If the patient is not mobile because of, say, a cardiac arrest, there is still an option to improve their chances of getting treatment early. MyHeartMap (www.med.upenn.edu/myheartmap/index.html) is a mobile app developed by Penn Med EPs and researchers that crowdsources the mapping of all AEDs through a mobile competition launching in January 2012. In the event of an emergency someone can first find the closest AED, followed by the nearest ED.
Severe burns are another traumatic injury in which acute care provided on the scale of seconds, minutes and hours can tremendously improve the prognosis. Mersey Burns (www.chrisseaton.com/merseyburns/; Free) provides an easy-to-use virtual Lund-Browder chart so that anyone can input the surface coverage and severity of a burn and get a fluid prescription to treat the victim. There is at least one other app coming out of Johns Hopkins University that provides a 3D chart as well as short video guides on burn treatment response, such as when and how to perform an escharotomy. These apps should help a Good Samaritan increase the survival chances of a burn victim even before they can get to an ED
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Remember during your cardiology rotation when you had to (attempt to) hear a grade 1 murmur or differentiate between S3 and S4 in a patient with a summation gallop? Well, fortunately (or unfortunately) during emergency situations, such minutiae rarely matter. You need to be able to hear louder sounds, such as bruits indicating stenosis or rubs that tell of pericarditis. The iStethoscope app (www.peterjbentley.com/istethoscope.html; $0.99 on iTunes) converts a smart phone mic and headphones into a stethoscope, though far from a Littman. More of a proof-of-concept or novelty app at this point, it does bode well for a future in which first responders or even average citizens could use their smart phones to hear internal sounds that could help your ED prep for certain procedures before the patient even arrives. 152ee80cbc
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