Opioids Dosage Conversion vs Emergency Manual

Opioids by Chris Marcellino MD and Norris Vivatrat MD is an opioid analgesic dosage conversion calculator for use by trained medical professionals. The application supports conversion to and from opioids commonly prescribed and used in U.S. hospitals orally, parenterally, or transdermally, including morphine, codeine, hydromorphone, hydrocodone, fentanyl, methadone, oxycodone and oxymorphone. The application is intended to help and instruct in the process of conversion of opioid regimens. • Native support for iPhone, iPad and iPod touch • Multiple route support • Multiple drug support • Incomplete cross tolerance option • Breakthrough dosing calculator • Provides instructional details about each calculation • Saves last calculation on exit • Supports landscape and portrait modes • Reference guide By Professor EBM, the Internal Medicine Residency Teaching Resource for Evidence-Based Medicine: http://www.professorebm.com/, a resource of the Santa Clara Valley Medical Center. While effort has been made to ensure that calculations are accurate and that conversion factors are in accordance with current accepted medical practices, use of this application is entirely at your own risk. This application should only be used by trained medical professionals and all results should be double checked by hand. Use of the app requires acceptance of the terms of use that are included with the application. Please send support requests and feedback using the link in the About tab of the app, though as a free academic tool we only have limited resources to address new feature requests. Opioid equipotency data is taken from CAPC conversion values except where noted (see the reference tab in the app.) CAPC values are as published in the Center to Advance Palliative Care Prescribing Opioids: A Reference Guide curriculum, which are adapted from McPherson ML. Demystifying Opioid Conversion Calculations: A Guide for Effective Dosing, 2nd ed. American Society of Health-System Pharmacists, Bethesda, Maryland, 2018. EPEC values are as published in EPEC-O Participants Handbook, 2005. Chris Marcellino, MD — Mayo Clinic Norris Vivatrat, MD — UCSD Medical Center Special thanks to Dr. Tom Mouser (EveryStep, Des Moines, IA) and Dr. David Rand (UVM Medical Center).

Despite best intentions, well-trained clinicians often miss known key steps during crises. This free perioperative Emergency Manual by the Stanford Anesthesia Cognitive Aid Program (SACAP) includes a set of cognitive aids and checklists for 25 critical perioperative events including cardiac arrest, bronchospasm, LAST, malignant hyperthermia, unanticipated difficult airway, and the rest of the key perioperative chief complaints. It includes crisis resource management tips, and serves as a drug dosing and concentration reference for relevant medications. The app can be used for self-study, and most importantly, as a cognitive aid during perioperative crises. The Emergency Manual has been used by thousands of anesthesiologists around the world, and is now available on the iPhone! Disclaimers: The material in this app is not intended to be a substitute for sound medical knowledge and training. Clinicians should always use their clinical judgment and decision making for patient management. Departure from the information presented here is encouraged as appropriate, since situations can vary widely.