[Music] welcome to up-to-date up-to-date is an evidence-based physician authored clinical decision support resource which clinicians trust to make the right point of care decisions up-to-date helps clinicians answer their clinical questions increase their clinical knowledge and improve patient care what differentiates uptodate from other clinical knowledge systems is our rigorous editorial process are world renowned physician contributors and a wide range of access options including our mobile apps further there have been more than 60 research studies that confirm widespread use of up-to-date and its association with improved patient care and Hospital performance now that you know a little more about up to date and how it can be useful let's conduct a search you need to open the browser anti www dot to date com once the home page opens up please click on login it will lead you to a page for entering your credentials please enter your ID and password for accessing up-to-date after successfully logging in you will find navigation bar on the top right section and a search bar - in the center around the search bar - there is white space without any promotional banners or videos from any pharmaceutical or device company it is because up-to-date does not take any grounds from these companies it is absolutely subscriber funded so the content is unbiased what you can search from the stool is sign symptom disease condition it could also be truck information you can also use medical abbreviations and predictive text for example let's search COPD you can see the auto prompts from up-to-date to help with medical abbreviations which you can click on this saves time for the clinician while searching now let us take an example of sepsis on clicking enter you will find the speed which displays all topics of sepsis once you click on all all the adult topics of sepsis on clicking on adult all the pediatric topics of sepsis on clicking pediatric and then the patient information now as you scroll down you will get to see multiple topics as you scroll down but since we want to look into one particular topic we can select which is of interest to us say for example evaluation and management of suspected sepsis and septic shocks in adults is of interest to us you can also look into subsection of it once you hover around the arrow you can see the topic outline on selecting the subsection which is of interest to you you can click on that on clicking on the topic you can get to see the entire content in a specific format this format is standard across all the content available on up to date there are more than 10,500 such topics on up to date the editorial process of up to date is very rigorous where the author's write the content which is further reviewed by the section editors which is further reviewed by deputy reviewer which are further reviewed by peer reviewers and the content is absolutely updated as you can see the literature review is done on continuous basis in this topic it is reviewed in February 2018 and if you see this content later you will notice the review date too early to date since the review is done on a continuous basis you will also find what's new topic if there is new update available so that you can have access to that quickly in the topic outline in the left-hand side you will see many subsections you can click on any one of the topic to look into the subsection of the topic now let's click and see summary and recommendation on clicking this you will get to see the bullet points and synopsis of the topic one of the interesting thing is the grated recommendations these are recommended by the editorial team of up to date alongside the team of dr. Gordan guide and dr. Godin guide himself now created recommendations are nothing but recommendations for clinicians to take clinical decisions when it's grade one it's a strong recommendation when it's great - it is a weaker recommendation and then level a B and C our level of evidences which are supporting this particular grade recommendation there are more than 9,600 such graded recommendations in the database of up to date when you scroll down you can see the references you will find hyperlinks in brackets on clicking the same you will find the entire reference it's abstract and if you go further to the format side through the entire article you can click on this to get into the format side now what's more interesting is graphics which is also available on clicking view on on clicking you can see all the graphics which are available for this particular topic let's click on source control in sepsis on clicking it this graphic opens up and note that this can be bookmarked by clicking on the link above it can also be printed and shared too on the email id this can also be exported to PowerPoint on clicking here a file opens up at the bottom left of the screen on clicking the same the graphics is exported in PowerPoint which is powered by up to date now let's come back to the previous screen you will find that there is graphics options here on clicking it you will find all the graphics of all the topics put together then there is tab of what's new where you can find the latest updates and last 6 months of speciality for example if I click on hematology I can see multiple topics on hematology which are the updates for hematology I can click on any of them to look into the updates which is also updated into the topic then there is practice changing updates and once I click on that I get all the recent updates which are in anticipation of when the physicians practice will change this is something which is put by the editorial team which you can see topic wise specialty rice on the left hand side there is a tab of calculator here when you click on calculators you can see calculators specialty wise top to bottom and if you want to look at a particular calculator you can type in here for example Apgar score and on clicking Apgar score you will be able to see multiple parameters and get total points and then you can further interpret it by looking at the score whether it is normal or distress so this is just an example you can search from more than 170 calculators which are available one of the interesting thing is the truck interaction on clicking this section it goes to the truck interaction module which helps to interpret truck to drug drug to herb and help to hub interactions you can click and type any drugs which you want to analyze for example if you want to give lens on it and salbutamol to a patient's see there is BCG intra vesicle injection which is taken by the patient see I also want to check if there is caffeine which the patient wants to drink is coffee and if there are any interactions and you can also add green tea so I have this list here and I can click and analyse I'm able to see the risk rating at the top and I can see the five results where it is mentioned BCG lens alert needs to be avoided and if I want to know more about it I click on that and I'm able to see the entire summary along with the details here and the evidence provided at the end if I want to give Lin solid as a core drug and I want to check all the drug interaction of Lin solid I can click on this and I can see all the drug interaction of Lin solid where I have to avoid Lin solid and other drugs name of the drugs are provided here and there is a therapy modification required or whenever there is monitoring of the therapy required so you can type any form of drug information which you are looking for for example gem see turbine likewise you can also find gems turbine information for clinicians you will find the topic outline dosing adjustments pregnancy risk factors breastfeeding considerations and also the drug interactions provided here on clicking it you can see the drug interactions likewise when you click on it you can see the drug interactions likewise this is all about up to date and the easiest way to use up to date is also by downloading the mobile lab which is available on Google Play Store or iOS App Store you can find it by typing up to date and use it by the same username and password as you are registered thank you [Music]