Dr. Lisa Floats on a Wave of CME in St. Lucia

Dr. Lisa Charles, ED Director at Victoria Hospital, St. Lucia.

St. Lucia Pitons, World Heritage site. (Wikimedia)

Dr. Lisa Charles at Victoria Hospital in St. Lucia runs a tight ship on this Caribbean island. Emergency Medicine trained, she embraces continuing medical education (cme) as a means to keep her staff up-to-date. The staff at Victoria Hospital received thumb drives this past February and are putting them to good use. Several years ago she wrote a procedures manual for her ED staff at Victoria Hospital and is using the CMES articles to update her information.

Living on a small Caribbean island poses challenges for travel and access to cme credits which are mandatory for physicians in St. Lucia. She is permitted by the St. Lucian Medical Council to authorize articles as cme credits for her staff. She is also using CMES to provide some of the mandatory cme credit for her staff.

Who Knew? Together with Caribbean music genres such as Calypso, Soca, Dancehall, Reggae, Compas, Zouk, and Salsa, Saint Lucia has a strong country music tradition. In the 1950s the only radio stations heard in St. Lucia was from Texas, USA, where country music was popular. Even today you can hear George Jones, Patsy Cline and Johnny Cash’s voices drifting out of neighborhood bars.

 

Don’t Let Pediatric Tachycardia Get Your Heart Racing

Early ECG machine. Photo from Wikipedia.

According to Medscape, an online medical information site: “a heart rate of more than 160 beats per minute in infants and a respiratory rate of more than 60 per minute are associated with an increased mortality risk and often signal the development of septic shock.”

The May EM:RAP Pediatric Pearls podcast by Dr. Ilene Claudius, Dr. Sol Behar, Dr. James Salway and Dr. Liza Kearl offers prudent advice on differentiating respiratory from cardiac sources of pediatric tachycardia. Or pull up the PDF and have a fast read of the bullet points to keep your rate in check and your knowledge bounding.

Who Knew? Willem Einthoven, working in Leiden, the Netherlands, used the string galvanometer (the first practical electrocardiograph) he invented in 1901 which was more sensitive than previous 1870s inventions. He assigned the letters P, Q, R, S, and T to the waveform deflections. (Wikipedia)

A Word…or Two…from Mel Herbert at EMRAP

Image result for emrap logo

Who and what is EM:RAP? Emergency Medicine: Reviews and Perspectives (EM:RAP) is our sponsor and source of the continuing medical education (cme) materials brought to you by the Techies Without Borders (TWB) program called Continuing Medical Education on Stick (CMES) and CMES-Pi. Listen to a free podcast by Mel Herbert MD MBBS FAAEM as he discusses the future of EMRAP here.

As a participant in CMES or CMES-Pi we wanted you to appreciate this is a company that goes beyond the mission of excellent cme. It makes a commitment to helping you be the best you can and embracing colleagues worldwide. We at TWB gratefully acknowledge EM:RAPs forward vision and passion.

The Dominica Republic Gets a Piece of CMES-Pi

Banelino is a fair trade banana cooperative that partners with TGH to support local healthcare in the DR.

Dr. Yari Rodriguez in Mao, a coastal community on the Haitian border, and Dr. Miguel Garcia in Monti Christi, a northwestern urban city, in the Dominica Republic (DR) are the newest users of CMES-Pi. The doctors are local partners in healthcare with Timmy Global Health (TGH), an Indianapolis based nonprofit that provides access to healthcare through volunteers and empowering local health providers worldwide.

 

Dr. Manoj Thomas, from TWB, joined the TGH medical brigade in March. He assisted Anny, the local TGH Program Manager, on installation and how to use the Pi device including the smartphone apps for her DR staff.

Anny, TGH project director in the DR, is ready install the CMES-Pi unit.

CMES-Pi…so little providing so much cme.

The doctors in these clinics are providing care in austere rural settings. Accessing the EMRAP cme gives them a source of updated medical information to provide the best care possible for their patients.

Dr. Yari (on the right) in Mao meets CMES-Pi.

Dr. Miguel gets a lesson from Anny on the smartphone app.

Who Knew? The DR is the largest producer of organic bananas worldwide, representing more than 55% of the world’s organic banana production. The DR also makes one of the best rums in the world…banana daiquiri anyone?