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Smartphones and Medical Apps in the Practice of Emergency Medicine in Iran

Amirhosein Jahanshir, Ehsan Karimialavijeh, Hojjat Sheikh Motahar Vahedi, Mehdi Momeni




Introduction: Medical applications help physicians to make more rapid and evidence based decisions that may provide better patient care. This study aimed to determine the extent to which smart phones and medical applications are integrated in the emergency department daily practice.

Method: In a cross sectional study, a modified standard questionnaire (Payne et al.) consisting of demographic data and information regarding quality and quantity of smartphone and medical app utilization was sent to emergency-medicine residents and interns twice (two weeks apart), in January 2015. The questionnaire was put online using open access "Web-form Module" and the address of the web page was e-mailed along with a cover letter explaining the survey. Finally, responses were analyzed using descriptive statistics and SPSS 22 software.

Results: 65 cases participated (response rate 86%). The mean age of interns and residents were 25.03 ± 1.13 and 30.27 ± 4.68 years, respectively (p < 0.001). There was no significant difference between interns and residents in owning a smartphone (p = 0.5). Android was more popular than IOS (67.7% against 25.8%) and the most popular medical apps were Medscape and UpToDate, respectively. 38 (61.3%) of the respondents were using their apps more than once a day and mostly for drug information. English (83.9%), Persian (12.9%), and other languages (3.2%) were preferred languages for designing a medical software among the participants, respectively.

Conclusion: The findings of present study showed that smartphones are very popular among Iranian interns and residents in emergency department and a substantial number of them own a smartphone and are using medical apps regularly in their clinical practice. 


Smartphone; mobile applications; emergency service, hospital; evidence-based practice


Payne KFB, Wharrad H, Watts K. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Medical Informatics and Decision Making. 2012;12(121).

Lindquist AM, Johansson PE, Petersson GI, Saveman BI, Nilsson GC. The use of the Personal Digital Assistant (PDA) among personnel and students in health care: a review. J Med Internet Res. 2008;10(4):e31.

Prgomet M, Georgiou A, Westbrook JI. The impact of mobile handheld technology on hospital physicians' work practices and patient care: a systematic review. J Am Med Inform Assoc. 2009;16(6):792-801.

Modi J, Sharma P, Earl A, Simpson M, Mitchell JR, Goyal M. iPhone-based teleradiology for the diagnosis of acute cervico-dorsal spine trauma. Can J Neurol Sci. 2010;37(6):849-54.

Flannigan C, McAloon J. Students prescribing emergency drug infusions utilising smartphones outperform consultants using BNFCs. Resuscitation. 2011;82(11):1424-7.

Takao H, Murayama Y, Ishibashi T, Karagiozov KL, Abe T. A new support system using a mobile device (smartphone) for diagnostic image display and treatment of stroke. Stroke. 2012;43(1):236-9.

Choudhri AF, Radvany MG. Initial experience with a handheld device digital imaging and communications in medicine viewer: OsiriX mobile on the iPhone. J Digit Imaging. 2011;24(2):184-9.

Trelease RB. Diffusion of innovations: smartphones and wireless anatomy learning resources. Anat Sci Educ. 2008;1(6):233-9.

Kubben PL, van Santbrink H, Cornips EM, et al. An evidence-based mobile decision support system for subaxial cervical spine injury treatment. Surg Neurol Int. 2011;2:32.

Choi BG, Mukherjee M, Dala P, et al. Interpretation of remotely downloaded pocket-size cardiac ultrasound images on a web-enabled smartphone: validation against workstation evaluation. J Am Soc Echocardiogr. 2011;24(12):1325-30.

Brunet P, Cuggia M, Le Beux P. Recording and podcasting of lectures for students of medical school. Stud Health Technol Inform. 2011;169:248-52.

Ho K, Lauscher HN, Broudo M, et al. The impact of a personal digital assistant (PDA) case log in a medical student clerkship. Teach Learn Med. 2009;21(4):318-26.

Torre DM, Treat R, Durning S, Elnicki DM. Comparing PDA- and paper-based evaluation of the clinical skills of third-year students. WMJ. 2011;110(1):9-13.

O'Neill S, Brady RR. Colorectal smartphone apps: opportunities and risks. Colorectal Dis. 2012;14(9):e530-4.

van Velsen L, Beaujean DJ, van Gemert-Pijnen JE. Why mobile health app overload drives us crazy, and how to restore the sanity. BMC Med Inform Decis Mak. 2013;13:23.

Adams GL, Campbell PT, Adams JM, et al. Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol. 2006;98(9):1160-4.

Clemmensen P, Sejersten M, Sillesen M, Hampton D, Wagner GS, Loumann-Nielsen S. Diversion of ST-elevation myocardial infarction patients for primary angioplasty based on wireless prehospital 12-lead electrocardiographic transmission directly to the cardiologist's handheld computer: a progress report. J Electrocardiol. 2005;38(4 Suppl):194-8.

Garritty C, El Emam K. Who's using PDAs? Estimates of PDA use by health care providers: a systematic review of surveys. J Med Internet Res. 2006;8(2):e7.

Smartphone OS Market Share Q42014: The International Data Corporation (IDC); 2014 [cited 2015 8/3/2015]. Available from: http://www.idc.com/prodserv/smartphone-os-market-share.jsp.

Contraband Cell Phones: Financial Tribune; 2014 [cited 2015 8/3/2015]. Available from: http://financialtribune.com/articles/economy-domestic-economy/9878/contraband-cell-phones.

DOI: https://doi.org/10.22037/emergency.v5i1.11836


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