Point of care tools (PoC)

Step 0 : Clinical reasoning

 

 

Diagnosaurus 

Instructions from the editor: 

Diagnosaurus provides differential diagnoses (DDx) of symptoms, signs, and diseases. By using the various indexes, you can choose to view entries by organ system, or select to view the list of symptoms only, the list of diseases only, or all of the entries. For example, if you wish to review the causes of a patient's chief complaint, simply select the symptom or sign from the alphabetical listing. If you have made a diagnosis and wonder what other disorders to consider, select your diagnosis from the list to see its DDx.

 

Step 1: for Diagnosis

Step one : What could be the disease ? What is the diagnosis ?...

Not sure about  the diagnosis ?? use the Diagnosis tools

Isabel: differential diagnosis tool

  • Provide the clinical features and other information, the system will rank the possible diseases  or drugs producing theses effects.
  • direct link to DynaMed, PubMed Clinical Query...
  • link e-CPS

Instructions on how to set up your Isabel account

Gideon : for diagnosis through two options:

  • Probability engine creates a ranked differential
  • Five steps walkthrough to diagnosis
  • Offer ebooks, and more information on disease, microbes, by countries...

 

Step 2: Evidence Based Medicine

Step two : Confirm the evidence

 

Point-of-care: Evidence synthesis

DynaMed:

  • clinical reference tool which synthesize the evidence and provide objective analysis.
  • Provide reliable information.  Images, Calculators, Guidelines, Patient education pamphlets are also available
  • Equivalent of UpToDate

Instructions on how to set up your DynaMed account

Lippincott Advisor : more for Nurses and Nurse pratitioners

  • Clinical Diagnosis and Treatment
  • Care Planning
  • Patient Teaching Handouts

 

Other sources of EBM :

Step 3: Treatment and drugs/medications

Step three : Find the right treatment

Point of care for drugs and medications

E-CPS:

  • Canada's authoritative source for prescribing and managing drug therapy, and also synthesize the evidence for medical conditions.
  • Provide patients information.

 

RXVigilance :

  • RxVigilance is the ideal assistant when it comes to pharmacological treatment that allows you to quickly access the information or perform a comprehensive analysis of a patient's pharmacological profile.
  • Provide information and documentation, legislation by provinces.

 

 

Note: both tools offer documentation in French and English

Other excellent resources