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?
Dr. Sanjaya greets an opiod overdose patient transferred from a remote district in Nepal to Medicate Hospital, Kathmandu.
Dr. Sanjaya Karki at Mediciti Hospital, Kathmandu Nepal, has been using the CMES
thumb drive since 2016. He is a regular reader of this blog and uses the EMRAP
cme to prepare lectures along with keeping his knowledge up-to-date. Dr. Karki is the Medical Director for the Department of Emergency Services at Mediciti. He did his MBBS and European official double masters in health and welfare and has done his MD in Emergency Medicine. Well known in Nepal and internationally for his innovation in EMS, he was honored and awarded the David Well Extreme Medicine Award, UK in 2014 and the EMS10 Innovators of The Year 2016 Award, USA.
Dr. Karki shares his insights about the fledgling EMS program in Nepal. “The EMS Helicopter emergency medical service is becoming more and more popular and productive in Nepal. Nowadays many voices are raised in order to streamline this service. The major topic at the government level should be to make a strategy and policies governing this important service.
Due to unavailability of road access in many places of Nepal, as well as no proper ground EMS service available across the nation, Helicoptor EMS will surely play a pivotal role in preventable deaths.”
Who Knew? Opioid Misuse Disorder is new to Nepal following on the heels of Cannabis and alcohol addiction. Read this article
to find out more.
Congratulations Dr. Sandeep Gupta from Pokhara for being the top CMES user during the month of September.
Doctors, create a username on the forum and share a case where CMES has helped you make up-to-date clinical decisions for your patient.
Kirtipur Hospital in Nepal is situated on the upper slopes of the southern Kathmandu Valley with a mesmerizing view of the Himalayan Mountains from the walkways. The hospital, part of Phect-Nepal, had been operating since 12 April 2006 as a 15-bed outreach hospital of phect-NEPAL/KMH with a special focus on maternity services. Recently it has been upgraded to a 100-bed hospital with additional specialized services. The hospital provides 24-hour emergency services and outpatient department.
One of the specialized services is the Department of Plastic & Reconstructive Surgery headed by Dr. Shankar Rai. Many of you know him as a world leader in innovative surgery techniques. The hospital offers Burn and Plastic Surgery, Nepal Cleft and Burn Center, Acute Burn Care, Nepal Skin Bank, and Wound Clinic.
Dr. Shankar is an original supporter for CMES and even with his years of experience and expert knowledge…had this to say:
“I really appreciate your kind help for the improvement of our emergency medical service in Nepal. I have personally used your system and have found useful material for my own education on hand injuries.”
Thank you, Dr. Shankar, for your support.
Greetings CMES Users,
This blog is your educational arena. Tell us about yourselves, where you work, the challenges you face in your practice and how CMES is helping you meet your education objectives.
Share an interesting case and how you managed your patient’s care. Comment on a CMES article. Do you agree or disagree with the information?
We want to get to know each of you. Send a picture of yourself or where you live to share with your colleagues and we will post it here on the blog.
Although I have met many of you I will start the introductions. I am Dr. Debra Stoner, a board certified emergency medicine doctor living in Pennsylvania, USA. I retired a few years ago but I listen to my cme monthly to stay up-to-date because I volunteer in several countries. I started working on CMES over one year ago and am inspired by every doctor I meet.
Remember…each one of you makes a difference to each life you touch.