Programs | Sponsorship | Developer | Help! | Links | FAQ's | Disclaimer Welcome! Welcome to HandHeldDoc.com! This site was developed for medical practitioners (physicians, nurses, prehospital care providers, medical students etc) to be able to access decision making tools quickly, at the click of a button. Either download these tools directly onto your Palm handheld or visit handhelddoc.com/mobile to access them from your handheld or desktop browsers. These tools are designed to supplement clinical judgement, not replace it! Use at your own risk! Updates 6/16/08: Newest EM Rules: A download error was fixed with EM Rules. Download v1.12 here! 6/5/08: Sepsis v2.01 Available! Sepsis EGDT has been updated to include the 2008 Surviving Sepsis Campaign Guidelines. Either download the Palm version or use the Mobile version at handhelddoc.com/mobile 5/29/08: Mobile & Desktop Version Available! Thanks to our sponsor, EMCREG, we were able to develop internet versions of CinciACS and CinciStroke. You can access these from any Desktop, iPhone, Blackberry or Windows handheld at handhelddoc.com/mobile 5/28/08: EM Rules v1.11 The CURB Score was updated to reflect both BUN and Urea calculations. Download EM Rules to get the latest update. 5/19/08: New links added! Visit our links section to view the newest links. 5/9/08: v1.10 of EM Rules: The latest version of EM Rules is now released with some improved navigation. To date, EM Rules has had over 13,000 downloads! Thank you for your support and please let us know how we can continue to improve this project as well as any of our others. 4/5/08:CinciACS Released!:The fourth project from Handhelddoc is being released as a demo. It is called 'Cinci ACS' and is based on the 2007 AHA guidelines. It is designed to help clinicians manage Acuce Coronary Syndrome including ST-Elevation Myocardial Infarction (STEMI), non-STEMI and Unstable Angina. As with all of our other programs, Cinci ACS is free. 1/23/08:CinciStroke Released!:The third project from Handhelddoc is being released as a demo. It is called 'Cinci Stroke' and is a tool to assist clinicians with the acute management of ischemic and hemorrhagic stroke. Cinci Stroke is based on the 2007 AHA guidelines and is available for immediate download. As with all of our other programs, Cinci Stroke is free. Programs Cinci ACS Continuing in the tradition of EM Rules, Sepsis EGDT and Cinci Stroke, Cinci ACS is our newest project designed to help practitioners with the management of Acute Coronary Syndrome. Cinci ACS is based on the 2007 guidelines put out by the AHA for STEMI, non-STEMI and Unstable Angina management. A partial list of the tools are below: 2007 Guideline updates! STEMI & Non-STEMI Management Heparin & GP IIb/IIIa Dosing Calculators Localization by ECG TIMI & GRACE Risk Scores and much much more... Click here for more information about Cinci ACS including version history etc. Cinci Stroke Continuing in the tradition of EM Rules and Sepsis EGDT, Cinci Stroke is our newest project designed to help practitioners with the management of ischemic and hemorrhagic stroke. Cinci Stroke is based on the 2007 guidelines put out by the AHA for acute ischemic and hemorrhagic stroke. A partial list of the tools are below: ABCD2 Score for TIA Anticoagulation Management BP Management for ICH & Ischemic Stroke Calculators for Weight & Temperature Conversion Cranial Nerves DVT Prophylaxis in ICH Elevated INR Managment Heparin Induced ICH Management Hounsfield Units Hypercoagulation Labs Imaging in Stroke (Diff. Types of Modalities) Intracerebral Hemorrhage Score Intracerebral Hemorrhage Volume NIH Stroke Scale Outcomes in Ischemic CVA Phenytoin Correction Prehospital Stroke Tools Stroke Mimics Stroke Syndromes and much much more... Click here for more information about Cinci Stroke including version history etc. EM Rules This is a compendium of decision rules, calculators, scores and frequently forgotten tables designed for the Emergency Physician, but applicable to many other specialties as well. This is a free tool designed to help physicians risk-stratify patients and make point-of-care clinical decisions. This program was designed to be user-friendly and easy to navigate. Additionally, some of the decision rules and scores have discussion sections that help users better understand how to decide which rule to use and when to use it appropriately. While there are too many features to list, here is a select list of what is included: APACHE II Score Canadian C-Spine & NEXUS C-Spine Rules Canadian & New Orleans Head CT Rules Causes of Red Eye Fully functional calculator! Glasgow Coma Scale-Adult & Pediatric Intracerebral Hemorrhage Score Mini Mental Status Exam NIH Stroke Scale Ottawa Foot, Ankle and Knee Rules Parkland Formula & Burns Calculator Pediatric Vital Signs PORT Score for Pneumonia Sepsis Definitions San Francisco Syncope Rule TIMI Risk Score tPA Indications/Contraindications Well's Criteria for PE and much much more... Click here for more information about EM Rules including version history etc. Sepsis EGDT This is a program designed for implementation of Early Goal Directed Therapy (EGDT). This program includes information about antibiotics, indications/contraindications to activated protein C (Xigris), steps to complete EGDT, adjunct therapies and walks the clinician through EGDT. Click here for more information about Sepsis EGDT including version history etc. Sponsorship If you are interested in sponsoring one of the programs you see here, contact us for further details. Developer These Palm OS-based PDA programs were developed by Michael Ward MD, MBA. He attended Emory University School of Medicine followed by the Goizueta Business School at Emory University and is currently a resident in Emergency Medicine at the University of Cincinnati. These programs were developed in NS Basic for the Palm. Help! There are several ways that you can help with the development of these programs. If you see any errors in the content or bugs in the program, please contact us immediately and let us know. Also, if you have any suggestions for programs, additional ways to improve existing programs i.e. additional rules for EM Rules, please contact us. Thank you for helping us make this site and these programs better! FAQ's 1. How can I get these programs on my Palm device? There are multiple ways to do this. First, you can download the programs from this site and hotsync them to your device. Second, you could directly download the program onto your Palm by viewing this site on your Palm's web browser (you must be internet-enabled to do so). 2. What should I do if I notice an error in one of the programs? Let us know! We'll be happy to correct it! 3. I would like to have a program developed, are you interested? Possibly, let's talk and see if this is a project both of us would be interested in. 4. Is this Mac/Apple compatible? Yes! If you click open when downloading this file rather than saving to your desktop, this will not work. You have to save the file to your desktop and then install the Palm file onto your PDA. 5. Do these programs work with with other handheld operating systems like Pocket PC, Blackberry and iPhone? Yes and no. The application was designed for Palm but there are mobile versions of the ACS, Stroke and Sepsis programs available at handhelddoc.com/mobile Additionally, you can install these applications onto a Pocket PC if you have a program called Style Tap which allows Pocket PC users to run Palm programs on a Windows format. Eventually, I will likely develop a Pocket PC version, but right now, I am trying to get the Palm versions established first. 6. Is there an easier way to get the latest version of each program? Yes! You can use the mobile version of our ACS, Stroke and Sepsis programs at handhelddoc.com/mobile or you can Use the following links from your browser to download to your desktop or directly onto your Palm handheld: CinciACS: www.handhelddoc.com/CinciACS.prc CinciStroke: www.handhelddoc.com/CinciStroke.prc EM Rules: www.handhelddoc.com/emrules.prc Sepsis EGDT: www.handhelddoc.com/sepsisEGDT.prc Disclaimer These materials are intended to provide assistance to the user as a reference tool. While every effort has been made to ensure the accuracy of the recommendations made herein, these materials are not intended to be a substitute for professional medical advice or treatment or the exercise of professional judgment in any given situation. Rather, these materials are intended only for general informational purposes. They reflect the best judgment of the editors and contributors as of the date of this publication and are subject to change. The content set forth in these materials should not be construed as the sole basis for the user's own medical judgments or decisions. info@handhelddoc.com ph: 513.830.7219 Copyright © 2008 Michael Ward. All rights reserved.