Emergency Medicine: Web Resources

Web-Based Resources for Emergency Medicine Dr Colin Parker MBChB DCH MRCPCH FACEM Joondalup Health Campus Princess Margaret Hospital

Declarations of Interest
Director, HealthEngine.com.au
Avid proponent of Regionalised training for
Emergency Medicine in WA

Overview
NEEDS of Emergency Medicine staff
SOLUTIONS available on the web at present
FUTURE directions & fantasies

NEEDS of Emergency Medicine staff
Operational
Educational
Social

Operational
Rosters
Noticeboard
Local guidelines & protocols
Clinical information
Diseases & conditions
Drug doses, calculations, test result analysis
Decision support
(national & international guidelines)

Educational
“ when the facts have been forgotten...”
background information
understanding concepts
Putting information into perspective
Experience-Based Medicine
Facts for instant recall
? lessened by availability of information nowadays
Education increasingly happens at home

Social
Doctors are people
So are nurses
Work environment is improved by
good (social?) relationships
Facebook: the antidote to the wheel

SOLUTIONS available on the web at present
Modes of delivery
Purchased content
Free content and “free” content
A few favourites only, not an exhaustive array

Modes of delivery
Goodbye paper, Goodbye books
Hello Computer, Hello Internet
Hello tiny computer and internet in my hand
SkyScape feeds the iPhone

Modes of delivery
HyperText Markup Language (html)
Web 2.0
The Semantic Web

HyperText Markup Language (html)
The original and best:
Simple language
'Same' on all browsers
Lean & Fast
Easy to use (a book on the screen):
Browser buttons
Scrolling
Clicking links
But Limited:
Uni-directional flow from content provider to consumers
“ Content is King”
Slow to update: bottle-neck at the webmaster

Beyond html
Static content gets stale quickly and offers no interaction with data
Dynamic websites use a connection to a database, and display selected pieces of information, via many available platforms
Commercial (Microsoft .NET, ColdFusion)
Open-Source (free, community-spirited) (eg LAMP environment)
Editing of data via a web browser (admin-level users)
Content Management Systems allow non-geeks to alter the content and structure of website
Cascading Style Sheets (CSS) allow separation of
Content (boring text and data)
Form (how the information is displayed)

Beyond html: Examples
Dynamic websites
CAHS Intranet
ED Status Viewer
HealthEngine.com.au
CSS Examples
CSS Zen Garden

Web 2.0
Content provided and updated by users
Editing in real-time
Tagging of information (metadata)
Clean new look
Interactivity is the new King

Web 2.0
Great because:
Immediate update of content
User experience:
Feels valued
Interactive possibilities
The wisdom of crowds
Not-so-great because:
Limited or no Editorial oversight
Content ?less reliable
User feels confused, maybe
The 'wisdom' of crowds

Web 2.0 Examples
YouTube
Epley manoevre
Life in the Fast Lane blog
Facebook
Multimedix
Quintura

The Semantic Web
Now, the Computer actually KNOWS something
Rather than displaying pages of text
Advanced style of meta-data (similar to XML)
Rules of logic can be utilised on the information
Groundwork for Artificial Intelligence
Example: TrueKnowledge.com Answer Engine

Purchased content
References:
eMIMS
eTherapeutic Guidelines
Australian Medicines Handbook
Textbooks:
Up-to-Date
Rosen's Emergency Medicine

Purchased content
Monthly Publications
Emergency Medical Abstracts
Emergency Medicine: Reviews and Perspectives
(Paediatric) Emergency Medicine Practice
Journal subscriptions
Individual journals
Clustered by provider
(Science Direct, Elsevier, Blackwell-Synergy, etc)
Unified Search Environment provided by
hospital library or government

Search Engines
Google indexes websites better than they index themselves
Free online textbooks
Why did Medscape stuff up eMedicine ?
Goodbye Orthoteers.com , hello Wheeless
Government-sponsored websites
RaisingChildren.net.au
Immunise.health.gov.au
BetterHealth.vic.gov.au

‘ Delivered' content
RSS Feeds
eTOCs (electronic Table of Contents)
Non-peer-reviewed content (good luck)
Wikipedia
everyone's an expert
“ Altruistic” websites providing information
and adverts ( Patient.co.uk )
Support groups
good for rare conditions
Blogs (“web-logs”)
Google loves them

Unrestricted Internet access in ED's
Hand-held devices & bedside devices
Integration with decision-support software and the Electronic Patient Record
Neural Networks
Information flow to patients

Grid Computing
Deep Web
Unified, co-ordinated mega-databases of:
Clinical data
Test results
Treatments and outcomes
Co-ordinated, on an international level:
Epidemiological data
Clinical Research
Decision Support
New hypotheses for research
What else can you dream of?

Options for Your ED
Ignore the web (more books, noticeboards)
Documents and folders on a shared network hard-drive
Simple html page can provide links to each document (ideally other html pages, with links)
Intranet website maintained by your helpful IT team
Blog maintained by you, open to the www
Extranet “members-only” website, available from home
Open-source solutions eg Moodle
Pay for it (web developer)
Build your own (FrontPage, Dreamweaver, hand-coded)

Colin's Endeavours
planetlucy.com [plain html]
SCGH EDIP [dynamic website, IT “support”]
PEDRO [plain html using hospital shared hard drive]
JEDI [plain html using shared drive & javascript 'include']
JEDO [dynamic extranet website, no IT involvement]
WASH [dynamic extranet website, user-generated content]
UltraSoundVillage.com [dynamic extranet logbook,rebuilding]
HealthEngine.com.au [dynamic website, large complex database]

Web 0.0

Summary
Get on board
Heaps of good free content out there
Some great purchased content too
Your ED website:
you CAN Do It Yourself
WA Super Hospital needs you
go to ED.org.au and contact the webmaster

Questions ? ? ?

Bookmarks for demos
http://www.google.com.au/
http://www.slideshare.net/colinparker/emergency-medicine-web-resources
http://healthengine.com.au/doctor_search.html
http://www.csszengarden.com/?cssfile=/206/206.css&page=0
http://quintura.com/
http://www.trueknowledge.com/
http://raisingchildren.net.au/
http://jhc.ed.org.au/home/
http://wash.ed.org.au/home/index.php
http://www.youtube.com/watch?v=t3WbQ6uIXJk

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Emergency Medicine: Web Resources

by colinparker on May 03, 2009

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