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Doc APProvED: A Critical Care Factoid a Day

Mohseni, Alex MD

doi: 10.1097/01.EEM.0000433400.85796.4f
Doc APProvED

Dr. Mohseni is an emergency physician in the Washington, D.C., metropolitan area and the counsel to the president for innovation and technology of Emergency Medicine Associates. He is the editor of his own blog, Creative Health Labs. (See FastLinks.)

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Before Dr. James Lind performed the first medical study (arguably) in 1747, testing the response of sailors with scurvy to oranges versus cider and vinegar, the vast compendium of medical knowledge resided mostly in the form of clinical pearls. It is no surprise then, looking at our daily clinical practice, that we still rely on clinical pearls as much as if not more than evidence-based medicine in our enigmatic medical decision-making process. Perhaps this explains the wide variability in clinical practice patterns among physicians trained in the same specialty: we are each making decisions based on a different set of pearls passed down to us and learned by vastly divergent experiences.

The advent of evidence-based medicine and new technologies to curate and distribute information efficiently (e.g., UpToDate) has helped synthesize a more unified standard-of-care. And medical apps on our phones now place these tools in our pockets.

Kavapoint brings us ICU Pearls, an iOS app for $0.99 that offers a searchable and browsable list of intensive care unit tips from, a fantastic resource of daily critical care pearls going back to 2006. The app is better than the website because it provides the ability to search the vast database and an easy method to store your favorite pearls. My only criticism for the app is that some of the pearls have little or no attributable source or reference.

ICU Pearls, an easy-to-use reference to learn a practical factoid while waiting for your coffee, also provides great value. Impress your ICU colleagues by using this app to hone your clinical knowledge.

Click and Connect! Access the links in EMN by reading this issue on our website or in our iPad app, both available on

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Doc APProvED is devoted to apps that can make the emergency physician's life easier, in and out of the ED. Tell us about your favorite apps by writing to Dr. Mohseni at

© 2013 by Lippincott Williams & Wilkins