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App Practice Makes EM Perfect

Mohseni, Alex, MD

Emergency Medicine News: June 2019 - Volume 41 - Issue 6 - p 7
doi: 10.1097/01.EEM.0000559972.54781.77
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I've been playing a lot of chess lately, and it's clear that practice has a positive impact on my performance. That's true with all activities that require skill. Why then is practice not sufficiently emphasized in medicine? When is the last time you called your nurses and techs into a room to practice a pediatric resuscitation together? Live simulations are incredibly helpful, but sometimes you want more frequent or additional practice on your own. Of course, there's an app for that.

Full Code (https://full-code.com) is a case simulation app designed for emergency medicine, giving the user the opportunity to practice almost all aspects of care in a highly engaging and easy-to-use format. Choose a case by its general description (e.g., fever in an oncology patient) and a difficulty level, and you are immediately presented with an initial brief triage or EMS description of the case.

It is then up to you to choose the right actions in the right sequence from the interface, including options for the history, exam, stabilization, investigation, intervention, communication, and disposition. As you choose interventions, results and feedback like vital signs and lab results are given, and eventually you will disposition the case and be scored.

The scoring is where the app really shines. Every action you take is scored as critical, recommended, neutral, unnecessary, or harmful, resulting in an aggregated score. You are told exactly which steps you performed were wrong and why, and then you can click the Detailed Discussion button for a thorough explanation of the case and management recommendations.

The app comes highly recommended for all EPs.

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Dr. Mohseniis an emergency physician, a telemedicine provider with CirrusMD, and the editor of his own blog,http://CreativeHealthLabs.com. Follow him on Twitter @amohseni, and read his past EMN columns athttp://bit.ly/EMN-DocAPProvED.

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