Enable medical practitioners in resource-constrained areas to maintain competence and improve patient care by providing access to cutting-edge medical literature.
Physicians, physicians-in-training, midwives, nurses, prehospital providers, and community health practitioners in resource constrained areas.
CMES is an initiative of Techies without Borders, a global nonprofit focused on harnessing technology for social development. CMES aims to address the difficulty in accessing CME content for medical practitioners in resource constrained areas of the world, a critical problem in the public health.
Since its inception in January 2016, the CMES team has distributed over 80 CMES thumb drives to medical doctors in more than 20 rural and remote locations in Nepal. The CMES-Pi was introduced in June 2017, and is now installed and used at five rural health care centers in Nepal. Currently, the team is on-track to deploy CMES thumb drives and CMES-Pi solutions in clinics in Dominican Republic, Ecuador, and Guatemala. Data is regularly collected for impact assessment and the CMES solutions in Spanish are coming soon.
Valentines Day is this week on February 14th. What better time to review the HEART Pathway for your patients with chest pain. Check out the podcast or pdf on how one community hospital incorporated it into their electronic medical record (EMR) in the February EMRAP podcast: HEART in EMR; by Rob Orman MD and Peter Smulowitz MD. Don’t use EMR at
Several years ago my team and I resuscitated a two-year-old child with fulminant meningococcemia during a night shift in a small community hospital. It was only my second case in 25 years of practice, but despite providing all the right lifelines and transfer to a tertiary care facility with a pediatric ICU…I knew the child would die. We carried on
Hyperbilirubinemia: one of the most common problems seen in term newborns and warrants a periodic review to refresh our knowledge base. Consider this case: A well-appearing infant presents and is jaundiced. The baby has a cephalohematoma and is breast feeding. Everything else is fine. The child is eating well and urinating. Do you still need to send labs? Take a listen to
The case as presented in the January 2018 EMRAP files: A 73-year-old male with a history of hypertension, hyperlipidemia and aortic stenosis presented with cough, fever and sputum. He was mildly tachycardic but not tachypneic and was well-appearing. On lung exam, he had some focal wheezes in the left lower lobe. Swaminathan thought the patient had pneumonia. Chest x-ray confirmed
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