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
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. 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.
Less than one week ago we launched a funding appeal on Go Fund Me Nonprofits. To date we have raised $1750 USD in 6 days to support our project at two hospitals in Uganda, one in Antigua, one in St. Lucia and three sites in Ecuador.
Thank you to everyone who supported our vision and project.
He is the newest recipient and participant in CMES. Techies Without Borders (TWB) was referred to Dr. Dare by his friend and colleague Dr. Lisa Charles from Victoria Hospital in St. Lucia. TWB mailed a thumb drive to Dr. Dare after discussing the cme options that would best work for him. He will be testing the thumb drive and providing feedback on usability and content for his specific location.
CME development and utilization face challenges worldwide because resources are limited and infrastructure for the delivery of healthcare and information is fragile. Feedback from locations around the globe helps us improve our services and products. If you have colleagues who would be interested in either CMES or CMES-Pi, please contact Dr. Debra Stoner at: firstname.lastname@example.org
According to an EMRAP article, orogastric lavage was considered a standard procedure. It has never been proven to be of benefit. There are no recent studies. Although it was thought that removing the gastric contents might decrease the severity of the overdose, this is probably not the case. Why? Listen to the podcast or read the bullet points of the May 2018 article called “Pumping the Stomach” No More, by Anand Swaminathan MD and Sean Nordt MD, PharmD.
Do you still lavage for poison overdose? What substances? Leave a comment and share your knowledge.
Who Knew? Unlike many of our simpler medical and surgical instruments, mention of the stomach and duodenal tubes is not to be found in the classical writings of the ancient Greek and Arabian physicians…the somewhat uncertain origin of the stomach tube may be placed at about 144 years ago. Precursors of the stomach tube, however, were in common usage as early as the days of Imperial Rome. (Annals of Internal Medicine; The History of the Invention and Development of the Stomach and Duodenal Tubes by John R. Paine, MD)