Computers InEmergency Medicine

Jim P. Getzinger, M.D.

William Beaumont Hospital,

Royal Oak, Michigan 48073

July 18, 2000

What is the Internet?

ARPANET 1969 15 Nodes

TCP/IP 1983 1990 – bye bye

ARPANET 1992 ‘WWW’ Since has grown

exponentially0

10

20

30

40

50

60

70

80

Hosts (Mill.)

J-93

J-94

J-95

J-96

J-97

J-98

J-99

J-00

Registered Internet Hosts

Growth of Information

Accessing the Internet

• Many methods– Modem/Cable/T1

• Limiting Factors– Connection Method

– Graphics processor

– Memory

– Processor Speed

– Disk Space

What do we find?

• Reference

• Educational materials

• Software

• Communication between collegues

• Resident Life

Reference

• Micromedex

• PDR

• Textbooks/manuals– Redbook– Rosen– Pediatrics/Trauma

Educational Materials

• Lectures

• Slides

• Quick References– Pediatric– Orthopedic– Ophthalmologic

Software

• Palm Pilot– MedCalc– Pt Tracker

• Quick Reference

• Pocket PDR

• Drug Interactions

Communication

• Free Email/News– Hotmail.com, bigfoot.com, many others

• Forums– EM Residents, EMS,

• Meetings– Regional, Global, WWW

Resident Life

• Humor

• Stress management

• Off-service references

• Family

WBH ‘BeauNET’

• T1 Connection/Ethernet– Fast/efficient

– Secure

– Comparable upload/download speeds

• Multiple Resources– Micromedex

– Formulary

– Reference Material

Summary

• Many items available

• Variety of methods of access

• Good adjunct to other medical education

Examples

• Micromedex/Poisondex

• Virtual ER

• Emedicine.com

• Radiology

• Lectures/Slides

MicroMedex/Poisondex

• Access from the BeauNET:

• http://home.beaumont.edu/– Select Departments

• Emergency Center– Micromedex

• Toxicology

• Micromedex

Virtual ER

• A site that has multiple references to tutorials/educational material for laypersons and physicians.

• http://www.virtualer.com/

Emedicine.com

• A physician authored/reviewed site with quick reference to multiple disciplines…

• Currently in progress.

• http://www.emedicine.com

Radiology

• http://www.med.univ-rennes1.fr/umvr/frameBis.html

• Brain Atlas

• MRI Images

• Kidney stones and IVPs/CTs

• OBGyn Ultrasound

Lectures/Slides

• Medslides

Clip Art

• http://www.free-clipart.com

• Medical Clip art

Links

• Many – See Next Pages!