Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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23 210 Surgery and Healing in the Developing World Table 2. Continued Sinks on the ward? Is there an ICU? What equipment is available in the ICU? Is overnight ventilation possible? Is there a physician available at night? How do you get in touch with the night call? 8. Materials and Supplies 8a Transportation and Supplies Who will be in charge of receiving the materials? How will the materials be transported from the airport to the hospital? Where can the materials be stored? Who will have access to that room? 8b Inventory of Materials and Supplies Are there ample supplies of: Dressings Sutures Medications Antiseptics Antibiotics Lidocaine Anesthetic Gazes Opiates IV fluids Surgical gowns Surgical drapes Sterile gloves EKG Defibrillator Suction machines Pulse oximeters Basic surgical trays Other 8c Materials Needed Is there specific equipment that you need that would have a significant impact on the health care delivery in your hospital? 9. Medical, Administrative and Diplomatic Contacts 9a Provide contacts List all the names and titles of contacts that you met and please add a comment about their importance and feelings for OS if appropriate. Please write the addresses, telephone and fax numbers 9b Hospital Personnel It is extremely important that you obtain the name of the contact person for each specialty (Administrators, Chief Plastic Surgeon, Chief Pediatrician, Chief Anesthesiologist, Head Nurse, etc.) Table continued on next page
Cleft Lip and Palate Surgery in Developing Countries Table 2. Continued 9c Local Medical and Professional Associations Representatives National medical association representatives Local ministry of health National ministry of health Town officials Provincial government representatives National government and foreign affair department representatives Customs and immigration officials Hotel manager and transportation Representatives US Embassy and Consulate Staff 10. Anesthesia 10a Personnel and Techniques Anesthesia team composition (MD, CRNA) Common techniques used by local anesthesiologists Common medications used for general anesthesia Common medications used for local anesthesia Common fluids used Common anesthetic problems (Anemia, TB, malnutrition, parasites, enzyme deficiencies, etc.) 10b Materials Anesthesia machines (models, age, origin, state of maintenance) Oxygen (quality of supply, reliability of delivery, connectors type, etc.) Nitrous oxide (quality of supply, reliability of delivery, connectors type, etc.) Other anesthestic gases Inhalational agents commonly used Vaporizers used and connectors Filtering system? Supply of filtering agent? Ventilation circuits commonly used Blood bank capacity and turn over time Wall suction Intra-op lab test (HGB, lytes, PT/PTT, etc.) Blood gas machine Recovery Room How many nurses are in the RR? What is the patient/nurse ratio? Can you have intubated patients in the RR? Can you have ventilated patients in the RR? Do RR nurses know CPR? Do RR nurses know airway management? Do you feel comfortable bringing sleeping patients into RR or do you always wake them up in the OR? 211 Table continued on next page 23
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Surgery and Healing in the Developi
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Contents Foreword .................
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25. Dentistry .....................
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Editor Contributors Harold P. Adolp
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Foreword Surgery and Healing in the
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“poor, but modern”, as for exam
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There may be at least one considera
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It is that higher accountability th
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1 2 Surgery and Healing in the Deve
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CHAPTER 2 Surgery in Developing Cou
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2 10 Surgery and Healing in the Dev
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CHAPTER 4 International Surgical Ed
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CHAPTER 9 Lab-in-a-Suitcase: Saving
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10 72 Surgery and Healing in the De
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CHAPTER 12 Communication in the Thi
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CHAPTER 13 Anesthesia in the Third
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13 100 Surgery and Healing in the D
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CHAPTER 15 Basic Obstetrics and Obs
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CHAPTER 16 Pointers for American Su
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Reconstructive Surgery in the Tropi
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CHAPTER 1 CHAPTER 27 Factors Influe
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Distribution and Incidence of Tropi
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CHAPTER 1 CHAPTER 28 Population Dyn
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Population Dynamics Of Surgical Tro
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Metabolic Maladaptation 289 Introdu
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Metabolic Maladaptation 291 some of
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Metabolic Maladaptation 293 In this
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Metabolic Maladaptation Table 1. Si
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Metabolic Maladaptation Table 4. Go
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Metabolic Maladaptation 299 the rev
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Metabolic Maladaptation Table 5. As
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Metabolic Maladaptation Table 6. Co
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Metabolic Maladaptation 305 the ris
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Metabolic Maladaptation Table 8. Go
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Metabolic Maladaptation Table 10. G
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Metabolic Maladaptation Table 12. C
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Metabolic Maladaptation 313 cell an
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Metabolic Maladaptation 315 Biologi
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Metabolic Maladaptation 317 from io
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Metabolic Maladaptation 319 25. Lon
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CHAPTER 1 CHAPTER 30 Nutrition and
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Nutrition and Development in Africa
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CHAPTER 1 CHAPTER 31 Uterine Ruptur
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Uterine Ruptures in Rural Zaire Tab
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Uterine Ruptures in Rural Zaire 329
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CHAPTER 1 CHAPTER 32 Vesicovaginal
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Vesicovaginal Fistula in Democratic
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CHAPTER 1 CHAPTER 33 Ophthalmology
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Ophthalmology Figure 2. Refractive
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Ophthalmology Figure 4. A tonometer
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Ophthalmology 341 ml of 40 mg/ml IV
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Ophthalmology Figure 6. Axis determ
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Ophthalmology 345 thalmic set prepa
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Ophthalmology 347 Procedures Region
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Accommodating Deficits in Material
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Abscesses and Other Infections Trea
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CHAPTER 1 CHAPTER 36 Surgical Train
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Surgical Training of Nurses for Rur
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Training of Medical Assitants in Mo
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CHAPTER 1 CHAPTER 38 Training Surge
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Training Surgeons in the Developing
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Mobile Surgery Figure 1. 405 of tec
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Mobile Surgery Figure 3. 407 Childr
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Mobile Surgery 409 We have realized
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CHAPTER 1 CHAPTER 40 Public Health
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Public Health Problems on Burma Fro
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Medical Adventures in the Nigerian
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CHAPTER 1 CHAPTER 42 Wanted Glenn G
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Wanted 431 Studies Center (//www.am
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Wanted 433 MacArthur (The John D. a
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Wanted 435 most pathologic presenta
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Wanted 437 “outliers” in the he
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World Health 439 challenge: name fo
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CHAPTER 1 CHAPTER 44 Treating Other
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Treating Others: Human Sciences in
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Treating Others: Human Sciences in
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CHAPTER 1 CHAPTER 45 The Impact of
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The Impact of a Volunteer Medical M
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CHAPTER 1 CHAPTER 46 Field Notes on
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Field Notes on a Typical Day in a H
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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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