Sepsis and Pregnancy

Pregnant graffiti in Lebanon (Wikimedia)

According to an excerpt from Randi Hutter Epstein’s book Get Me Out: A History of Childbirth From the Garden of Eden to the Sperm Bank, five hundred years ago a folk healer advised Catherine de Medici, then the queen of France, to drink mare’s urine and bathe in cow manure to increase her chances of getting pregnant. And she did it. Fortunately, you won’t need mare’s urine to treat pregnant patients with sepsis. But you will need to listen to the March EM:RAP podcast or read the PDF called Sepsis and Infections in Pregnancy by Stewart Swadron MD, Gillian Schmitz MD, Rachel Bridwell MD and Brandon Carius PA.

What are the most common infections seen in pregnancy in your region? Are vital signs good indicators during maternal and fetal resuscitation? If you don’t have much time there are five quick Take Home Points for a 30-second read.

Wikimedia photo.

Who Knew? Some of the earliest women’s health books were written by monks…although they would not be my first or even seventh guess as authors. One of the most popular monk guides, Women’s Secrets, or De Secretis Mulierum, has been translated from the original text into modern language by Helen Rodnite Lemay, a medieval scholar.

Get Your Procedure Game Plan On

Perikles Kakousis, weightlifting Olympic champion. St. Louis Olympic Games, 1904. Wikicommons.

Procedures form a structural competency in our medical practices. There’s a satisfaction that goes with a well-executed procedure be it placing a chest tube or realigning an ankle dislocation. There are some bread and butter procedures we do weekly such as intubations to those that call for our expertise rarely such as a cricothyroidotomy. So how do you get your game plan on with the rarely performed procedures? Take a listen to the EM:RAP March podcast or read the pdf called Procedural Competency by Mel Herbert MD and Jestin Carlson MD for quick suggestions on how to stay on top of rarely performed procedures. You’ll be a procedural champ and win the game.

Who Knew? The most widely accepted inception date for the Ancient Olympics is 776 BC; this is based on inscriptions, found at Olympia, listing the winners of a footrace held every four years starting in 776 BC. Tradition has it that Coroebus, a cook from the city of Elis, was the first Olympic champion. (Wikipedia)

 

 

 

Funding: A Funny Thing

Asking for donations isn’t easy. There are many organizations doing vital work in small and large communities…we understand the barrage of requests especially in the world of social media. But the facts are…we can’t operate without donations. Each of us on Techies Without Borders donates our time and skills. We are asking each of you to donate to our project at Global Giving Accelerator Fundraiser. The goal is $5000 USD in 17 days…to fund our next CMES Project for HandUp Congo in the Democratic Republic of Congo. Donate here

Thank you for your support.

Giant Cell Arteritis

I’m looking at cases to post and found one that could be me…because I’m over 60. Here’s the lowdown: over 60 years old with sudden vision loss? over 60 years old with transient vision loss? over 60 years old with transient double vision? Think Giant Cell Arteritis and take a listen to the March EM:RAP podcast: Giant Cell Arteritis by Ilene Claudius MD and Edward Margolin MD.

Or take a quick look at the PDF and bring home the take home points…it’ll make you a giant in the know.

Who Knew? Tales of giants are found in many cultures. The word giant, first attested in 1297, was derived from the Gigantes (Greek: Γίγαντες[1]) of Greek mythology. (Wikipedia)

Somewhere Over the Rainbow

Dorothy’s original ruby slippers (Wikicommons)

Neonatal stools are a source of concern for parents and color changes can trigger a visit to the emergency department or outpatient clinic. What colors raise your index of concern for serious pathologies such as necrotizing enterocolitis, malrotation with midgut volvulus or intussusception? Plug in your thumb drive or roll out your CMES app and take a listen to Jess Mason MD and Jason Woods MD as they discuss the EM:RAP podcast called Neonatal Stool Rainbow. You won’t find the Wizard of Oz but you’ll take home some knowledge…even without your ruby slippers.