Photo from Wikimedia.
WooHoo…C3 is here for your listening and viewing pleasure! EM:RAP has generously provided Techies Without Borders their C3 content to add to our cloud based server. This CME content is available to participants using either the thumb drive (USB) or Raspberry-Pi access options. It will be in a separate folder and you can use the Search for specific topics.
C3 is a clinical based review on how to assess and treat common and grave Emergency Department and Urgent Care complaints. It’s ideal for all practitioners wanting to review the basics efficiently and quickly. Think of it as your basic Lego set.
The same great MP3 and PDF formats are available. The audio file contains a focused summary at the end of the talk, so if you are short on time you can fast forward. The PDF files start off with the all important Take Home Points for a quick update. You can also test your knowledge with the uploaded questions and answers.
Build up or reinforce your basic knowledge with C3. Thank you EM:RAP.
Who Knew? “The Lego Group began in the workshop of Ole Kirk Christiansen (1891–1958), a carpenter from Billund, Denmark, who began making wooden toys in 1932. In 1934, his company came to be called “Lego” derived from the Danish phrase leg godt [lɑjˀ ˈɡʌd], which means “play well”.” (Wikipedia)
Chris is a newcomer to Techies Without Borders, joining in January 2019. Currently Chris works as the Salesforce Platform Director for Owens & Minor in Richmond, Virginia. Prior to living and working in Richmond, he spent several years as a Salesforce consultant for Capgemini and was based in Houston, Texas. Chris holds a B.S.B.A in International Business from the University of Tulsa.
He brings a wealth of experience as our Salesforce Architect…along with his quirk sense of humor and love of all things galactic. He joined TWB to get us off spreadsheets and onto a modern platform, whicheffectively manages our data and streamlines organizational tasks.
In his free time, Chris enjoys rock climbing, hiking, camping, and all things in our national parks. However, Chris’ friends and family would tell you something with him is a little off, because he enjoys driving to as many national parks as possible, even if they are days away. He has driven to and camped in over 20 national parks and has plans for mor
Abdominal aorta MRI. (Wikimedia)
Practicing in rural and remote regions globally with limited staff and resources poses challenges not faced by your colleagues in larger cities and academic centers. Case presentations from those working in rural regions help us understand the restrictions, challenges, and downright genius solutions from treating to to saving a life. I find these stories uplifting, invigorating, and deserving of a standing ovation.
Take a listen or read about The Case of the Man with the Aneurysm by Vanessa Cardy MD and Mel Herbert MD in the EM:RAP April files. It’ll expand your knowledge.
On 17 April 1955, Einstein experienced a ruptured abdominal aortic aneurysm, which had previously been reinforced surgically by a surgeon in 1948. He took the draft of a speech he was preparing for a television appearance commemorating the State of Israel’s seventh anniversary with him to the hospital, but he did not live long enough to complete it. Einstein refused surgery, saying, “I want to go when I want. It is tasteless to prolong life artificially. I have done my share; it is time to go. I will do it elegantly.” He died early the next morning at the age of 76, having continued to work until near the end. (Wikipedia)
Dr.Mereoni Voce from Labasa Hospital at the DevelopingEM Conference in Fiji.
DevelopingEM is a partner of Techies Without Borders. DevelopingEM is a nonprofit corporation from Australia with a model to promote and develop Emergency Medicine globally through collaboration. Last December Dr. Deb was invited to speak at their sixth conference in Fiji. Each conference is designed to deliver excellent emergency medicine and critical care content. Not only is the conference for practicing EM specialists but the model brings local health providers to the conference supported by the conference fees and contributions. They encourage global collaboration between countries where EM is developing and gaining momentum as a specialty.
DevelopingEM is heading to Cartagena, Colombia for their seventh Emergency Medicine and Critical Care conference. Consider joining them in March 2020 for a chance to support this forward-thinking team.
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.
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.
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)
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.
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) of Greek mythology. (Wikipedia)
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.
Glucometer. Courtesy Wikicommons.
Once a month I will comment on the Rural Medicine podcast from EM:RAP. It’s exciting to read CME that can be applied globally no matter where you live or what resources you have at hand. Diabetic Ketoacidosis (DKA) In The Village by Vanessa Cardy MD and Stuart Swadron MD can be found in the February 2019 EM:RAP podcasts or take a quick read of the PDF for bullet points.
The question of the month? How do you manage DKA when you don’t have access to labs?
Urine dip strip. Courtesy Wikicommons.
And…is the urine ketone strip a good test?