10月6日 的 PICUCalc 應用程式分析

PICUCalc is the most complete clinical reference for Pediatric Intensive Care: infusions, antibiotics with automatic renal dosing, 40+ validated scores, and emergency protocols — all in one app, fully offline. PATIENT Enter weight, age, and height once: BMI, body surface area (Mosteller), and maintenance fluids (Holliday-Segar) are calculated instantly and feed the rest of the app automatically. INFUSIONS 43 drugs with weight-based preparation and infusion rate, grouped by vasoactives, sedation, analgesia, neuromuscular blockade, and others. A peripheral-line dilution toggle (10× the usual volume) for the 6 classic vasopressors, for when there's no central access. N-acetylcysteine with both real protocols (3-bag acetaminophen toxicity, and hepatocellular dysfunction). Hypertonic saline preparation at 3/6/9% from 20% NaCl, with calculated sodium content. ANTIBIOTICS 60+ antimicrobials with daily dose, per-dose amount, dose caps, and AUTOMATIC RENAL DOSING across 4 renal-function bands (based on Nelson's Pediatric Antimicrobial Therapy). No other pediatric app recalculates the dose live against the patient's GFR in front of you. SCORES (40+) Sepsis: qPS4 with published sensitivity and specificity, auto age-banding. PODIUM organ dysfunction (interactive 10-system map, 43 criteria). Gastroenterology: PELD, MELD/MELD-Na, King's, EREFS, PUCAI, STRONGkids. Pulmonology: Westley croup, Wood-Downes-Ferres, PRAM, C-ACT, GINA, Light's criteria. Rheumatology: SLEDAI-2K, PGA, BILAG, ECLAM. Neurology: GMFCS (cerebral palsy) and PedNIHSS (pediatric stroke). Plus sedation/analgesia, delirium, and diagnostic criteria. CALCULATORS Blood gas interpretation with Henderson-Hasselbalch and Stewart approaches, Oxygen Transport with a Cardiac Index option for ECMO patients, ROX index, OI/PaFi/SaFi, GFR, Renal Angina Index + fluid balance, sodium and total body water, dehydration by clinical signs, fluids for severe DKA (10% deficit/48h), therapeutic plasma exchange, bidirectional GIR with dextrose prep guidance, stepwise dengue hydration (Groups B2 and C, PAHO/WHO guideline), lactate ratio and kinetics. EMERGENCY Pediatric CPR with a timer and voice alerts per PALS 2025, and status epilepticus management with age-adjusted hypoglycemia correction (AES 2016) and weight-based dosing tables. Every calculation cites its source: ISPAD, PALS, AES, ESPGHAN/ESPEN, PAHO/WHO, Nelson's, Taketomo, and the original paper behind each score — never a number with no origin. WHY IT'S DIFFERENT Most medical calculators cover a single domain: just dosing, or just scores, or just ventilation. PICUCalc integrates the full PICU workflow into one app, with features that exist nowhere else: an antibiotic engine that recalculates dose against real-time renal function, a peripheral-dilution mode that solves a real emergency problem when there's no central line, and a Cardiac Index option for ECMO patients where direct cardiac output isn't available. It's built by a practicing pediatric intensivist for real bedside work — not by a design team outside the ICU. Fully bilingual (English/Spanish), works completely offline, collects no personal data, no ads. A clinical reference tool for support. It does not replace the treating physician's judgment. Always verify doses and parameters against your institutional protocol before administering.