Critical Care Calculator vs. TOE Simulator Utilizzo e statistiche

This APP, Critical Care Calculator (CCC+), includes the most important tools used in daily clinical practice in the specialty of Intensive Care Medicine. Contains calculators, scales, prognostic indices, drug dosage and diagnostic and therapeutic algorithms. Not only will it be very useful for Intensive Medicine specialists, but, as it is organized by systems, it will also be a very useful tool for specialists in Digestive Medicine, Endocrinology, Nephrology, Cardiology, Neurology, Pulmonology, Traumatology and Internal Medicine. Thus, for example, Digestive Medicine includes calculators that are widely used in clinical practice such as the MELD or the interpretation of the result of ascitic fluid in cirrhotic patients, different indices and scores of liver fibrosis (FIB4, APRI...), etc. In Cardiology, among others, you will be able to calculate the risk of bleeding using the HAS-BLED score and the CRUSADE, the probability of an AMI using the troponin curve or in the presence of left bundle branch block (Sgarbossa), identify the prognosis of patients with ACS using the TIMI risk score and obtaining guidelines for antithrombotic management in patients with AF/flutter undergoing PCI. Neurological assessment calculators such as NIHSS, Canadian, Glasgow, FOUR are included; Sedoanalgesia scales RASS, MAAS, BPS, CPOT, ICDSC, PreDeliric Model or how to interpret CSF analytical results. In the metabolism and nutrition part, a "Nutritional Macrocalculator" is implemented that includes all the most used energy equations (Penn-State, Faissy, Harris-Benedict...) and nitrogen balance calculators, creatinine/height index, BMI, ACT , MCM,.... In Nephrology, calculated or estimated CrCl, fractional excretion of urea, sodium and magnesium, dosage guidelines in CVVHDF or the circulating volume to be treated in plasmapheresis. In Pneumology, Ga-A, PaFi, SpFi, LIS, CURB65 calculators; COPD prognostic indicators (GOLD, CAOS, BOBE, CODEX)... In Traumatology prognostic indicators such as TRISS, ABC score, TASH or the management of "massive hemorrhage". Included in Endocrinology you will be able to calculate sodium, bicarbonate, and water deficits (hypernatremia) and electrolyte replacement guidelines; Plasma osmolarity, urinary or sodium correction in hyperglycemia and calcium in hypoalbuminemia. In the "Drugs" section there are guidelines for administration by feeding tubes, rules for the administration of intravenous antimicrobials and dose adjustment in renal and hepatic failure. A calculator is included to determine the dosage of intravenous drugs in continuous perfusion most used in the ICU (norepinephrine, dexmedetomidine, isoproterenol...) both with standard dilutions and manually selected ones. In addition, antithrombotic dosage tables (antiaggregants, heparins, VKA, DACO), insulinization guidelines and dose adjustment for IV insulin are introduced. and sc., management of steroids in the ICU (ARDS, shock, COPD), indications for vasopressin analogs, and tables with the usual doses of sedatives, systemic and epidural analgesics, antiarrhythmics, and bronchodilators.

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TOE Simulator

The practical training for transoesophageal echocardiography (TOE) primarily depends on guidance from experienced physicians while caring for patients in a supervised environment. This creates challenges in the learning process, as opportunities for training are not readily available, while trainees often experience pressure because the time to learn is restricted by the discomfort of an awake patient. This application addresses these issues by allowing you to learn TOE at your own pace, using a high-fidelity simulated echocardiography acquisition. The app features a user interface designed to resemble a traditional TOE control module, enabling you to gain realistic familiarity with how various controls affect the echocardiographic image. It can automatically identify 28 standard views and alerts you when they are displayed correctly. The app also offers interactive guidance to help you adjust the control settings for each view accurately. These features make this application an invaluable tool for improving your TOE skills without stress or time constraints, anytime and anywhere you can use your iPhone. A key challenge in learning echocardiography is the complex spatial arrangement of cardiac structures, which can obscure the connection between echocardiographic imaging planes and cardiac anatomy. To overcome this, the app includes optional real-time annotations of all cardiac chambers, major vessels and valve leaflets, for any user selected orientation. With the self-assessment feature, you can easily test your skills anytime through quick and engaging assignments. The app automatically tracks your progress, creating a continuous record of your TOE skill level. It even identifies areas for improvement and adapts the assignments accordingly, ensuring a personalized, effective learning experience. Standard features: • Live labelling of cardiac chambers, great vessels and valve leaflets • Automatic recognition of 5 echocardiographic standard views • Goto function: provides interactive instructions to guide you to 5 standard views, starting from any position of the probe Premium features (in-app purchase): • Access to and automatic recognition of all 28 echocardiographic standard views defined by the ASE • Assistance mode: indicates which settings have been set correctly and which ones need to be adjusted (and how) for any selected view • Goto function for all 28 standard views • Self-assessment for all 28 standard view, allowing you to reach "Expert" level and higher DISCLAIMERS • This app does is NOT intended to provide any medical diagnoses or treatment advice whatsoever. Always seek a doctor’s advice in addition to using this app and before making any medical decisions. • This app is NOT able to perform a real ultrasound examination on a real patient, nor is it able to transform your device into a real ultrasound machine. • This app uses synthetic echo images based on an artificial human heart model, with live labelling to show what structures are displayed. The 'Live' function of this app makes the heart model move by means of digital animation technology. This function is intended for illustration purposes only, and does not reproduce a clinically realistic movement of the heart wall or any of the heart valves. Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy https://teesimulator.com/privacy/