Archives for February 10, 2007

Unsolicited Endorsement: Pepid

I don’t endorse many products, but this one I’m glad to tell you about.

PEPID is software that is meant for a range of PDA’s, be they my Palm (Treo 700p), Windows, Blackberry, etc.  I use the PEPID ED Suite at work, which is described on their site as:

PEPID ED is the first choice of emergency physicians for point-of-care reference. 40 board-certified emergency physicians originally created PEPID ED and now the number of contributors is in the hundreds! Written in a concise and quickly assimilated format, it allows instant access to critical medical and pharmacological information. With PEPID ED you can find the answers you need in seconds. Favorably reviewed in JAMA, PEPID ED helps you to work more efficiently and reduce the risk of error in busy emergency departments.

Yeah, that sounds very generic, so let me tell you about when I decided to convert from the free (14 day) trial and spend the bucks.  A patient presents feeling frankly terrible and with a diffuse vasculitic rash.  Very early in the history it’s determined the patient has been taking quite a lot more methotrexate than intended (mixup, not sure why) so I tried out my new Pepid: ‘methotrexate’ brings up not just the drug, but throws me a lifeline: ‘overdose’ is on the front-page drop down menu.  I clicked on that, and it took me to the antidote (Leucovorin AD, liquid folate, which I didn’t remember), and then, tells me it’s dosed based on body surface area, then offers a calculator, all in serial – sequential clicks.  Amazing, and terrific.

If you’re an EM resident you need this, as it’ll let you lose 3 or 4 pocket stuffers; if you’re an attending it’ll save you from the ‘I used to remember that’ disease, which is truly worthwhile. I also have epocrates, but it’s now relegated to serious backup status only; now what I used it for is more than covered by PEPID.

What to do in your Third Year Med school rotations

Panda Bear, MD, has an increasing primer on the subject, and it’s well written and, so far, dead on by my recollection (to include plantar fasciitis during my IM months, as well).  Recommended.