August 2018 Revision Summary Revisions made to the eCHAM and iCHAM as of August 14, 2018

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iCHAM iPad Application available from the App Store

iCHAM Download if needed. Login with eCHAM Username and Password If already downloaded, go to settings in the App and select Check for Content Updates. This refreshes content and is reflected in the revision notes section of settings.

iPad Only Application Search Terms: eCHAM, iCHAM, ANTHC

eCHAM Back Up Two products not reliant on internet connectivity: ePUB and PDF. These items do not automatically update and must be downloaded with each revision.

The ePUB If you have previous versions downloaded they WILL NOT automatically update. They must be deleted and an updated version downloaded. Use your CHAM Username and Password. Available for download to your iPad https://access.echam.org/exist/rest/anthc/downloads/eCHAM.epub for your iPad, OR Available for download to your Kindle or Kindle for PC https://access.echam.org/exist/rest/anthc/downloads/eCHAM.mobi. Note: Web address is case sensitive. Meant as a backup if your eCHAM and/or iCHAM don’t work.

The PDF If you have previous versions downloaded they WILL NOT automatically update. They must be deleted and an updated version downloaded. Use your CHAM Username and Password. Available for download at: https://access.echam.org/exist/rest/db/anthc/downloads/CHAM-Patient_Education.zip Contains printable Patient Education PDFs. Very portable can be loaded onto any device that will open a zip file, and read a PDF. Meant as a backup if your eCHAM and/or iCHAM don’t work.

Patient Care Visit Emergency Childbirth: New: A major re-write of this section was completed with input from Marah Gotcsik, MD (ANMC/SCF Pediatric Hospitalist & Pediatric Field Clinic – Maniilaq Health Center), Neil Murphy, MD (SCF OB/GYN), Margaret Baldwin (SCF/RASU – Certified Nurse Midwife), Jenny Brown (TCC CHAP Instructor) ANTHC eCHAM Staff and ANTHC CHAP Instructors. New: Section: Preparing for Baby to Be Born; Initial Care of all Newborns; Plan Childbirth 10: Essential Care for All Newborns; Procedure: Clamping and Cutting the Umbilical Cord (created from portions of old instructions); Procedure: Bulb Syringe (created from portions of old instructions); and Procedure: Monitoring Newborn Blood Sugar. Updates: Moving and renumbering plans to provide more logical flow-Labor through Delivery; Baby Box Equipment and Supplies; Equipment for Newborn Care to include resuscitation equipment; Instructions for suctioning baby’s mouth and nose; Increased time between birth and clamping/cutting the cord for Newborns Crying and Breathing Well Newborn Resuscitation; and Procedure: Giving Sugar to a Newborn with Low Blood Sugar has more thorough instructions including adoption of glucose gel.

Patient Care Visit Emergency 22: Low Blood Sugar: Revisions of this section were completed with input from Marah Gotcsik, MD (ANMC/SCF Pediatric Hospitalist & Pediatric Field Clinic – Maniilaq Health Center), Rachel Lescher, MD (SCF Pediatric Endocrinologist), ANTHC eCHAM Staff and ANTHC CHAP Instructors. Revised instructions for assessing low blood sugar for different ages; Revised Procedure for Giving Sugar (Glucose) to Patient with Low Blood Sugar; Added link to Giving Sugar (Glucose) to a Newborn with Low Blood Sugar; and Replaced D50 with Glucose Gel and Glucose Tablets for Giving Sugar.

Medicines Emergency: Medicines for Women’s Health: Added Medicine Information Pages for: Glucose Gel (Glutose 15™); and Glucose Tablets (Up & Up™). Revised Medicine Information Pages for: Glucagon (Glucagen®); and Naloxone (Narcan®). Medicines for Women’s Health: Methylergonovine Maleate (Methergine®); and Misoprostol (Cytotec®). Vitamins and Minerals: Phytonadione Injection (Mephyton®, Vitamin K)

Emergency Field Handbook Medical Emergency (Non-Trauma) Low Blood Sugar: Revisions of this section was completed with input from Marah Gotcsik, MD (ANMC/SCF Pediatric Hospitalist & Pediatric Field Clinic – Maniilaq Health Center), Rachel Lescher, MD (SCF Pediatric Endocrinologist), ANTHC eCHAM Staff and ANTHC CHAP Instructors. Revised instructions for assessing low blood sugar for different ages; Revised Procedure for Giving Sugar (Glucose) to Patient with Low Blood Sugar; Added link to Giving Sugar (Glucose) to a Newborn with Low Blood Sugar;

Reference/Procedure Addition of new Lab Test – Nitrazine Test

Miscellaneous Revisions Updates from comments submitted by eCHAM users via Contact Us: Child and Teen Digestive Emergency Endocrine Eye Female Reproductive How to Use Launch Page Mouth & Teeth Pregnancy Urinary Revisions to Table of Contents for: Follow-Up: After Hospital or Regional Clinic Visit Emergency Childbirth Medicines (for Emergency and Women’s Health)

Thank You! Thank you for taking the time to learn about the revision.