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An Innovative PDA Application to Optimize Learning/Teaching and Patient Care in the NICU Yuezhen Lin MD, PGY3 Garrett Levin MD, Associate Professor Dept. of Pediatrics Texas Tech Univ. HSC at El Paso
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Disclosure I have no relevant financial relationships with the manufacture(s) of any commercial products(s) and/or provider(s) of commercial services discussed in this CME activity. I have no relevant financial relationships with the manufacture(s) of any commercial products(s) and/or provider(s) of commercial services discussed in this CME activity. I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation. I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.
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Technology & Education Technology has changed every aspect of our life, education is not an exception. “The future of education lies in the adoption of technology, such as mobile and wireless, that connects people, unifies the education process, and enhances learning.” “The future of education lies in the adoption of technology, such as mobile and wireless, that connects people, unifies the education process, and enhances learning.” --Dr. John D. Halamka, Associate Dean, Harvard Medical School --Dr. John D. Halamka, Associate Dean, Harvard Medical School
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PDAs will be as Common as the Stethoscope
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The First PDA
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Today’s PDA Palm Palm Pocket PC
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“Must have” Tool for Physicians Garritty et al. “Who’s using PDAs? Estimates of PDA use by health care providers: a systemic review of surveys”. J Med. Internet Res. Vol 8, No 2, 2006 Technology Diffusion Curve
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What a PDA Can Do for a Physician Organizer Organizer Multimedia: excellent teaching tool Multimedia: excellent teaching tool ‘Just-in-time’ access to most up-to-date medical information ‘Just-in-time’ access to most up-to-date medical information EBM (Evidence-based-medicine) EBM (Evidence-based-medicine) Critical clinical decision making Critical clinical decision making As gateways to complicated webs of medical knowledge As gateways to complicated webs of medical knowledge
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Objectives Be more effective as a physician Be more effective as a physician Create a PDA application (software) to optimize learning/teaching patient care Create a PDA application (software) to optimize learning/teaching patient care
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My Favorite
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Pilot Project Setting: NICU (Neonatal Intensive Care Unit) Setting: NICU (Neonatal Intensive Care Unit) Problem: NRD (Neonatal Respiratory Distress) Problem: NRD (Neonatal Respiratory Distress)
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Setting: NICU NICU (Neonate Intensive Care Unit) NICU (Neonate Intensive Care Unit) Fast pace Fast pace Highly-specialized nature Highly-specialized nature More accessible, easy-to-use resource desired More accessible, easy-to-use resource desired
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Problem: NRD NRD (Neonatal Respiratory Distress) NRD (Neonatal Respiratory Distress) One of the most common problems in NICU One of the most common problems in NICU Assessment and Management are critical components for the outcome of neonates Assessment and Management are critical components for the outcome of neonates
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How, What & Who Professional software development tool (Microsoft Visual Studio.Net 2003) Professional software development tool (Microsoft Visual Studio.Net 2003) Platform: Any Pocket PC Platform: Any Pocket PC End users: Neonatologists, residents, medical students. End users: Neonatologists, residents, medical students.
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Neonatal Respiratory Distress Assessment for Pocket PC (NRDA v1.0) Impart the knowledge about the elements of neonatal respiratory distress Impart the knowledge about the elements of neonatal respiratory distress Include 3 modules Include 3 modules Module 1 Module 2 Module 3
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Module 1 Recognize the signs of NRD by looking and listening. Recognize the signs of NRD by looking and listening. Description Mechanism Learning/teaching Parent education NICU/inpatient/clinic CyanosisGrunting
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Module 2 Most common cases of NRD Most common cases of NRD Built-in Calculator - NRDC - to assess the severity of respiratory distress and predict the mortality Built-in Calculator - NRDC - to assess the severity of respiratory distress and predict the mortality Estimate the severity Predict the mortality Case senario Hx, PE, Lab Severe Pneumothorax NRD Calculator
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Module 3 “Must have” NICU calculators to facilitate the management of NRD “Must have” NICU calculators to facilitate the management of NRD NICU Calculators2 Vol Exchange Transfusion X =((A-B)/A) * ((C-D) + X)
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Summary First PDA application for assessment and management of neonatal respiratory distress First PDA application for assessment and management of neonatal respiratory distress Very user friendly & easy to use Very user friendly & easy to use Very practical and useful tools for both Very practical and useful tools for both education and patient care education and patient care Users & usage Users & usage Neonatologists, pediatricians, residents, medical students, others Neonatologists, pediatricians, residents, medical students, others NICU, Inpatient & Clinic NICU, Inpatient & Clinic
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On-going Projects NRDA v2.0 - x.0: NRDA v2.0 - x.0: Interactive algorithm-driven program to interpret X-rays and ABG’S, and manage the ventilator for a variety of newborn respiratory disorders Interactive algorithm-driven program to interpret X-rays and ABG’S, and manage the ventilator for a variety of newborn respiratory disorders Expand application for other systems, not just limited to NICU & NRD
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Acknowledgments Dr. Antonio Jesurun, Professor and director of NICU at TTUHSC Dr. Antonio Jesurun, Professor and director of NICU at TTUHSC Dr. Hoi Ho, Assistant Dean of Medical Affairs at TTUHSC Dr. Hoi Ho, Assistant Dean of Medical Affairs at TTUHSC All users All users
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If you are interested in NRDA, please email drlin@drlinforkids.comdrlin@drlinforkids.com
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