Pediatrics on Hand’s Guideto Getting the Most Out of the Pediatric PDA ®
Features of this tutorial include: • How-to-guide: Beginners • How-to-guide: Experts • Handheld Buying Guide • Downloadable Physician Directory • The Best Pediatric Resources for the PDA • Tips on Personalizing Your PDA • Tips on Turning Your Handheld Into a Medical Tool • Recommended Sites Choose a feature above to get started.
Who is “Pediatrics on Hand?” ® Pediatrics on Hand is identified as an: “Outstanding resource on pediatric PDA applications for health-care professionals and parents to use.” Baumgart DC Personal digital assistants in health care: experienced clinicians in the palm of your hand?Lancet Oct 2005; 366: 1210-1222. ®
Definitions PDA – personal digital assistant, aka “handheld” Smartphone – a combination of a PDA and a phone; many consider this the future direction of most handhelds Sync – communication between a PDA and a desktop or laptop • Palm OS - “HotSync” • Windows Mobile (Pocket PC) - “ActiveSync” PIM–personal information management – the leather organizer goes electronic, by allowing interaction with Outlook, Groupwise, etc.
Definitions Smartphonea combination of a PDA and phone with messaging, email and Internet capability
Definitions Operating System (OS) – the software that runs PDAs, similar to Microsoft Windows or MAC OS X for a desktop; there are other operating systems but these three are the major players vs. vs.
Getting Started Whether you are buying your first PDA or upgrading from an earlier model, there are some key steps to getting your PDA ready for use.
Getting Started Before turning on your PDA • When you remove your PDA from the box, make sureto read all of the contents carefully. • Place the contents in a secure place because you may need to reference them later. • This may sound obvious, but people tend to forget that depending on the model, you will either need toput in batteries or charge your PDA to make sure it is “juiced-up.”
Getting Started Preparing your computer for your PDA • There is a CD in the box to load onto your computer that will walk you through the initial set-up of your particular model • It gets your computer and PDA ready to talk to each other • It will also introduce you to the basic functionsof your PDA
Getting Started Upgrading to a new PDA • If you are upgrading from an earlier model, the set-up should be fairly seamless • You will still need to install the CD included with your new model • But don’t worry, the information that was on your old PDA will remain on your new one
Moving On... • People most commonly use PDAs for personal information management (PIM) • Beginning with PIM is probably the easiest way to start and the best way to get to know your PDA
Moving On... Creating or updating your address book • For most people, it is easier to use a computer to type in your address book and calendar. PDAs will sync with current address books you may have on your computer (e.g. MS Outlook) • Enter the phone numbers you use everyday into your address book – work, family or friends • Use the calendar to enter appointments, birthdays and annual events
Moving On... Syncing your PDA with your computer • Once you have typed in all of your desired information, you need to sync it to your PDA • After syncing the info it will appear on your handheld • Spend time getting to know how to input data and how to use the different programs on your computer – it will pay off in the long run
Now What? After you get more comfortable with the basic functions, you can move onto additional programs.
The Intern's PalmomentalReflex The intern’s palmomental reflex: Is usually elicited by a probing questionfrom a staff physician, and is a reflexive action observed inmedical students and house officers Involves a quickmovement to expose a handheld, followed by repetitive stabs with the styluson the device screen Includes the "palmo" component of the reflex, which seemsto be necessary to start the "mental" component required toanswer the question Has replaced the "um" and "ah"of indecision and has almost eliminated the "I don'tknow" response Crelinsten GL. New England Journal of Medicine 2004; 350:1059
Creating a Medical PDA Using your PDA at the office • Now you are ready to use your new PDA in your office, the clinic, ED, or hospital • You will soon wonder how you managed everything before having a handheld • Your PDA can become your own portable pediatric medical library
Creating a Medical PDA Getting to know the medical references for your PDA There are four major categories of references available to load onto your PDA: • Drug References • Medical References • Medical Calculators • Multi-Functional Programs
Creating a Medical PDA Getting to know the medical references for your PDA • Drug Reference programs are the most widely used medical programs • But, there are also numerous Pediatric Medical References, Pediatric Medical Calculators and Multi-functional Programs • There are a wide variety of very reliable online pediatric resources available for you to download onto your PDA • All you need to do is go to the sites and most will walk you through the downloading process • These resources may range in price from FREE to approximately $100
Small Screen Surfing Getting to know Smartphones • Smartphones have the ability to surf the web • How-to pages: • Google Mobile-Instructions for using wireless handheld or smartphone web surfing http://mobile.google.com/ • Yahoo Mobile-Terrific resource for wireless handheld or smartphone web surfing http://mobile.yahoo.com/ • Small Screen Sites: • Brian's PDA Optimized Web Site List- Small screen ready web-surfing links http://www.cantoni.org/palm/links.html • Google Search-Small screen Google Searching http://www.google.com/pda • pdaPortal-Small screen ready web resource for finding handheld friendly web sites http://pdaportal.com
Which Operating System? Just like the computer world of Macs and PCs, there are different operating systems for PDAs. • Palm-based systems – Mostly Palm and a few others • Windows Mobile - HP, Dell and others • Blackberry- Only available on Blackberry hardware, not many medical applications are available
Which One Do I Buy? Choosing your PDA • Just like there is not ONE computer, TV or car for everyone… There are different handhelds/PDAsand smartphones to fit anyone’s needs • Evaluate what you would like to do with a PDA or smartphone: • MP3? Camera? Amount of memory needed? Wireless? Smartphone? GPS?
Price Phone E-mail ability Integrated camera Size and weight Wireless capability (WiFi, Bluetooth) PIM Memory needed Music, MP3 and multimedia Integrate and edit files with MS Word, Excel and PowerPoint GPS Simplicity Battery life Overall feel Which One Do I Buy? Consider these features
Which One Do I Buy? More things to consider: Go to the electronics store and actually put a few of them in your hand and try them out (even if you buy it online) • Consider an entry level handheld or smartphone • You can always upgrade to an advanced model later if you want. Occasionally buyers are overwhelmed if there are too many functions • Consider buying the same platform (Palm or Windows Mobile) as your colleagues, friends and family • That way you can have your own personal “tech support”
Downloading the Directory to Your PDA Directions to download the Palm OS version: • Click to download the address book, you will get a window that asks you to open the file or save it to disk. • Save the file to disc in your "My Downloads" folder. • Once you have downloaded the address book. From within your Palm Pilot software inside your address book, click on categories and choose edit categories, then add a new category named "CNMC Physicians." • Once inside your new category, choose file - import and import the address book from your "My Downloads" folder, the file name is "cnmc_physician.aba". • That’s it! All of CNMC physicians will be in your palm. • Download the Excel 2000 version • Download the Palm OS version
Drug Reference Epocrates • This is the most versatile medical handheld reference • www.epocrates.com
Drug Reference LexiComp • This is the most robust drug reference • www.lexi.com
Well-Known Pediatric Texts Harriet Lane Handbook • www.skyscape.com
Well-Known Pediatric Texts The 5 Minute Pediatric Consult • www.skyscape.com
Helpful FREE Programs Bilitool • Assess risk of Hyperbilirubinemia • www.bilitool.org
Helpful FREE Programs Growth charts • www.statcoder.com/growthcharts.htm
Helpful FREE Programs Med Calc • Medical calculator (FREE) • www.med-ia.ch/medcalc/
Helpful FREE Programs Shots • Immunization reference (FREE) • www.immunizationed.org
Additional Helpful Programs iSilo • Document reader • www.isilo.com
Additional Helpful Programs Kidometer • www.kidometer.com
Consider adding more programs, such as these: Card games – Wine guides SuDoKu – City guides Chess – Movie guides Scrabble – Password managers Photos are another great way to personalize your PDA. They are easily loaded by using the PDA’s desktop software package. The software is on your computer from the CD you loaded. Or if you have a camera installed, just start snapping photos! Personalize the PDA
Vindigo • City guide • www.vindigo.com
More Medical Usesof a PDA • Use the drug references and medical references daily • Consider the PDA as a patient education tool • Show images of anatomy, such as rashes,otitis media, inflamed airways, bones, tendons,heart disease, etc. • It could be as simple as taking a few pictures • There are many programs available to install • Disease management information • Patient logs (diaries) • Asthma, headache, enuresis, diabetes, etc. • Patient-maintained health information • Vaccine dates, major illnesses/surgeries, medication lists, etc.
Handheld Sites • www.pediatricsonhand.com • Pediatrics On Hand • Home for the pediatric handheld • www.pdacortex.com • Web based medical handheld journal • www.pdamd.com • Medical handheld software • www.medicalpda.net (Ectopic Brain) • Collection of useful handheld websites • www.medicalpocketpc.com • For Microsoft based medical handhelds • www.skyscape.com • Excellent medical handheld references • www.medicalwizards.com • Collection of innovative medical references • www.palmgear.com • General handheld software sales ®