First Trimester Bleeding vs CV Risk Estimation

The First Trimester Bleeding app is for CLINICIANS (not the lay public). It helps a clinician move through the complex evaluation protocols for women early in pregnancy suffering bleeding and pain. The app also reviews guidance on management of early pregnancy loss and ectopic pregnancy. The app answers questions such as: - what information and investigations do I need for a woman with early pregnancy bleeding? - how do I distinguish pregnancies which are viable, non-viable, and of uncertain viability? - what do I do if no pregnancy can be found inside or outside the uterus on ultrasonography (Pregn Unknown Location)? - when do I need serial ß-hCG's and when do I need serial sonograms? - for early pregnancy loss, what are my treatment options? - how do I use Misoprostol for a woman electing medical management of incomplete SAB? All information is based upon guidance in the medical literature and expert medical authorities. A great deal of materials are shared and adapted with permission from the Reproductive Health Access Project (thanks!). The app offers several direct external links to their materials for more information. The app is intended for family physicians, obstetricians, midwives, ER and urgent care personnel, and trainees like residents and medical students, and anyone involved in the care of early pregnancy. As educators and clinicians, we are interested in feedback and would be grateful for guidance on improving the tool.

This app is for CLINICIANS, not the lay public. The CV Risk app presents clinicians with three valuable 10-year cardiovascular event risk calculators to serve clinicians and learners in primary prevention of cardiovascular disease. It is for clinicians only, not the lay public. The calculators are Framingham 2008, ASCVD 2013, and the revised pooled cohort equations ASCVD of 2018. The app addresses such common questions as: • What is the ASCVD 10-year CV risk for a 57 year old male hypertensive smoker with a given set of lipid and blood pressure numbers? • What’s the magnitude of impact of a patient on their own improving their cholesterol by 11, 27, or 41 points? • For a poorly controlled hypertensive smoker with a 10-year risk of 31.3%, how impactful would improved blood pressure control or smoking cessation be? • How impactful is a cholesterol of 220 on a given patient's risk at 35 vs. 55 vs. 75 years old? • I hear that ASCVD 2013 overestimates risk, particularly for black adults? True? What about the revised pooled cohort equations of 2018? The app explicitly does not include treatment thresholds, LDL targets, estimates of impact of therapy, coronary calcium scoring, etc. I wanted the cleanest simplest tool possible for evaluating and discussing cardiovascular risk with all the other more subjective, controversial stuff out of the way. This app is written and intended for practicing clinicians like internists and family physicians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. Cardiologists could use this app, but you folks are focused on secondary prevention, which is an entirely different ballgame. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.