Covid-19 Information on CMES Server from WHO & EM:RAP

CMES participants…you will find EM:RAP Corependium chapter & WHO Covid-19 information for USB and Pi users on the TWB server. Topics range from Hand Sanitizer Formulation to Critical Preparedness. We will update frequently, so check back weekly.
A reminder from our partner in the DRC, HandUp Congo,
“A South African word, Ubuntu describes our recognition that we are all bound together in ways that can be invisible to the eye; that there is a oneness to humanity; that we fulfill ourselves by sharing ourselves and caring for those around us.” Stay well and thank you for being on the frontlines of healthcare.

Salesforce: Helping the Covid-19 Pandemic Crisis

Covid-19. Wikimedia photo.

Salesforce, a TWB sponsor, believes great missions deserve great technology. They have a mission to help nonprofits succeed. They help us build a platform by providing free services that powers team communications, outreach to donors, tracking participants, measuring impact, and tracking donations to name a few of the benefits.

Social and global accountability is also driving Salesforce to respond during the coronavirus pandemic not only to the needs of their employees but the world. To support the global response to this virus, Salesforce is donating $1 million to UCSF’s COVID-19 Response Fund and $500K to the CDC Foundation’s Emergency Response Fund, which is meeting rapidly evolving response needs around the world.

Techies Without Borders applauds Salesforce for their forward-thinking and global initiatives.

 

Cheap Tricks: Isopropyl alcohol inhalation

Treat nausea with a cheap alternative to oral, intramuscular or intravenous medications? Yes, you can. This article, “Inhaled isopropyl alcohol for nausea and vomiting in the emergency department“, by Adrienne J. Lindblad, ACPR PharmD noted 200 nonpregnant adults presenting to the ED found inhaled (smelling) isopropyl alcohol improved mild to moderate nausea and vomiting.

Have you tried this alternative and low-cost treatment? Sniff out the details. Take a listen or read the February EM:RAP’s Right on Prime Introduction titled: Alcohol Swabs for Treating Nausea by Heidi James MD and Vanessa Cardy MD.

 

Wikimedia.

Who Knew? “The term “rubbing alcohol” came into prominence in North America in the mid-1920s. The original rubbing alcohol was literally used as a liniment for massage; hence the name. This original rubbing alcohol was rather different from today’s precisely formulated surgical spirit; in some formulations, it was perfumed and included different additives, notably a higher concentration of methyl salicylate.” Wikipedia

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.

 

 

 

Ketamine To The Rescue…Or Not

Ketamine model (WikiMedia)

One of my favorite conference speakers has always been Dr. Al Sacchetti from Camden, NJ, USA. He is passionate about Emergency Medicine and understands his patients. So when Dr. Sacchetti goes on a rant…I sit up and listen.

Who doesn’t love ketamine? It’s cheap and available worldwide. Use it for pediatric sedation, status epilepticus, and anesthesia. It can be administered intranasally, intramuscularly and intravenously.

But can it safely be used for agitated delirium? Listen to the October 2019 podcast or read the PDF: Rants from the Community: Ketamine by Al Sacchetti MD. It’s sure to calm your agitation when faced with a delirious patient.

 

 

Who Knew? Ketamine is a drug of abuse. When the drug is diverted for recreational use, the original pharmaceutical form is often abandoned. The most popular method is snorting ketamine powder. The powder is prepared by evaporation of the original solution or ketamine solution may be transferred to a vaporizer to be administered intranasally. As with all illegally sold drugs the concentration and presence of adulterants are mostly unknown and therefore represents a public health risk.

Hemophilia: Stemming the Crimson Tide

Wikipedia

Blood: the red liquid that circulates in the arteries and veins of humans carrying oxygen to and carbon dioxide from the tissues of the body.

Hemophilia: the ability of the blood to clot is severely reduced, causing severe bleeding from even a slight injury.

The prevalence of Hemophilia A varies by country, with a range of 5.4-14.5 cases per 100,000 males. (Medscape)

Do you know the three major forms of Hemophilia or the most common emergency department presentations? Take a listen or read EM:RAP’s October 2019 podcast: Hemophilia by Anand Swaminathan MD and Nilesh Patel MD to refresh your knowledge.

Who Knew? The first medical professional to describe the disease was Abulcasis. In the tenth century he described families whose males died of bleeding after only minor traumas.(Wikipedia)

 

 

 

Digital Divide: Closing the Gap

The Raspberry-Pi is a small computer installed in an Emergency Department or clinic and allows access to up-to-date medical education through smart-phone apps.

Can digital technology help fill the medical education gap? The World Health Assembly in May 2018 agreed on a digital health resolution that urged member states to prioritize the “development, evaluation, implementation, scale up and greater utilization of digital technologies as a means of promoting equitable, affordable and universal access to health for all.”

The recommendations focus on areas such as improved access to care, technical support for developing digital systems and improved health-care delivery systems. The TWB team were encouraged to note there is also mention of; “developing guidance for digital health…including through the identification and promotion of best practices, such as evidence-based digital health interventions and standards…”.
Our Continuing Medical Education on Stick (CMES) and CMES-Pi deliver continuing medical education digitally to doctors and nurses in resource-constrained countries through a novel IT solution that doesn’t depend on a constant source of electricity or Internet, making it ideal in countries with under-developed infrastructure. It allows them access to up-to-date medical information and treatment plans.
More about how CMES affects a doctor’s everyday practice with a story from Fiji to be posted next week.

Meet Abinash: TWB IT Team

Abinash Adhikari is from Nepal and is currently doing a Masters in Information Systems and Technology from Claremont Graduate Univesity, California. He completed his Bachelor’s degree in Computer Science from Waseda University, Tokyo and worked at  Rakuten in Tokyo as a full-stack web application engineer during his early career.

Abinash has hands-on experience in building distributed systems using REST web APIs and managing web servers and IT infrastructure. He brings industry-standard expertise and knowledge in all aspects of web technologies like frontend, backend and server deployments to Techies Without Borders projects.  He is highly self-motivated and always looking to hone new skills and take on new challenges. We welcome Abinash to the TWB IT team.

Who Knew? A full stack developer is a web developer or engineer who works with both the front and back ends of a website or application—meaning they can tackle projects that involve databases, building user-facing websites, or even work with clients during the planning phase of projects.

 

Calling All Doctors, Nurses, Medics and Health Providers

Are you connected globally in the health field? Techies Without Borders (TWB) needs your help identifying our global colleagues for the Continuing Medical Education on Stick (CMES) Project. Help give a doctor, nurse, medic or health practitioner free cme by contacting us at the email below.

Dr. Aloima from Tuvalu Island.

Dr. Dare from Ekiti Teaching Hospital, Nigeria.

Dr. Carmen (2nd from left) from Xela, Guatemala.

Health providers such as Dr. Aloima, Dr. Carmen and, Dr. Dare in Nigeria depend on the CMES content for up-to-date monthly topics on Emergency Medicine, Primary Care, and Core Content.
Contact Dr. Debra Stoner: techieswithoutborders@gmail.com

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