Featured Resource -
2007 No. 106
Past Issues

DynaMed is
an evidence-based clinical reference tool designed for health care
professionals for use at the point-of-care. DynaMed
consists of nearly 2000 clinically-relevant topic summaries created
through review of over 500 medical journals and systematic evidence
review databases. DynaMed also includes over 800 topic
summaries from AHFS Drug Information®. Licensed through UVM's
Dana Medical Library and updated daily, DynaMed is
available through the Internet (on-site and remotely) and
via PDAs.

Dynamed is designed for all members of the Health Care Community.
- Dieticians
- Emergency Medical Technicians & Paramedics
- Health Care Administrators
- Medical Librarians
- Naturopaths
- Nurse Practitioners
- Nurses
- Occupational Therapists
- Pharmacists
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- Chiropractors
- Physical Therapists
- Physician Assistants
- Physicians in Primary Care & Other Specialties
- Psychologists
- Respiratory Therapists
- Social Workers
- Teachers of All the Above
- Many Others
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DynaMed topics include:
- Common and uncommon diseases & conditions
- Symptoms (e.g., chest pain, fever of unknown origin, failure to thrive)
- Other clinically important topics (e.g., breast feeding, cardiac stress
testing)
- Topics of popular interest (e.g., West Nile Virus, Anthrax, SARS)
- New scope of information based on developing research (e.g.,
metabolic syndrome, D-timer testing)
DynaMed is particularly useful to nurses, medical students and residency
programs. With continuous availability at the point-of-care, the
database provides a means for off-hour research as well as a simple,
easy-to-use, PDA-accessible interface for timely extraction of
information. In addition, DynaMed includes access to
patient educational resources to help present medical information to
patients in an easy-to-understand manner.
How to connect to DynaMed
- Go to Dana Medical Library's homepage .
- Click on the DynaMed link under Databases & E-Books.
- To access DynaMed from off-campus, you must be a UVM or FAHC faculty,
staff, or student. See the Connect from Off-Campus link on the Dana Medical Library homepage for details.
- Unaffiliated patrons may use DynaMed on site at Dana Medical
Library.
Searching DynaMed
You can find
DynaMed topics either by searching for terms contained in the topic text, or by browsing by category or the alphabetic list.
- To search:
- Enter your search term(s) into the search box, and click Search.
- DynaMed displays a Result List. The topics in the Result List are ordered by relevance, based on the term you entered.
- DynaMed searches the topic titles for your search term or phrase, as well as all the text within each DynaMed topic in the entire DynaMed database.
- To browse:
- Use the A-Z links to browse for topic titles alphabetically.
- Use the Browse by Category link to browse the DynaMed Category Result List.
- Within a category, there can be sub-categories and/or topics. Sub-categories are identified by the presence of a blue triangle to the left of the category title.

Components of a DynaMed topic summary
Topics covering diseases, conditions, symptoms, and other presentations follow a
standardized template:
- General Information (including ICD-9/-10 codes)
- Causes & Risk Factors
- Complications & Associated Conditions
- History
- Physical
- Diagnosis
- Prognosis
- Treatment
- Prevention & Screening
- References (including reviews & guidelines)
- Patient Information
- Acknowledgements
For example, bring up the topic summary for Cardiogenic shock. Note the table
of contents on the left sidebar. Click on the section of interest, or click on
Expand All to view the entire topic summary.

Note the highlighted references in this portion of the Treatment section of
the DynaMed Cardiogenic Shock topic summary:

DynaMed topic summaries are written based on the best available
evidence found in the professional literature. In-context references are
provided, with links to the PubMed record or other DynaMed content
source. EBSCOhost Full Text links are provided when the full text of a
cited article is available via an EBSCOhost database to which the
University of Vermont subscribes.
DynaMed utilizes three "Level of
Evidence" labels to help readers determine the quality of the evidence that
contributed to the summaries:
- Level 1: Likely
Reliable Evidence - e.g. rigorous randomized trials
- Level 2: Mid-level Evidence - e.g. non-randomized comparison studies
- Level 3: Lacking Direct Evidence - e.g. case series, case reports,
expert opinion
Key DynaMed Features
- Designed for rapid, easy use at the point-of-care
- Updated daily to provide the most up-to-date, accurate information
- Evidence-based systematic selection of best available evidence
- Thousands of article references and web links
- Patient information handouts
- Electronic Health Records linking capability through
EBSCOhost Integration Toolkit
- Clinical Questions tools for residents and students
- Competency Tracker
- Overdose Curves
- CME credits
For more information about DynaMed, or any
other online resource at Dana Medical Library:
- Contact a reference librarian for
personalized assistance:
- in person, at the reference desk,
Mon-Friday 10:00 am -4:00 pm,
- by phone, at 802-656-2201
- or send an email to
danaref@uvm.edu.
Doctor Reading Articles photo by rosefirerising, used in accordance with the Creative Commons license.