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 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 Pediatric Vital Signs PORT Score for Pneumonia Sepsis Definitions San Francisco Syncope Rule TIMI Risk Score Well's Criteria for PE and much much more... EM Rules Updates: v1.12: 6/16/08-An error was fixed preventing web downloads. Thanks to Ricardo for pointing this out and additional thanks to Carmine for helping with the solution! v1.11: 5/28/08-The CURB Score was updated to reflect both the BUN and Urea calculations. v1.10: 5/9/08-Removed some unused forms (Rochester Criteria, Level 5 Dictations, CMS Core Measures) and made some navigational modifications. v1.09: 11/2/07-Added a tPA dosing calculator for Stroke. v1.08: 8/17/07-Fixed the FatalCrashError that prevented EM Rules from working with the T5 (thanks to George Henne and Jeremy Ackerman!), correction made to Opioids in Antidotes (thanks to Andrew Bowman!), updated INR Management to reflect Vitamin K push may want to be diluted to prevent anaphylaxis (thanks Michelle Gearhart!) v1.07: 8/08/07-Indications/contraindications for Activated Protein C (Xigris) in Sepsis, Common Toxidromes, Common antidotes, management of elevated INR, fixed NIH Stroke Scale (Thanks to Frank/Mike Fernandez for pointing this out!) v1.06: 8/03/07-Thrombolytic indications/contraindications, GPIIb/IIIa dosing calculator, heparing dosing calculator, indications for tpa in mi/stroke/dvt/pe added, also Differential of Bandemia was added. v1.05: 8/01/07-Added Rochester Criteria for Febrile Infants and Well's Criteria for DVT. v1.04: 7/19/07-Added DDx of Elevated Troponins, Cause of Red Eye (thanks to Erin Grise!), Commentary on the TIMI Risk Score (Thanks to Seth Krupp!). v1.03: 7/16/07-Added Vasopressors and their characteristics to the Tables section. v1.02: 7/11/07-Updated Osmolality calculator and link. Thanks to Bulge from SDN! Also added Reversible causes of Cardiac Arrest, Level 5 dictations, EM core measures and corrected QTc calculation (Thanks Dr. Evil from SDN!). v1.01: 6/17/07-First version! 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.