Transcript Stethoscope - Miami University

MEDLIFE Miami: Brigade Meeting
Brigade: August 7- August 14 : Riobamba, Ecuador
New MEDLIFE Miami Website
• Check us out at:
– www.orgs.muohio.edu/medlife
Date of Brigade
• MEDLIFE Miami Brigade Dates
• Sunday August 7 2011- Sunday, August 14
2011
• Riobamba, Ecuador
Brigade Application Process
• Active Participant in MEDLIFE Miami
• Miami University Policies
– Minimum GPA:
• 2.00
– Age:
• At least 18 years of age
• Attend Orientation and Training
– Last week of April
– Closer to departure
• Language and Skills training
• Packing advice and safety/security information
• Deposit
– $100 non-refundable at time of application
International Travel Information
• Passport:
– Apply RIGHT NOW! It can take up to 3
months to obtain your Passport
• Those that have passports make sure you have two
un-used visa pages
– One to get into Peru
– One to return to the United States
• Visas
– To all U.S. Citizens
• We will most likely be traveling on a tourist visa
which requires minor paperwork on the flight into
Peru
• Cost: ≈$30
– Any Non-U.S. Citizens attending
• See Exec ASAP to determine visa process
Flight Update
• We will be in contact with a travel agent from
MEDLIFE.
– Flights will be approx. $800.00
– MEDLIFE Miami recently received supportive
funding from Miami University’s ASG
• The first 20 participants will obtain a $50-$100 flight
credit to cut the cost of travel
– Flexibility in Departure Airport
• Home Miami, FL
• Miami, FL Ecuador
Vaccination and Immunizations
• All required U.S. Vaccinations
– MMR
– DTP (diphtheria/pertussis/tetanus)
• Recommendations by CDC
– Yellow Fever (10 year inc.)
– Hep A/ Hep B
– Rabies
• Required by MEDLIFE
– Still being determined
MEDLIFE Brigade and your Health
• International Health Insurance:
– THIS IS A REQUIREMENT by both Miami
University and MEDLIFE:
• HTH World Wide Insurance
– Miami University requirement
» $11.35 per person per week
» Any person under 49 years of age
– If a medical emergency occurs:
• Most cases will be handed by MEDLIFE and
associated physician
• Insurance (HTH) is provide for those that need
specialties only available in the United States
On-Site information: Housing,
Meals and Transportation
• Housing:
– Hotel Monte Carlo
– Avenida 10 de agosto 25 41 entre García Moreno y España,
Riobamba, Ecuador
– All hotels have electricity, running water and hot showers, internet
access, clean linens, and safe-lock boxes. Bottled water and safe food
are always available
• Meals: Breakfast and lunch are for sure provided
within your participation fee
– Breakfast is provided at the hotel
• typically juice/tea/coffee, fruit, bread, and eggs
– Lunch is provided during clinic days.
– Dinner: is taken either at the hotel or at a reputable local
restaurant.
– People with allergies talk with Exec member before departure
• Transportation
– All on-site transportation is provide by MEDLIFE, paid by
participation fee
Total Cost: Analysis
Individual fee
International Health Insurance
Flight (round trip)
Total (Charged)
Casual Spending (meals for two days, soveniers, extra food, ext)
Total (charged and spending)
$679.50
$11.35
$800.00
$1,290.85
$200.00
$1,490.85
Cost Analysis
• Individual fee: $679.50
– Housing- Hotel
– Meals- At least 2 per day
– On-site training
• Any job you may have
– Equipment
• Masks, gloves, any medical equipment/ drugs used,
local physicians
– Patient follow-up
• You will need money for 2 days worth of
meals and any extra food you want
Support from ASG
• The first 20 participants of the
MEDLIFE Miami trip on Aug 7 – Aug 14
will be able to get $50-$100 off airfare
Sample Itinerary
• Saturday, Day-1
• Travel to Riobamba, Ecuador from Ohio
• Settle into hotel
– Evening:
• Group dinner
• presentation on what to expect for the week
• Short training session
• Sunday, Day-2
– Tourist day Morning/Afternoon
• Free to shop, take tours of the city (personal expenses)
– Evening
• Group dinner
• Final preparation training
Sample Itinerary
• Monday-Friday, Day 3- Day 7:
– Morning
• Breakfast at 7:00 AM
• Depart for bus 7:30 AM (travel to community we will be helping
ranging from 30 min – 2 hours
– Clinics (9:00 AM- 4:00PM with lunch break)
•
•
•
•
Groups of 3-5 participants, each group will manage clinic “station”
Range of patients per day in the clinic is from 50- over 200
MEDLIFE staff and Nurses will be there to help
If you are fluent in Spanish you will act as a translator in addition to
your rotation
– If not MEDLIFE staff has translators so no worries
• After final patient has been seen a community member (local doctor,
community leader) will come speak
– Evening
•
•
•
•
Return to hotel
1 – 2 hours of free time
Group Dinner with conversation on the day
Rest of the night free
Stations
•
Education:
– Teach patients about health and wellness
• Showing protected videos
• Teaching children to brush their teeth
•
Shadowing a Doctor/Dentist
– Shadowing experience,
– most doctors generally know English, if not there will be a translator
•
Triage/Vital Signs:
– Take vitals such as BP or pulse
– Training will be provided both here at Miami before we depart and on-site
•
Pharmacy:
– Running a functioning and free pharmacy
– Will be supervised by MEDLIFE staff to insure no mistakes
– Bilingual participants: Patient intake and SAMPLE history
•
Community Development
– Bring cloths for work with mud or concrete
– Help develop basic infrastructure
Sample Itinerary
• Saturday, Day-8
– All day
• Shopping/ tourist activates
• Pay for your own meals
• Sunday, Day-9
– Travel back to Ohio
What to bring?
• Small travel bag
Towel
Comfortable walking shoes
Shorts (1-3)Long pants (1-3)
Long and short-sleeved shirts (3-5)
Socks
Underwear
Sunscreen
Sunglasses
Windbreaker or light rain jacket
Camera, film and battery
Any medicine you may be taking
Toilette kit (toothbrush, shampoo etc)
Hand sanitizer
Passport with Yellow Book
Airline tickets
Insurance card (health/travel)
Money
Credit cards, ATM card
Personal ID, Drivers license
Watch with second hand is very useful
What to bring?
• Money
– $120-$200
• 2 days worth of meals, souvenirs, any extra
food/beverages you choose to purchase
– NEED $30 cash for exit fee from Ecuador
Part II: Useful Spanish
Interactive?
http://www.medlifeweb.org/medical-brigades/spanish-phrases
Useful Spanish- Greetings
• Good morning/afternoon/night
– Buenos días / buenas tardes / buenas noches
• How are you? / Fine/bad
– ¿Cómo está? / Bien/mal
• Hello, my name is John/I am 23 years
old/I am from the United States
– Hola, me llamo John / Tengo 23 años/ Soy
de los Estados Unidos
• Goodbye/ See you later
– Adiós / Hasta luego / Ciao
Useful Spanish-Travel
• Please/ Thank you/ You’re welcome/ Excuse me/ I’m sorry
– Por favor / Muchas gracias / De nada / Disculpe / Lo siento
• Yes/ No/ I don’t understand
– Si/ No/ No entiendo
• Here/ There/ Over there/ Left/ Right/ Up/ Down/ Fast/ Slow/
More / Less
– Aquí / allí / Alla / Izquierda / Derecha / Arriba / abajo / Rápida /
Lenta /Más / Menos
• Before/ After/ Soon/ Later
– Antes / Después de / Pronto / Luego
• Who/ What/ Where/ When/ Why/ How / Which
– ¿Quién / ¿Qué? / ¿Dónde? / ¿Cuándo? / ¿Por qué? /
¿Cómo? / ¿Cuál?
• Morning/ Afternoon/ Evening/ Breakfast/ Lunch/ Dinner/
To eat
– Mañana / Tarde / Noche / Desayuno / Almuerzo / Cena
/ Comer
Useful Spanish-Travel
• Where is the bathroom?/ What time
is it?
– ¿Dónde esta el baño?/ ¿Que hora es?
• Day/ Week/ Month/ Year
– Día / Semana / Mes / Año
• Can you..?/ Can I take your photo?/
How much does this cost?
– ¿Puede usted ..? / ¿Puedo sacar su
foto? / ¿Cuánto cuesta esto?
Useful Spanish- Triage Intake
• What is your full name?/ How old are
you?
– ¿Cuál es su nombre completo? /
¿Cuantos años tienes?
• What is your main complaint?/ What
symptoms do you currently have?
– ¿Cuál es su principal queja? / ¿Qué
síntomas tiene ahora?
• Have you ever had surgery before?
– ¿Alguna vez ha tenido una cirugía?
Useful Spanish- Height/Weight
• Height/ Weight/ Scale/ Tape measure
– Talla / Peso / Balanza / Cinta metrica
• Please take off your: shoes/ hat /Put your things
here
– Por favor, saquese : zapatos / Sombrero / Pon tus
cosas aquí
• Step onto the scale/ Place your back against the
wall/ Look straight ahead
– Pasa a la balanza/Pon tu espalda contra la pared /
Mire hacia adelante
• Pounds/ Kilograms/ Feet/ Inches/ Meters/
Centimeters
– Libras / kilos / pies / pulgadas / metros / centímetros
Useful Spanish- Vitals
• Temperature/ Pulse/ Respiration/ Blood pressure
– Temperatura / Pulso / Respiración / presión (arterial)
• Open your mouth/ Close your mouth
– Abre la boca / Cierra la boca
• I’m going to place my hand on your stomach/ Breathe
normally/ Relax
– Voy a poner mi mano en su estómago / Respira
normalmente / Relajate
• I’m going to check your pulse now/ Give me your arm
– Voy a medir su pulso ahora / Dame el brazo
• Take off your jacket/ Lift up your sleeve/ Rest your arm
here
– Saquese la chompa / Levantese el manga / Apoye su
brazo aquí
Useful Spanish- Tooth bushing
• Teeth/ Toothbrush/ Toothpaste
– Dientes/ Cepillo de dientes/ Pasta
de dientes
• Open your mouth/ Stick out your tongue/
Spit/ Rinse with water
– Abre la boca / Saca la lengua / Escupa /
Enjuague con agua
• Now can you try?/ Brush gently in small
circles
– ¿Ahora puedes intentar? / Cepille
suavemente en pequeños círculos
Useful Spanish- Pharmacy
• Pain reliever/ Vitamins
– Analgésico / Vitaminas
• Powder/ Pill/ Medication/ Teaspoon/ Spoon
– Polvo / Pastilla / Medicamentos / Cucharita/ Cuchara
• Swallow/ Chew/ Take with food/ Take with water
– Tragar/ Masticar / Tomar con alimentos / Tomar
con agua
• Can you swallow this pill?
– ¿Puede tragar esta pastilla?
• Take (two) pills once/ twice/three times/ every day
for __ days/ weeks
– Toma (dos) pastillas una vez / dos veces / tres veces
al día para cada __ días / semanas
Part III: Lectura Médica y Práctica
Kevin Hawkins, EMT-B
Katie Hasselfeld, EMT-B
Peering into International Healthcare
• Awareness
– We work within
• Flexibility
• Humbleness
Pre-Hospital Patient Care
• ABC’s its easy as 1,2,3 !
– Airway
– Breathing
– Circulation
• Take a history (SAMPLE)
• Physical Examination
– Vitals
– Chief complaint
– Visible deformities/ abnormal palpations
• Reporting
Vitals &Practice
• Breathing
– Count breaths (breaths/min)
• Adult- 12-20
• Child- 15-30
• Infant- 25-50
• Circulation (Pulse) (BMP)
– Check radial pulse (adult) brachial pulse
(child)
• Adult- 60-100
• Child- 70-150
• Infant- 100-160
Vitals& Practice
• Blood Pressure
– Adult- 90-140 systolic
– Child- 80-110 systolic
– Infant- 50-95 systolic
SAMPLE History
•
•
•
•
Signs/ Symptoms (chief complaint)
Allergies
Medications (all current meds)
Past History (Underlying medical
conditions or surgeries)
• Last oral intake (last meal)
• Events leading to symptoms
Physical Exam
• Check for physical abnormalities
– Broken bones, color differences
• Height, Weight
• Pain and OPQRST
– Onset (when did it start)
– Provoking factors (better or worse?)
– Quality (shape/ dull pain)
– Region/ Radiation (where and does it
move)
– Severity- scale 1-10
– Timing- all the time or at certain times
Reporting
• Take notes on all patient
– Include
• Vitals
• SAMPLE history
– Pain OPQRST
• Additional comments
Emergency?
• Check ABC’s
• Call for a médico (doctor)
Triage: an introduction
• Red tag (1st priority)
– Airway and breathing problems
– Uncontrolled or severe
bleeding
– Shock (hypofusion)
• Yellow tag (2nd priority)
– Major or multi-bone injury
– All ABC intact
• Green Tag (3rd priority)
– “Walking wounded”
– Minor soft tissue issues
Stations
• Shadowing
– Watching and learning
• Tooth brushing
– Running a class to children of its
importance and how to
• Pharmacy
– Helping run the pharmacy and explaining
how to take a pill or the amount and for
how long
Questions/ Concerns