Paramedics for Children is Making a Difference in Honduras

Making a difference in Honduras In 1997, Rodger Harrison started Paramedics for Children, a nonprofit that provides medical care to people in northern Honduras and throughout Central America. Photo courtesy Rodger Harrison One afternoon in 1997, a gregarious American paramedic was practicing his Spanish language skills in a bar in Copán Ruinas, Honduras, when an urgent plea for help filtered through the door. "There's a kid hurt," recalled Rodger Harrison. "They thought I was a doctor. There was not a doctor in town who would treat the poor people, so I got involved." He asked about an ambulance, but there was no such thing. The patient was a little girl with a deep slice to her foot. "I had my first aid kit with me and I could bandage, but this girl needed stitches," he said. A willing "doctora" was finally found, but when she arrived, she had no supplies. She boiled some hair from a horse's tail and used it to stitch the girl's cut—without anesthetic. "It was a real-life experience," concluded Harrison, one that led him to a new path in life: making a difference in the lives of the people in northern Honduras. Fast forward 20-plus years: Harrison, now 66, lives in Copán Ruinas with his wife, Suyapa, and their three children. Their gracious hacienda also serves as a bed-and-breakfast, and the proceeds help fund the onsite medical clinic he founded in 2005. Called "Clinica la Esperanz...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Patient Care Administration and Leadership Source Type: news

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The use of anesthesia for ERCP has evolved substantially in recent years. Historically, ERCP was performed with the use of moderate (conscious) sedation administered by gastroenterologists using opiates, analgesics, or long-acting benzodiazepines, with or without adjunctive agents such as droperidol or diphenhydramine. The use of conscious sedation for ERCP has largely been abandoned. The longer procedure times associated with ERCP lead to greater cumulative doses of benzodiazepines and opiates to maintain adequate sedation.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
We read with interest the article by Bukhari et  al1 on a comparative trial of EUS-guided gastrogastrostomy-assisted ERCP (EUS-GG-ERCP) versus enteroscopy-assisted ERCP (e-ERCP) in patients with Roux-en-Y gastric bypass (RYGB) under general anesthesia. In EUS-GG-ERCP, a duodenoscope was passed through the gastrogastrostomy (GG) created by a lume n-apposing metallic stent (LAMS) into the excluded stomach. Although the authors concluded that EUS-GG-ERCP may be superior to e-ERCP in RYGB patients, the main drawback of EUS-GG-ERCP is to require 4 procedural sessions (GG creation, ERCP, LAMS removal with GG closure, and co...
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Letter to the Editor Source Type: research
Conclusion: Though some medications appear to be promising, further supporting research will help highlight this significant topic which requires further clarification. PMID: 30881994 [PubMed - in process]
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
Publication date: Available online 13 March 2019Source: The American Journal of SurgeryAuthor(s): Joshua J. Weis, Deborah C. Hogg, Melanie Sulistio, Deborah E. Farr, Charles Ginsburg, Oren T. Guttman, Kim Hoggatt Krumwiede, Kimberly A. Kho, Joseph Martinez, Gary Reed, Robert V. Rege, Dwain Thiele, James M. Wagner, Daniel J. ScottAbstractIntroductionOur simulation center, supported by four departments (Surgery, OB/GYN, Urology, and Anesthesiology), is accredited as a comprehensive Accredited Educational Institute (AEI) and is now expanding to accommodate all departments on campus.MethodsA 61-point questionnaire was administ...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Sibling comparison analysis suggested association confounded by specific maternal factors
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Family Medicine, Gynecology, Neurology, Nursing, Pediatrics, Pulmonology, Anesthesiology & amp; Pain, Allergy, Journal, Source Type: news
Conclusion: The advantages of endoscopic resections; short hospitalization, low complication rates, patient comfort, and doesn't require the general anesthesia. For endoscopic resection, we think that the second endoscope shortens the duration of the procedure, reduces the complication rate, and increases the comfort of the endoscopist. PMID: 30880899 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
Condition:   Overcoming the Failure of Anesthesia in the Mandibular Teeth Interventions:   Drug: 2% lidocaine with 1:000,000 epinephrine;   Drug: 4% articaine with 1:000,000 epinephrine Sponsor:   Taibah University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: Implantation of children under 37 months of age can be done safely, including those below age 12 mos. Implantation below 12 mos is positively associated with earlier open-set ability and oral-only communication. Children implanted after age 24 months were much less likely to use oral communication exclusively, especially those with complex medical history or additional conditions associated with language delay.
Source: Otology and Neurotology - Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
TUESDAY, March 19, 2019 -- For patients undergoing elective coronary artery bypass grafting (CABG), there is no significant difference in deaths at one year with anesthesia with a volatile agent versus total intravenous anesthesia, according to a...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
Throughout my career as a simulation educator, I noticed that students would often return to the simulation center to go through a case that was very similar to previous cases they’d managed, whether or not they’d successfully managed the previous cases. Yet, despite our best efforts at providing feedback through quality debriefing, they could not apply the previously acquired knowledge and skills into this new, similar situation (i.e., transfer of learning would not occur). This is a constant finding in the cognitive psychology and transfer literature.1–3 We looked at this literature to come up with t...
Source: Academic Medicine Blog - Category: Universities & Medical Training Authors: Tags: Featured Guest Perspective debriefing learners teaching Source Type: blogs
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