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

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

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 bagTowelComfortable walking shoesShorts (1-3)Long pants (1-3)Long and short-sleeved shirts (3-5)SocksUnderwearSunscreenSunglassesWindbreaker or light rain jacketCamera, film and batteryAny medicine you may be takingToilette kit (toothbrush, shampoo etc)Hand sanitizerPassport with Yellow BookAirline ticketsInsurance card (health/travel)MoneyCredit cards, ATM cardPersonal ID, Drivers licenseWatch 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 SpanishInteractive?

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