Emergency Medicine: Web Resources

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    Emergency Medicine: Web Resources - Presentation Transcript

    1. Web-Based Resources for Emergency Medicine Dr Colin Parker MBChB DCH MRCPCH FACEM Joondalup Health Campus Princess Margaret Hospital
    2. Declarations of Interest
      • Director, HealthEngine.com.au
      • Avid proponent of Regionalised training for
      • Emergency Medicine in WA
    3. Overview
      • NEEDS of Emergency Medicine staff
      • SOLUTIONS available on the web at present
      • FUTURE directions & fantasies
    4. NEEDS of Emergency Medicine staff
      • Operational
      • Educational
      • Social
    5. Operational
      • Rosters
      • Noticeboard
      • Local guidelines & protocols
      • Clinical information
        • Diseases & conditions
        • Drug doses, calculations, test result analysis
        • Decision support
          • (national & international guidelines)
    6. 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
    7. Social
      • Doctors are people
      • So are nurses
      • Work environment is improved by
      • good (social?) relationships
      • Facebook: the antidote to the wheel
    8. 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
    9. Modes of delivery
      • Goodbye paper, Goodbye books
      • Hello Computer, Hello Internet
      • Hello tiny computer and internet in my hand
          • SkyScape feeds the iPhone
    10. Modes of delivery
      • HyperText Markup Language (html)
      • Web 2.0
      • The Semantic Web
    11. 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
    12. 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)
    13. Beyond html: Examples
      • Dynamic websites
        • CAHS Intranet
        • ED Status Viewer
        • HealthEngine.com.au
      • CSS Examples
        • CSS Zen Garden
    14.  
    15.  
    16.  
    17.  
    18.  
    19. 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
    20. 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
    21. Web 2.0 Examples
      • YouTube
        • Epley manoevre
      • Life in the Fast Lane blog
      • Facebook
      • Multimedix
      • Quintura
    22.  
    23.  
    24.  
    25. 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
    26.  
    27. Purchased content
      • References:
        • eMIMS
        • eTherapeutic Guidelines
        • Australian Medicines Handbook
      • Textbooks:
        • Up-to-Date
        • Rosen's Emergency Medicine
    28. 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
    29. Free content and “free” content
      • 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
    30.  
    31.  
    32.  
    33. Free content and “free” content
      • ‘ 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
    34.  
    35. FUTURE directions & fantasies
      • 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
    36. FUTURE directions & fantasies
      • 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?
    37. 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)
    38. 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]
    39.  
    40.  
    41.  
    42.  
    43.  
    44.  
    45. Web 0.0
    46. 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
    47. Questions ? ? ?
    48.  
    49. 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

    + colinparkercolinparker, 6 months ago

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