Somnus vs Heparin Heuristics Lite

Somnus is the fast, private, beautifully designed case logbook for anaesthetists, surgeons and critical care clinicians. Log a case in seconds. Search and analyse years of practice in moments. Everything stays encrypted on your devices - never on someone else's server. Your data is never held hostage behind a paywall: viewing, searching and exporting what you already have is always free. Choose Basic for everything needed to log and analyse cases, or Pro to add on-device AI features. One subscription unlocks iPhone, iPad, Mac and Apple Vision Pro. • Somnus Pro: On-Device AI • Every Pro feature runs on-device using Apple Intelligence (with the option to use Apple's Private Cloud Compute) • Theatre List Import - scan, photograph, paste or import a list; Somnus matches patients and operations to your data and turns it into bookable cases in one tap • Smart Suggestions - quick-add bubbles that learn from your cases (medications for certain comorbidities, equipment for operations, common combinations) • Label Analysis AI - Pro label scanning also extracts health fund, insurance number and optional contact details • Typo-tolerant "Did you mean?" search across all screens • Practice efficiency widgets - live utilisation chart, and year-over-year monthly comparison filterable by specialty, location or surgeon • Send to CESoft (Australia only) - fast billing handoff with extracted contact details • Your Data on Your Device • Works fully offline • Generic patients, or a relational patient database for deeper analysis • Smart validation catches inconsistencies (ASA 1 with comorbidities, extreme BMIs, more) • Encrypted on device, protected by Face ID, Touch ID or a fallback PIN • Rename an item once and it updates everywhere instantly • Fully Customisable • Edit, merge, rename, delete or create any category item • Rich text notes with tappable links on almost anything • Personal Lists for your own categories and items • Multiple Custom Timers per case (e.g. tourniquet time) • Templates so starting a new case is two taps away • Searches to slice and analyse your data in sophisticated ways • Private, Secure iCloud Sync • No new accounts - just your existing iCloud • Apple's infrastructure only; nothing visible to anyone but you • Turn it off any time and use devices independently • Syncs Templates, Searches, Photos, ID Labels and most Settings • ID Label (Bradma) & Document Scanning • The fastest way to add a patient - just scan the label • All analysis on-device, including Medicare validation (Australia) • Re-scan returning patients to update their previous cases • Scan document text straight into case notes • Clinical Photos • Capture high-resolution photos in Somnus, with full Photo Library import/export • Included in Case Reports (PDF) • Export • Case, Billing (built-in RVG, Australia), Summary and Theatre List PDFs • Summary or full spreadsheet as CSV • Data file to share with another Somnus user • Import • Somnus Data files, Backups or CSV • Pre-populate upcoming lists from CSV so booked cases start with one tap • Create complex Personal Lists and import via CSV • Siri & Spotlight • Siri Shortcuts for powerful workflows • Private on-device Spotlight indexing for cases & patients • Widgets & Live Activities • Track upcoming & active cases on home and lock screens • Configurable Day Case List - today, or the next day with cases • Pro: live utilisation chart and year-over-year monthly comparison • Privacy protected when the device is locked • And much more • Beautiful, interactive charts • Multi-window with local drag & drop and into other apps • Real-time case timers and theatre utilisation summaries • Tappable phone numbers, emails, dates and addresses in notes Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

Heparin Heuristics Lite © 2017- JHLConsultants E-mail: pcumpston@JHLConsultants.com This application is based on the experience gained when providing anaesthetic care to over 1,000 patients undergoing catheter ablation for atrial fibrillation, and resulted from an approved clinical trial. The result of tis trial has been published in the Journal of AtrialFibrillation and Electrophysiology (Cumpston, P., & Phillips, K. P. (2024). A Novel Method for Calculating Heparin Dosing to Rapidly Achieve Target Anticoagulation for Cardiac Procedures. Journal of Atrial Fibrillation, 17(2).) Disclaimer: This application must only be used by health professionals in the course of providing care to patients undergoing procedures where anticoagulation is required by the use of intravenous heparin, and where it is desired to reverse the anticoagulation with protamine. The decision to use this advice must be made by the supervising doctor, and cannot be used to replace clinical judgement. This application is based on the experience gained when providing anaesthetic care to over 1,000 patients undergoing catheter ablation for atrial fibrillation. It was developed during a clinical trial entitled "A Heuristic Approach to determine the optimal method of Heparin Dosing and Reversal in all Patients Undergoing Anaesthesia for Catheter Ablation for Atrial Fibrillation (CA-AF)", ANZCTR Trial Id: ACTRN12618001489280 (https://www.anzctr.org.au) and approved by the Ramsay Human Ethics Committee: Clinical trial number 18/38 9th October 2019. It can be used to estimate the initial bolus of heparin needed to achieve a desired ACT, given height, weight, sex, ACT before heparin and desired ACT. The ACT must then be measured ten minutes after the inital heparin bolus and the result entered into the application in order to calculate the patient's individual ACT:heparin dose-response relationship. This timing is essential for accuracy of subsequent calculations and is critically important. The application learns as each new patient is added. After the first ten patients, accuracy for the intial heprin dose to achieve the desired ACT moves toward the 86% mark. There will, of course, be outliers. The application allows for dose adjustments based on the measured ACT. Estimates of the protamine dose needed to reverse heparin in the context of catheter ablation cases has been shown to be 97% accurate. This software is NOT intended by its manufacturer to: (a)     be used for the sole purpose of providing alerts to health professionals in relation to patient care; and (b)     (i) replace the clinical judgement of a health professional; or (ii) diagnose, screen for, prevent, alleviate, treat, or make a decision about the treatment of, a disease, condition, ailment or defect As each patient has details added, the application moves toward the average for the initial heparin dose calculations, but always uses the individual patient response to heparin to estimate the appropriate change in heparin bolus to achieve the desired ACT. While this application helps guide the administration, maintenance and reversal of heparin, it is important to note that a normal ACT does not necessarily mean that there is no residual heparin, and does not mean that there is not an excess of protamine after reversal of heparin. It is up to the individual practitioner to use their best judgment when using this application. It is not intended to replace clinical judgement by experience operators. For example, a protamine: heparin ratio of 0.8 to 1 may be considered optimal by some practitioners, but others may prefer the traditional 1:1 ratio. The heparin image is taken from Public Domain, https://commons.wikimedia.org/w/index.php?curid=1034324 Information and links to citations forming the basis for the theoretical development of this app can be found at: https://HeparinHeuristics.com