Second Presbyterian- Roanoke, VA group February 5-12

For those mobile teams going out to the surrounding countryside (the Campos teams)

This week we saw approximately 400 patients- we handed out vitamins & albendizole to many other children that were there without a health complaint.
With the help of Juan Ernesto, the pastor on site that travels with us, and the other translators we have found an effective way to manage the crowds of children. It is hard to separate the children there that have complaints from the ones who are just showing up for candy or vitamins or albendizole treatment. It seems that some think that they have to have a separate complaint in order to receive the albendizole & vitamins. If you clear a different room (classroom etc.) and get them together and sing (heads shoulders knees & toes etc.) for a bit then do a mini-lesson on how to take the vitamins (once daily and they aren't candy), they will all take the vitamins & albendizole. This will prevent clogging the triage line, and assure that the ones who are truly sick or need to be seen by a doctor will be seen first because they stick around. Juan Ernesto is especially helpful with crowd control & separating out the kids who need to be seen first from the ones who need a check up if time allows after the ones in need of treatment are seen.

List for Campos mobile pharmacy

Do NOT need
cephalexin (500mg caps)
ibuprofen (200mg tabs)
acetaminophen (500mg tabs)
topical antifungal
topical steroids (prescription or 1%)
vaginal antifungal cream

DO need
childrens multivitamins (chewables better than gummies, they think gummies are candy)
infant liquid vitamins (WITH iron)
antifungal medication (griseofulvin)
antifungal shampoo
acne cream
3" ace wraps
bengay/ topical muscle rub
gloves, esp. large sizes
kit of wound care supplies (ie. burn kit in a tackle box)
kling wrap
medical tape
reconstitutable liquid antibiotics
albuterol MDI
skin moisterizers

If you need to contact anyone from the team for questions or further information you may contact Mary Chandler Pruette at marychandler1@gmail.com or 540-520-6255.



To Anesthesia providers:

Our team is completing a week in which we've done ~ 40 ortho, general, and gyn procedures. We've spent some time trying to inventory disposable supplies and have found a massive collection of certain items. It has really come to the point that continued accumulation will be detrimental.

-- very large supply of adult circuits. A few Mapleson D circuits, but no pedicatric circles
-- huge supply of needles and syringes with the exception of 20cc
-- huge accumulation of LMA's: 5/4/3/2/1.5/1. (the local anesthetists apparently use them very infrequently). Adequate supply of ET tubes
-- each room has a good set of laryngoscopes and blades
-- Sevo is in short supply but can be purchased down here
-- soda lime is always needed
-- bring IV tubing, especially mini-drips for kids. Although there are large numbers of IV catheters, we brought down our particular favorites and made use of 24 gauge.
-- the machines are in good shape,each with a new monitor and a good selection of BP cuffs. The third Drager machine is being evaluated by a local technician
-- huge collection of Propofol, Anectine, and Rocuronium. Adequate supply of Toradol, Zofran, Decadron, Robinul, Neostigmine, etc. Might want to bring and local anesthetics you would want to use for blocks

In short, DON'T bring Propofol, Anectine, Zemuron, LMA's, syringes except 20's, circuits. Bring Soda Lime, Sevo, Local anesthetics, IV tubing.

Give me or Judy Gustafson a call or email: jsjkc@msn.com jgustafson58@gmail.com
Nicole Eby on site is a tremendous resource and knows where all the anesthesia equipment is located.

Joe Clark