A comparison of two smartphone applications and the validation of smartphone applications as tools for fluid calculation for burns resuscitation

Morris, Rhys; Javed, Muhammad; Bodger, Owen; Gorse, Sarah Hemington; Williams, David J.

doi:10.1016/j.burns.2013.10.015

Cited by 23 publications

(8 citation statements)

References 20 publications

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“…When compared with the Parkland formula, the BRI significantly improved the percentage of emergency medicine residents who correctly calculated fluid rates [ 71 ]. Several smartphone software apps have been developed for use in healthcare, among them uBurn and MerseyBurns, which can be used to calculate fluid requirement using the Parkland formula [ 72 ]. Monitoring urine output, 0.5 mL/kg/hr in adults and 0.5–1.0 mL/kg/hr in children less than 30 kg in weight, remains one of the primary means of determining the adequacy of fluid resuscitation [ 10 ].…”

Section: Emergency Department Managementmentioning

confidence: 99%

The evaluation and management of thermal injuries: 2014 update

Toussaint

Singer

2014

Clin Exp Emerg Med

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Burns are among the most common injuries presenting to the emergency department. While burns, especially large ones, may be associated with significant morbidity and mortality, most are minor and can be managed by emergency practitioners and discharged home with close follow-up. In contrast, patients with large burns require aggressive management of their airway, breathing and circulation in order to reduce mortality and morbidity. While early endotracheal intubation of patients with actual or impending airway compromise and aggressive fluid resuscitation have been emphasized, it appears that the pendulum may have swung a bit too far towards the extreme. The current review will briefly cover the epidemiology, pathogenesis and diagnosis of burn injuries with greater emphasis on airway and fluid management. We will also discuss the local management of the burn wound, which is all that is required for most burn patients in the emergency department.

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Section: Emergency Department Managementmentioning

confidence: 99%

The evaluation and management of thermal injuries: 2014 update

Toussaint

Singer

2014

Clin Exp Emerg Med

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“…Recent studies show that mobile devices and apps can support a variety of routine medical tasks including clinical reference, drug dose calculation, patient education, accessing medical records, and clinical decision support [1-4]. Mobile phone apps have also been shown to benefit patients in a range of interventions across numerous medical specialties and treatment modalities [5-9]. Medical apps offer clinicians the ability to access medical knowledge and patient data at the point of care with unprecedented ease.…”

Section: Introductionmentioning

confidence: 99%

mHealth and Mobile Medical Apps: A Framework to Assess Risk and Promote Safer Use

Lewis

Wyatt²

2014

J Med Internet Res

241

221

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The use of mobile medical apps by clinicians and others has grown considerably since the introduction of mobile phones. Medical apps offer clinicians the ability to access medical knowledge and patient data at the point of care, but several studies have highlighted apps that could compromise patient safety and are potentially dangerous. This article identifies a range of different kinds of risks that medical apps can contribute to and important contextual variables that can modify these risks. We have also developed a simple generic risk framework that app users, developers, and other stakeholders can use to assess the likely risks posed by a specific app in a specific context. This should help app commissioners, developers, and users to manage risks and improve patient safety.

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“…apps intended to support management of burn injury patients, such as the BurnCare app by Pierre-Antoine Meley (for Android operating system), BurnMed Pro by Johns Hopkins Mobile medicine (for iOS), Medrills:Burns by ArchieMD Inc (iOS), LiAo Burns by Omesoft (for iOS), uBurn by JAMB Innovations, LLC (iOS), MerseyBurns by St Helens and Knowsley Teaching Hospitals NHS Trust (Android) and Rapid Burn Assessor and BurnCase 3D by RISC Software GmbH (iOS) [ 14 , 15 ]. As far as we can determine, very few of these have been validated or described in the scientific literature, with the exception of the uBurn, MerseyBurns [ 21 , 22 ], Rapid Burn Assessor and BurnCase 3D apps [ 15 , 23 ]. Typical functionalities of the available apps for burn injury care include calculation of TBSA and estimation of TFR.…”

Section: Discussionmentioning

confidence: 99%

A Smartphone App and Cloud-Based Consultation System for Burn Injury Emergency Care

et al. 2016

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BackgroundEach year more than 10 million people worldwide are burned severely enough to require medical attention, with clinical outcomes noticeably worse in resource poor settings. Expert clinical advice on acute injuries can play a determinant role and there is a need for novel approaches that allow for timely access to advice. We developed an interactive mobile phone application that enables transfer of both patient data and pictures of a wound from the point-of-care to a remote burns expert who, in turn, provides advice back.Methods and ResultsThe application is an integrated clinical decision support system that includes a mobile phone application and server software running in a cloud environment. The client application is installed on a smartphone and structured patient data and photographs can be captured in a protocol driven manner. The user can indicate the specific injured body surface(s) through a touchscreen interface and an integrated calculator estimates the total body surface area that the burn injury affects. Predefined standardised care advice including total fluid requirement is provided immediately by the software and the case data are relayed to a cloud server. A text message is automatically sent to a burn expert on call who then can access the cloud server with the smartphone app or a web browser, review the case and pictures, and respond with both structured and personalized advice to the health care professional at the point-of-care.ConclusionsIn this article, we present the design of the smartphone and the server application alongside the type of structured patient data collected together with the pictures taken at point-of-care. We report on how the application will be introduced at point-of-care and how its clinical impact will be evaluated prior to roll out. Challenges, strengths and limitations of the system are identified that may help materialising or hinder the expected outcome to provide a solution for remote consultation on burns that can be integrated into routine acute clinical care and thereby promote equity in injury emergency care, a growing public health burden.

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A comparison of two smartphone applications and the validation of smartphone applications as tools for fluid calculation for burns resuscitation

Cited by 23 publications

References 20 publications

The evaluation and management of thermal injuries: 2014 update

The evaluation and management of thermal injuries: 2014 update

mHealth and Mobile Medical Apps: A Framework to Assess Risk and Promote Safer Use

A Smartphone App and Cloud-Based Consultation System for Burn Injury Emergency Care

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