EFM Guide vs FetaLink+

EFM Guide is a non-commercial quick-reference app for medical trainees (not the lay public). It puts at your fingertips the approach, nomenclature, and management recommendations from the guidelines on electronic fetal monitoring (EFM) from 2008, 2009, and 2010. Each EFM finding and tracing is defined and explained with pictures. Management responses for findings and category interpretations are presented. And the systematic approach to EFM evaluation is reviewed. This app is written and intended for resident & student physician trainees, for nursing and midwifery trainees, and for practicing clinicians. It answers questions such as the following: - what is moderate baseline fetal heart rate variability? - what are the differences between an early, variable, and late deceleration? - what qualifies as tachysystole? and how can I manage tachysystole? - if my patient is 31 weeks gestation, what counts as an acceleration? - what qualifies as category I, II, and III tracings, and what does each suggest clinically? - what are the elements of systematic EFM tracing evaluation? - how may I respond to a category II tracing? - what does sinusoidal pattern look like? This guide tries to faithfully present the NICHD material for quick effective reference and review, it does not present the judgment of the app's authors. As educators and clinicians, we are interested in feedback and we would be grateful for guidance on improving the tool.

With FetaLink+, surveillance information that is available at the bedside can be accessed from any location through an iOS mobile device with either cellular or WiFi connectivity, driving efficiency at the point of care. Application functionality: • Provides comprehensive patient list • Displays most recent key obstetrical data, including ruptured membrane, gravida para, and cervical exam • Displays both fetal and maternal monitoring waveform data • Allows Providers to review all monitoring data from the current episode • Fetal tracing can be viewed when user is in the annotation summary view • Ability to view both clinician and device annotations at relevant times on the strip • Ability to view Medication and IV administration annotations on the strip • Ability to view annotations made by the bedside clinician • Ability to view maternal vital signs captured from the fetal monitor FetaLink+ is a diagnostic aid that does not replace the clinician’s judgment concerning interpretation of data or appropriate treatment. FetaLink+ requires that the care organization license and operate infrastructure for use. Please contact your corporate IT or Cerner representative for details or inquiry.