SafeLocal vs CorePendium

SafeLocal is an application developed by Johns Hopkins that makes calculating safe dosages of local anesthetic quick and easy for anesthesiologists, surgeons, and other medical providers. It seamlessly incorporates patient weight, disease processes, mixtures of local anesthetic, and presence or absence of additives, to calculate the maximum safe dose of local anesthetic without the hassle of going through the calculations by hand, all while tracking how much of the maximum safe dose has been used up and how much is left over for safe administration. FEATURES: ● Dosage calculator for local anesthetics, including complex mixtures and non-standard concentrations. ● Adjusts maximum safe dose by patient weight (lbs or kg). ● Choice between anesthesia with or without epinephrine. ● Option to add comorbidities such as extremes of age, severe renal dysfunction, hepatic dysfunction, or advanced heart failure, with automatic adjustment of maximum safe dose. ● Ability to calculate remaining safe dose of anesthesia for anesthesiologist or surgeon to administer based on how much has already been administered. Calculations based on Chapter 36 (Local Anesthesia) of Miller’s Anesthesia, 8th Edition. Adjustment for comorbidities based on the 2004 publication “Maximum Recommended Doses of Local Anesthetics: A Multifactorial Concept” by Rosenberg et al. The information provided by the application is based on expert opinion. It is to be used as a recommendation only. Clinical judgment by a physician is required in every situation. The user assumes all responsibility for decisions made with the information provided by this app. Project produced at the Johns Hopkins University School of Medicine by Jonathan D. Lin, M.D. and Jean-Pierre P. Ouanes, D.O. Funded generously by the Johns Hopkins Bayview Patient Safety Pyramid Grant Program. Adapted from the 2017 version of the American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity. Source: Neal JM, Woodward CM, Harrison TK. The American Society of Regional Anesthesia and Pain Medicine Checklist for Managing Local Anesthetic Systemic Toxicity: 2017 Version. Reg Anesth Pain Med. 2018 Feb;43(2):150-153.

The textbook is dead. Long live CorePendium! CorePendium is the first truly comprehensive, continuously updated, peer-reviewed, multimedia clinical reference for Emergency and Urgent Care Medicine. Download the CorePendium App and bring the best clinical reference text with you anywhere in the world, regardless of connectivity. With your EM:RAP account, the CorePendium App allows you to join over 65,000 members of the CorePendium community. The CorePendium App gives you… • EXPERT-BACKED CONTENT — Written, edited, and peer-reviewed by a team of over 800 leading academics and practitioners, every CorePendium chapter is continuously revised by leading experts in emergency medicine and beyond. • INTEGRATED MEDIA — Comprehensive learning requires more than just words. Dive into our constantly growing media library of ECG’s and X-rays, as well as expertly-produced videos and audio segments. Look, listen, and learn, all without leaving the CorePendium App. • OFFLINE MODE — With new chapters being added and updated frequently to reflect the latest literature and practice guidelines, the CorePendium App makes sure you always have the newest information at your fingertips, 24 hours a day. The app looks for updates to its offline database every time you’re active online, so that you have the answers you need, no matter what. Do you want access to our skillfully-shot procedure videos and expert commentary away from a wireless connection? You can choose to download our audio and video content to ensure access when you need it most. • INTUITIVE NAVIGATION — Designed to prioritize all of the crucial information and media needed for the critical patient, CorePendium’s ‹Rapid Access› section gives you the quick insights you’ll need at the bedside. If you are looking for more background, the ‹Deep Dive› section provides all the information you’ll need to know about a topic. Sleek chapter sidebars, internal searches, search filters, and curated tabs ensure you can find what you need when you need it. • MEDICAL CALCULATORS — Get all of the commonly used clinical scoring and decision tools you need, with important interpretation data compiled by some of medicine’s foremost experts just a thumb slide away. Our calculators are also integrated with the content that uses it most. • PART OF THE EM:RAP KNOWLEDGE BASE — CorePendium is just one piece of the EM:RAP universe. The CorePendium App takes full advantage of its special connection to the most listened to programs in Emergency and Urgent Care Medicine by integrating that content. With continuously updated links to video, conference content, and podcasts you’ll always get the most cutting-edge answers. • INTERNATIONAL — CorePendium is for the whole world. We have an international advisory board that aims to address emergency care for patients and practitioners in all of the various environments where it is practiced. • EDITORIAL INDEPENDENCE — CorePendium is written by clinicians for clinicians, without the support of advertising or industry. With the CorePendium App you just get the best information, current and expertly reviewed. • THE REFERENCE OF RECORD — Accessed millions of times, CorePendium is already the reference textbook used by residency training programs and frontline clinicians the world over.