Does oxygen therapy make a difference in heart attack patients?The European Society of Cardiology, news release, Aug. 28, 2017 cited this Swedish study which found no difference in patient outcomes.
EM:RAP has up-to-date information about using oxygen therapy in the acute setting. So hold your breath and check out these podcasts:
Paper Chase 2: The Oxygen Middle Path by Sanjay Arora MD and Michael Menchine MD
Introduction: Flush Rate Oxygenation by Rob Orman MD and Anand Swaminathan MD
Did you know? Oxygen was discovered independently by Carl Wilhelm Scheele, in Uppsala, Sweden in 1773 or earlier, and Joseph Priestley in Wiltshire, England in 1774, but Priestley is often given priority because his work was published first. Priestly fled to America in 1793 to escape political persecution. The Joseph Priestley museum is in my hometown Northumberland, Pennsylvania USA…I’ve never been there.
First up…a really bad pun to get your creative energy flowing: What was the cause of the tech-guru’s most recent seafood reaction?
A new shell-phone!
Log into CMES and scratch up the June 2017 EM:RAP podcast called The Case of the Funky Fish by Stuart Swadron MD and Billy Mallon MD for up-to-date information on the treatment of acute anaphylaxis.
Now challenge your colleagues with a similar case. Which drug do you reach for first? Is epinephrine given in the arm or thigh or doesn’t it matter? Do they use both H1 and H2 blockers and where is the evidence these work? Have steroids even been scientifically proven to help in acute allergic reactions?
The life of your patient may depend on your knowledge of these questions and how quickly you start treatment…hopefully faster than edema swells their airway shut.
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.
Last October 2016, I gave a suture lecture at Kathmandu Model Hospital, Grande International Hospital and both CIWEC hospitals in Kathmandu and Pokhara. Although doctors approach suturing in a myriad of ways based on education, preference, and experience, the one thing we agreed on was…reviewing the basics and yearly updates are helpful.
CMES participants can download the excellent suture lecture from the March and April 2017 EM:RAP archives. Share your knowledge and learn from your colleagues by giving a lecture at your institution on wound repair.
Wound Repair Part 1 – Wound Prep
Brian Lin, MD and Zach Shinar, MD
Wound Repair Part 2 – Eversion and Simple Interrupted
Jonathan Kantor, MD, Zach Shinar, MD, and Brian Lin, MD
Ben graduated with a Masters in Public Health from Claremont Graduate University, Claremont, California. Ben is the Web Applications Developer for CMES. Thank you for all the hard work and best in your career.
Greg received a Bachelors of Science in Information Systems degree from Virginia Commonwealth University, Richmond, VA. USA, in May 2017.
Greg is the backend systems architect for CMES.
Thank you Greg, for all your hard work and good luck in the future.
Ruxandra graduated from Virginia Commonwealth University (VCU), Richmond, VA. USA in May 2017 with a Bachelor of Science in Information Systems. Ruxandra is the Conceptual Design Developer for CMES.Ruxandra distinguished herself at VCU as Student of the Year and did her poster presentation on CMES. Thank you, Ruxandra, for all your hard work and good luck with your future endeavors.
Over the next few days, I will introduce you to the people who are working on the IT end bringing you the latest and greatest technology for easy access to your cme materials. Several graduated this year.
Special thanks to Sarbu Rana who designed the CMES logo, was the first student to join the CMES team and has devoted hours, days, weeks and months of his time to developing the website and delivery solutions. Officially he is the Senior Application Developer and Systems Architect for CMES.
Sarbu is second from left and received a Masters of Science in Information Technology from Claremont Graduate University, Claremont, CA. USA in May 2017.