MEDLIFE Miami: Brigade Meeting

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MEDLIFE Miami Brigade Meeting

• Brigade August 7- August 14 Riobamba, Ecuador

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New MEDLIFE Miami Website

• Check us out at
• www.orgs.muohio.edu/medlife

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Date of Brigade

• MEDLIFE Miami Brigade Dates
• Sunday August 7 2011- Sunday, August 14 2011
• Riobamba, Ecuador

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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

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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

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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 Universitys 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

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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

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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

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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

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Total Cost Analysis
Individual fee 679.50
International Health Insurance 11.35
Flight (round trip) 800.00
Total (Charged) 1,290.85
Casual Spending (meals for two days, soveniers, extra food, ext) 200.00
Total (charged and spending) 1,490.85
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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

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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

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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

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Sample Itinerary

• Monday-Friday, Day 3- Day 7
• Morning
• Breakfast at 700 AM
• Depart for bus 730 AM (travel to community we
  will be helping ranging from 30 min 2 hours
• Clinics (900 AM- 400PM 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

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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

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Sample Itinerary

• Saturday, Day-8
• All day
• Shopping/ tourist activates
• Pay for your own meals
• Sunday, Day-9
• Travel back to Ohio

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What to bring?

• Small travel bagTowelComfortable walking
  shoesShorts (1-3)Long pants (1-3)Long and
  short-sleeved shirts (3-5)SocksUnderwearSunscre
  enSunglassesWindbreaker 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 cardPerso
  nal ID, Drivers licenseWatch with second hand is
  very useful

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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

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Part II Useful SpanishInteractive?

• http//www.medlifeweb.org/medical-brigades/spanish
  -phrases

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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

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Useful Spanish-Travel

• Please/ Thank you/ Youre welcome/ Excuse me/ Im
  sorry
• Por favor / Muchas gracias / De nada / Disculpe /
  Lo siento
• Yes/ No/ I dont 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 

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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? 

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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? 

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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 

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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
• Im going to place my hand on your stomach/
  Breathe normally/ Relax
• Voy a poner mi mano en su estómago / Respira
  normalmente / Relajate
• Im 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 

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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 

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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

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Part III Lectura Médica y Práctica

• Kevin Hawkins, EMT-B
• Katie Hasselfeld, EMT-B

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Peering into International Healthcare

• Awareness
• We work within
• Flexibility
• Humbleness

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Pre-Hospital Patient Care

• ABCs its easy as 1,2,3 !
• Airway
• Breathing
• Circulation
• Take a history (SAMPLE)
• Physical Examination
• Vitals
• Chief complaint
• Visible deformities/ abnormal palpations
• Reporting

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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

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Vitals Practice

• Blood Pressure
• Adult- 90-140 systolic
• Child- 80-110 systolic
• Infant- 50-95 systolic

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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

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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

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Reporting

• Take notes on all patient
• Include
• Vitals
• SAMPLE history
• Pain OPQRST
• Additional comments

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Emergency?

• Check ABCs
• Call for a médico (doctor)

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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

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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

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Questions/ Concerns