C3 = Continuous Core Content. C3 is now available as a podcast or PDF files with the CMES Project. This is EM:RAP’s clinical reviews of how to approach and take care of patients with serious and common Emergency Department and Urgent care complaints. These are the basics and provide rock-solid skills to your clinical knowledge base. Each month you will find a new topic ranging from Wound Management to Adult Pneumonia. Participants with CMES-Pi can access starting January 2019. CMES thumb drive participants who receive their thumb drives after January 1, 2019 can access the C3 content along with all the other great EM:RAP CME content.
Sudden vision loss is bad. Take a listen or read from the January C3 titled: Acute Vision Loss by Jessica Mason MD, Stuart Swadron and MD, Mel Herbert MD. For those with ultrasound capabilities watch the YouTube video: Ultrasound of Retinal vs. Vitreous Detachment
Dr. Dare Ogunlusi is a surgeon in Nigeria. He participates in the CMES Project and had this to say, “I read “The Happy MD’s Guide to Physician Wellness” by Mike Drummond MD and Rob Orman MD. It is brief but loaded and will help my administrative skills.” Dr. Dare shared this recent accomplishment in establishing a new hospital with emergency services which was urgently needed in an outlying area of Ekiti State.
The Helping Hands Specialist Hospital (THHSH) is a subsidiary of Health Foundation Global Services Nigeria Limited registered in Nigeria in May 2011. The 30-bed healthcare facility was registered in October 2018 and Commissioned on 17th November 2018. It will provide Orthopaedic and Trauma care, Accident and Emergency care, Medical, Mother and Childcare, Surgical, Training and Research facilities, and Laboratory services.
Our goal is to provide high quality, holistic, and affordable healthcare to all patients through our highly motivated staff and integrated health management system. We aim to be healthcare providers to everyone irrespective of his or her status as a model of excellence for healthcare services.
THHSH is situated in a serene location within a green ambient environment where the air is clean and devoid of carbon pollution. It is located on the outskirt of Ado-Afao Road in Ado-Ekiti, Ekiti State. The closest hospital facility to the location of THHSH is about 3km away. The population in the area is estimated to be about 5,000 households and building. The current occupation of these houses is estimated to be about 30%; that is, 1,500 households with an average of 4 family members. This gives a current total population of 6,000 people.
Anyone interested in supporting or visiting THHSH can contact Dr. Dare on Whatsapp- +17587192605.
Dr. Yan Li and Dr. Manoj Thomas will be presenting a paper at the The 15th International Conference on Social Implications of Computers in Developing Countries in Tanzania, May 1-3, 2019. https://2019ifipwg94.net
Well done Manoj and Yan for having a paper accepted at this important conference. In layman’s terms, they are recommending ToC to track ICT4D project outcomes, which can be a tricky prospect.
Title: Adopting Theory of Change for ICT4D project Impact Assessment
Dr. Manoj, Dr. Deb, Dr. Yan, Sarbu and Ben in San Francisco Dec. 2018.
Abstract: A compendium of impact assessment (IA) frameworks are available to understand the impact of ICT4D initiatives in Low-Income Countries. However, existing frameworks do not adequately address the unique challenges of IA for ICT4D, especially the multi-level and time variant characteristics of the IA. To address these challenges, we propose the use of Theory of change (ToC) as a generic framework for IA of ICT4D projects. Based on the seminal work by Weiss (1995), we argue that ToC can be viewed both as a methodology and a deep critical reflection process. We demonstrate the ToC approach for IA using a case study of an ICT4D project for LICs.
One of TWB’s goals for 2019 is to improve our tracking of CMES/CMES-Pi usage and ToC provides a framework for the project.
Dr. Aloima is an Emergency Department Registrar at the Princess Margaret Hospital in Tuvalu. It is the only hospital in the country, and the primary provider of medical services for all the islands of Tuvalu.
She was a delegate at the DevelopingEM Conference held in Fiji in early December. As a regional delegate she networked with similar doctors struggling to introduce Emergency Medicine concepts and management into their Oceania countries.
Dr. Aloima trained on the CMES thumb drive and will share it’s content with her colleagues at the Princess Margaret Hospital. TWB plans to install a CMES-Pi at the hospital in 2019.
Who Knew? The food culture of Tuvalu is based on the coconut and the many species of fish found in the ocean and lagoons of the atolls. Desserts are made from coconut milk instead of animal milk. The traditional foods eaten in Tuvalu are pulaka, taro, bananas, and breadfruit. Food taken from the sea includes coconut crabs, fish and seabirds.
Airway Management is just that…managing the airway upside down and inside out. Take a quick read of the PDF or listen to EM:RAP’s November MP3 audio podcast called Strayerisms: Fluid Filled Airway. It’ll float your boat.
Correct ET tube placement, but if you tube the esophagus, leave the ET tube in place and use it as a landmark.
According to Dr. Reuben Strayer MD, the author, there are four ways to harm your patient during airway management: failure to oxygenate; failure to ventilate; worsening perfusion; and aspiration. His suggestions are doable no matter where you practice or what resources you lack…remember…your greatest resource is knowledge.
Who Knew? Probably the oldest recovered boat in the world, the Pesse canoe, found in the Netherlands, is a dugout made from the hollowed tree trunk of a Pinus sylvestris that was constructed somewhere between 8200 and 7600 BC. This canoe is exhibited in the Drents Museum in Assen, Netherlands. (Not looking too seaworthy these days.)
Dr. Cristian gives a thumbs up while using the CMES-Pi app to search for medical topics of interest.
Dr. Cristian is a full-time Family Practice doctor at the Centro de Salud Hombro a Hombro Clinic (CSHH) in Santo Domingo, Ecuador. CSHH was established in 2007 and partners with Timmy Global Health during brigades. The clinic has three medical exam rooms, dental room and services, an office and a pharmacy. This small but mighty clinic, staffed by two nurses, one part-time and Dr. Cristian, serves approximately 20,000 patients from the poor urban neighborhoods each year.
Centro de Salud Hombro a Hombro Clinic (CSHH) in Santo Domingo, Ecuador.
Dr. Cristian and his staff have few opportunities or financial resources to attend continuing medical education (CME) conferences in Santo Domingo or Quito. A CMES Raspberry-Pi device was installed in the clinic and using smartphone apps the doctors and nurses can access free CME at the clinic. Every month about 20 new topics are available in Spanish as PDF files.
Dr. Debra Stoner departs this week to install CMES-Pi at two sites and dispense CMES thumb drives at two other sites in Ecuador, including Quito, Santo Domingo, Guangaje, and Tena.
The CMES thumb drives and CMES-Pi give rural doctors and nurses access to cutting-edge continuing medical education (CME). Timmy Global Health, a Techies Without Borders (TWB) partner, works alongside local health providers in Ecuador to provide healthcare in remote regions. The CME is provided free of charge by another TWB partner, Emergency Medicine Reviews and Perspectives (EM:RAP).
Visit TWB Twitter, Instagram and Facebook pages for more photos later this week.
Dr. Manoj Thomas and Dataplicity Founder, Elliot Mackenzie, London, England May 2018.
Techies Without Borders (TWB) partners with Dataplicity. Dataplicity is the foundation for IoT remote support and provides TWB with a generous allowance to keep track of our Raspberry-Pi data.
IoT = Internet of Things…sounds like a scifi book but means using the “Internet” as the backbone of connectivity and the “Things” are your devices. Your things collect data and send it to the Internet. Put it all together and IoT converts a normal device into a smart device. TWB installs Dataplicty on CMES-Pis before it gets to the clinics and hospitals. With Dataplicity, we are able to manage and update CMES-Pi devices located in remote and hard to reach areas. This means we can monitor and fix any issues without long distance phone calls and walking non-technology users through diagnostics.
Who Knew: Data geeks knew…there are a lot of data jokes on the web…one of my favorite.
Facial angioedema from allergen exposure. Photo from Wikipedia.
Think you know everything about anaphylaxis? Every see a case of Exercise Induced Anaphylaxis (EIA)? The EM:RAP October podcast called; Exercise Induced Anaphylaxis by Jess Mason MD and Gita Pensa MD will give you hives…or at least goosebumps.
Points to ponder: Is there a relationship to food? Can EIA be fatal? What are the clues to diagnosis? All these answers and more await you in this October EM:RAP podcast.
Who Knew? Professor Charles Richet was a French physiologist who coined the term aphylaxis in 1902. This was later changed to anaphylaxis and his pioneering work in Immunology earned him a Nobel Prize in Physiology or Medicine in 1913.