ManageAnticoag vs EchoRef

This clinical decision support app helps clinicians navigate periprocedural planning and bleed management scenarios for patients on oral anticoagulants (OAC). The app is comprised of three tools to support the following clinical decisions: • Assessing whether and how to interrupt and bridge anticoagulation • Managing acute bleeds, including the suggested use of reversal agents • Determining whether and how anticoagulation should be restarted A clinician can use the app by: • Selecting which tool best applies to the patient scenario and following these steps: o Enter patient details regarding bleed and stroke risk factors as prompted in the selected tool o View individualized guidance on the advice screen o Email a summary of the advice • Use the Quick Reference section to access supporting information and details such as "Guidance for Administering Reversal Agents” and “Components of the Clinician-Patient Discussion." Information in the app is derived from ACC’s Expert Consensus Decision Pathways on Periprocedural Management and Bleed Management in patients with AFib. The information and recommendations in this clinical decision support tool are meant to support clinical decision making. The app is not meant to and should not replace clinical judgement. The healthcare provider is in control of all diagnoses and other clinical decisions.

Echocardiography and point-of-care ultrasound organized for the bedside. EchoRef is a comprehensive echocardiography and ultrasound reference for physicians, nurses, advanced practice clinicians, sonographers, medical students, and other healthcare learners. Review TEE, TTE, and POCUS videos, check cardiac measurements and diagnostic criteria, evaluate native and prosthetic valves, and perform commonly used ultrasound and hemodynamic calculations, all in one focused reference. FEATURES • Educational video library covering 2D and 3D TEE, interventional echocardiography, mechanical circulatory support, and clinical cases • POCUS instruction for cardiac, lung, abdominal, vascular, and peripheral nerve block examinations • Cardiac anatomy measurements and reference values for chamber size, ventricular function, diastology, and vascular structures • Native valve assessment for aortic, mitral, tricuspid, and pulmonic stenosis and regurgitation • Prosthetic valve reference for surgical valves, TAVR, and prosthesis evaluation • Ultrasound and hemodynamic calculators for valve area, cardiac output, ventricular function, filling pressures, vascular resistance, shunts, fluid responsiveness, and more • Cardiac equations, hemodynamic reference values, and ultrasound physics • Clinical protocols, focused examination guidance, findings atlas, and reporting documentation • Acquisition guidance, measurement tips, common pitfalls, and related clinical content • Global search, favorites, related links, and personal notes EchoRef connects ultrasound physics, image acquisition, echocardiographic interpretation, and bedside decision-making. Whether you are learning standard views, reviewing an unfamiliar finding, evaluating valve disease, or checking a calculation, the app makes relevant information easy to find. Created by Rishi Kumar, MD, FACC (“RK.MD”), an academic adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist committed to free, open-access medical education. Learn more at https://rk.md EchoRef is intended for educational and informational purposes only. It does not provide medical advice and is not a substitute for professional judgment, diagnosis, or treatment. Clinical findings and calculations must be independently verified and interpreted in the context of the individual patient. Seek guidance from a qualified healthcare professional regarding any medical condition. Do not disregard or delay professional medical advice because of information provided by this app.