January 2020 Right on Prime

Dr. Shankar Rai, Kirtipur Hospital, Nepal.

Right on Prime (ROP) is our continuing medical education content about primary care, urgent care, low-risk obstetrics, pediatrics, rural, remote and international medicine, and much more! ROP is available using your thumb drives or CMES-Pi and smartphone apps. In the January 2020 edition, you can listen or read topics such as Subclinical Hypothyroidism, Preterm Twins or Low-value Diagnostic Imaging Use in the Pediatric Emergency Department. The topics are presented by in-the-trench doctors working in rural and community hospitals. No matter your country of practice you can find a topic that hits your educational needs.

You can find the ROP cme content by choosing ROP from the list of options once you open the thumb drive or CMES-Pi program.

A special thank you to Emergency Medicine Reviews and Perspectives for donating the content free of charge and making it open source for the CMES Project participants.

Come Clean About Hand Washing

Handwashing station. (Photo from Wikimedia Commons)

There are no disputes washing hands after patient contact with human excretions or blood is necessary. But what about everyday habits such as wearing a white coat or tie? Do you clean your stethoscope? Do these common articles act as fomites for infection?

The EM:RAP podcast and PDF for October 2019: Handwashing by Dan McCollum MD discusses pearls for handwashing, common misperceptions and the concept of a habit loop. Which is better chlorhexidine or betadine? Alcohol foam/rinse or soap and water? Long or short-sleeved clothing? Take a quick listen or read to ramp up your germ-busting habits.

An engraved portrait of Semmelweis: a mustachioed, balding man in formal attire, pictured from the chest up.

Who Knew? Ignaz Semmelweis was a Hungarian physician and scientist who advocated antiseptic procedures in the mid-1800s. His concept of physicians washing their hands as a way to reduce the spread of infection from cadavers conflicted with the established medical society. He was committed to an asylum by a colleague, beaten by the guards and died two weeks later as a result of a gangrenous wound at the age of 47. It would be two decades later when Louis Pasteur confirmed the germ theory that Semmelweis’s theory was widely accepted.