I am a specialist registrar in cardiology in University Hospital Galway, Ireland and had a Palm Pilot on which I had various free software downloads. I found it very useful in all aspects of my day to day job. Since discovering Skyscape products my palm is now referred to as the brain in my back pocket. Sometimes I wonder how I ever used to function cluttered down with textbooks and drug references. My white coat used to consist of an oxford handbook of medicine, an oxford handbook of acute medicine, plus a British national formulary (big book !). Nowadays I have 3 skyscape products including 5MCC , 5M Cardiac, and Archimedes. These titles are invaluable when I am on call since often we cover general medical take. As recently as last Friday a 56 year old women presented with a subarachnoid hemorrhage and signs of raised intracranial pressure. In the space of 30 seconds I was able to pull up a management plan re reducing ICP, BP etc. The women subsequently went on to have neurosurgical repair and has since gone home. I feel that if it wasn't for those first few minutes of critical care she would not have done so well. It was thanks to the 5MCC that I could instigate treatment so fast. Just tonight an elderly man with a background of BOOP presented. Now it has been years since I've come across BOOP since I am a cardiology registrar. In Ireland however specialist registrars still admit general medical patients, and so understandably the features and appropriate management of BOOP was not on the tip of my tongue. Five minutes later however the palm was consulted and he has been managed appropriately.

Rory O' Hanlon
University Hospital Galway