Physicians, especially those working in an emergency care, have been dealing at least once with a patient with some kind of medication overdose, which can be overdose with opioid pain medications, too much beta-blockers in a hospitalized patient with renal dysfunction, or a patient showing up in ER after ingesting some medication or a chemical.
Most medical providers have general knowledge about the common antidotes. But determining the initial dose or frequency could be difficult without some sort of guide that can be used at the point of care.
As in many other situations, mobile medical apps can provide valuable help, offering clinicians time-efficient and reliable tools to aid with the overdose management.
Here are some of the most popular solutions.
Antidote Toxicology app was created in 2015 by the Toxicology Section of the American College of Emergency Physicians (ACEP), as a quality antidote guide with a goal to help Emergency care providers quickly access indications and dosing regimens for a variety of medications and antidotes used for common poisonings encountered in ERs.
The app provides information about the variety of antidotes, doses and re-doses, and infusion rates all in one spot.
It perhaps lacks more clinical information about the overdoses, as well as the pictures of key medications, which would both greatly improve the app.
ACEP Antidote Toxicology app is available for free on Android and iOS.
ERres app is an easy-to-navigate all-in-one bedside app that provides different tools all-in-one-spot, helping doctors make quick decisions in the emergency room setting.
The app includes medical calculators, algorithms, decision rules, clinical policies, as well as various medication lists with detailed toxicology guides.
ERres app is aimed primarily at emergency care providers, but medical students, residents, and nurses can use it as well since the information is presented in easy to understand format and is regularly updated.
ERres app is available for Android and iOS devices for $9.99.
Poisoning and Drug Overdose App
Poisoning and Drug Overdose app is delivering critical information on effective diagnosis and treatment of drug-related emergencies and chemical exposures.
The app provides information in four main sections, which cover initial emergency management, treatment of complications, physical and laboratory diagnosis, detailed information on 150 common drugs and poisons, the use of antidotes and therapeutic drugs to treat poisoning, and the medical management of chemical and occupational exposures, with a table of more than 500 industrial chemicals.
The app provides comprehensive index featuring generic, chemical, and brand names, making it an invaluable resource for anyone responding to medication-related emergencies and chemical exposures.
Poisoning and Drug Overdose app is available for free on iOS and Android.
According to the Centers for Disease Control and Prevention (CDC), overdose deaths involving opioids have quadrupled since 1999. More than 183,000 people died from overdose related to prescription opioids.
Physicians and other healthcare providers play a crucial role in protecting the patients, by providing safe and effective pain management. However, this is challenging task.
Being aware of that, the CDC published the Guideline for Prescribing Opioids for Chronic Pain to provide recommendations for primary care providers who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.
CDC Opioid Guidelines also available as a free mobile app for Android and iOS, which is a better solution in providing healthcare providers with quick reference guide helping them apply CDC recommendations to their daily clinical practice and make informed opioid prescribing decisions.
TOXBASE app brings the clinical toxicology database of the UK National Poisons Information Service on the mobile devices, providing advice on the features and management of poisoning.
It is designed for healthcare professionals involved in the management of poisoned patients, providing them key clinical information, including advice on potentially hazardous doses and appropriate management.
The app provides access to the information on over 1000 of the top TOXBASE poisons, antidote and pregnancy monographs.
TOXBASE app is available for free for users who work within the NHS, PHE & MoD in the UK and have the access to the full NHS TOXBASE database.
Everyone else is supposed to use the paid version which requires the annual subscription of £6.99 via in-app purchase.
Paracetamol Overdose App
Paracetamol Overdose app is a clinical decision support tool designed for clinicians who manage patients who overdosed with acetaminophen/Paracetamol.
It provides a complete management plan which is easy to access and use, and which can be also exported by email.
The app allows users to input variables such as weight, time of overdose, dose taken and the patient's risk in order to provide the results and recommendations for a management plan, which can also be generated based on lab results or a staggered overdose.
The results are given as a summary of the overdose, advice, suggested actions, cautions, investigations, treatments, as well as antidote dose calculations. A big plus for this app is Rumack-Matthew nomogram.
The app is available for free, however, only for iOS. Unfortunately, Android market doesn't offer similar apps.
Our score: N/A
Tox Handbook App
Tox Handbook is a medical app created by the American Academy of Emergency Medicine (AAEM) for physicians to use when dealing with drug poisoning and overdosing emergencies.
Upon opening, the Tox Handbook app provides users with three options, to go directly to the drugs in the List of Contents/Index, Toxidromes section to go through cholinergic, anticholinergic, and other common presentations that are important to differentiate in an acute care setting or call their poison center.
While the content of Tox Handbook app is great, the design and user experience could be a tad better. The whole app looks like a PDF document, which may be ok in the free apps. However, Tox Handbook requires $2.99 purchase for both Android and iOS.