ECHO On vs Intra

ECHO On is a free medical education resource for learning Transesophageal Echocardiography including a free, enlarging question bank, a Rescue TEE cognitive aid, a Case Log system for submission to the NBE, and a growing perioperative Quick Reference library with offline echo loops that work even in the OR without internet access, and includes pathology examples, techniques, and normal loops of the heart. ECHO On will walk you through an entire standard 28 view exam teaching you the anatomy, function and Doppler interrogations you should perform at each view, and how to interpret them. ECHO On is and will remain free, and the best way you can contribute is to submit boards-style questions or echo stills and echo loops to help grow the QBank, Quick Reference and Pathology libraries. Disclaimer: This app was written to provide an accessible perioperative tool for residents and fellows learning TEE in the cardiac OR and ICU, and for generalist anesthesiologists looking to refresh their knowledge of TEE. It is not meant for patients to self-diagnose. It is not meant to be a definitive reference. Despite my best efforts, there may be errors or inaccuracies in this app, so please do not use it for medical decision making, as doing so may lead you misdiagnose or seriously harm your patient. If you are not a qualified medical doctor, please see a qualified medical doctor before making any medical decisions, including those based on echocardiograms.

Are you an Anesthesia provider? Do you want a quick, reliable way to calculate intraoperative fluid requirements without fumbling through mental math or outdated charts? This app does just that! Using published references and case studies, we’ve built a tool that calculates weight-based maintenance fluids, preoperative NPO deficits, and allows you to adjust for intraoperative fluid losses by case complexity. Simply enter your patient’s ideal body weight, NPO time, surgery length, and desired mL/kg/hr maintenance rate — the app will generate an hour-by-hour table and chart of recommended fluid administration. This calculator was created in consultation with practicing Anesthesiologists to reflect recommended best practices and commonly used formulas. The calculations follow well-known guidelines such as the “4-2-1 rule” for maintenance and Furman et al.’s approach for NPO deficit replacement, expanded for adult patients. We continuously review published literature and local practices and will provide updates when changes are made. The purpose of this app is to serve as a general-use fluid management reference for licensed Anesthesia providers (Anesthesiologists, CRNAs, CAAs, etc.) to support intraoperative planning. It is not intended to replace formal training, institutional policies, or professional judgment. References are provided for transparency and to give users confidence in the underlying formulas. DISCLAIMER: This app is not a substitute for your clinical judgment, institutional protocols, or published guidelines. Always confirm calculations against your hospital, state, or specialty society recommendations and apply your clinical expertise to each unique patient scenario