporation
Anand Surana, CEO Icegen Inc.

 Emergency (ER) Suite Common Usage Examples

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This document is designed to give users unfamiliar with PDA programs a feel for the depth and practical functionality of ER Suite. By following these examples on your PDA device even non-medical professionals will see the value of this product in practice.

As such, these examples are just a fraction of the product’s capability, but will demonstrate how medical professionals can save time and reduce errors in their every day routine by using ER Suite.

ER Suite consists of 16 easy to navigate modules providing a vast array of information needed at the point of care:

 

 1) ACLS: provides detailed up to date advanced cardiac life support protocols.

Wide Complex Tachycardia Example: A 37 year old male presents with a wide complex tachycardia with rate of 160 and a BP of 120/70 and no chest pain. The user selects the ACLS module, then selects Tachy(>100)/VF as the patient’s heart rate is 160.

The next selection is ‘Wide Tachycardia, Stable’. The text clearly displays the steps that the medical professional should undertake, including reminders to evaluate the ABC’s, confirm the rhythm and appropriate therapy for this condition.


 
2) Adult Drips: provides the drug information and weight based calculations for the 40 most commonly used drugs in critical or emergent care. This list includes anti-hypertensives, pressors, thrombolytics, antiarrhythmics, and diuretics.

Heart Failure Example: A 64-year-old male weighing 192 lbs with no contraindications to thrombolysis arrives at the ER with chest pain, shortness of breath, and promptly has a V-tach arrest. After being successfully defibrillated at 200 Joules, the patient is given Amiodarone via IVP then is placed on a drip.

a) Amiodarone via IVP Process:
Select Adult Drips; enter weight 192 lbs then select ‘Enter’.Select Amiodarone for VF/VT Arrest and select ‘Result’.The results page now displays your selection (which you should always double-check), both the mixing and Infusing instructions, a list of compatible drugs, and other relevant information on Amiodarone.
In this example, the results give these mixing instructions:
"6 mL of 50mg/mL (300 mg) of Amio into syringe. Fill to 20 mL a 20 mL total volume with D5W or NS. If repeat bolus is given, use 3mL (150mg) of Amio in 10mL total volume"
The Infusion Instructions are:
"Give 300mg (20mL) IVP. If indicated repeat with 150mg (10mg) IVP in 3-5 minutes. If patient responds to bolus, start standard drip of 1mg/min x 6 hours then 0.5 mg/min x 18 hours"

b) Amiodarone Drip Process:
From the Amiodarone IVP results page, press the "Back" button and select Amiodarone (Cordarone) and press ‘Result’.The results page for Amiodarone (Cordarone) will now give the correct dose and procedure for mixing for both bolus and drip. * Note the patient’s weight of 192 lbs automatically remains selected.

c) TNKASE:
After the Amiodarone drip has been administered, an emergent EKG then shows a large anterolateral acute MI and following normal CXR, you order Aspirin and Lopressor (via hospital protocol), TNKase with Enoxaparin both intravenously and Subcutaneously
Again press back, select Tenecteplase and the relevant information will be supplied. Note the product offers standard dosing for either Heparin or Enoxaparin (Lovenox) with no additional need for selections.

 

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