Opioids Dosage Conversion vs CARMA For Life

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).

CARMA, the Cardiac Arrest Resuscitation Mobile Application, is an ACLS tool designed to help guide practitioners through bedside resuscitation. Preliminary trials using the algorithm presented in CARMA has resulted in an 80% increase in patient survival of a CPR event. CARMA has four independent countdown timers, swipe-able Ventricular Tachycardia & Ventricular Fibrillation and Pulseless Electrical Activity (PEA) reference pages. There is a complete list of select-able Diagnostic Tips (H's and T's) and recommended medication and non-medication treatment solutions. CARMA is an invaluable, portable tool for healthcare professionals in the resuscitation of patients experiencing cardiopulmonary arrest. CARMA includes an audible CPR metronome which defaults to 100 beats/minute, and timers for Epinephrine, Amniodarone and code duration. The duration timer prompts the leader to reevaluate every 30 minutes. Each timer has a unique vibrate feature when it completes its cycle. All of CARMA's timer durations, rates and audible features are configurable through CARMA's preferences menu. CARMA also features a logging process that automatically tracks all activities within a session.  They include timer starts and stops, H's and T's selections, rhythm, medication and non-drug intervention selections.  Each event is time stamped for easy review.  In addition, the session log can be easily emailed for archiving purposes.  In conformance with HIPAA requirements, no patient information is stored in the log and the log does not reside in the physical space of the mobile device.  Once the application exits or is reset, the log is deleted. CARMA is an ACLS tool which gives healthcare providers the ability to better manage cardio-pulmonary events. It guides the provider through ACLS protocols in real time at the bedside utilizing the 2014 American Heart Association (AHA) guidelines, leading to better outcomes. For more information visit www.carmaforlife.com