As much as we wish otherwise, we emergency physicians are tasked with managing many cases that are not emergencies. The relative doctor shortage is growing with the Affordable Care Act, and even more patients will be seeking primary care services in the ED. Most of us might feel a bit shaky optimally managing chronic medical conditions; I know that I feel more comfortable doing a lumbar puncture than changing somebody's insulin regimen.
If you're like me and you want to have easy access to clear, concise, and curated medical management guidelines, you should sign up for Guideline Central (www.GuidelineCentral.com). This site offers a great unified search interface for finding thousands of free medical guidelines across many platforms, such as the National Guidelines Clearinghouse and all the different medical societies. It also offers more curated and focused guidelines for specific medical issues, such as managing outpatient diabetes, for a fee. It is also available as a mobile app or as handheld cards you can keep in your pocket.
The modules available for purchase offer great summary tables and algorithms designed to answer your needs quickly. Continuing the diabetes example, summary tables compare the advantages and disadvantages of all the different diabetic medication classes, with additional tables correlating A1c levels with mean plasma glucose. Guideline Central also has lots of well-organized text outlining all the different evidence-based screening and preventive interventions recommended for diabetics.
Ultimately, you can find all this information for free elsewhere, but you'll love this product if you value your time and well-curated content.
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