Day 9 Sophie and Alice on a Paediatric ward
We spent some time on the high dependa=ency and critical care units, where we saw conditions such as malaria, cholera, aspiration pneumonia, meningitis, convulsions, malnutrition, cerebral palsy, leukaemia and many others. Again there was an overwhelming about of people with little regard for children and their families as at one point 15 medical students gathered around one bed to discuss a case. This would not be acceptable in the UK due to privacy and dignity. Due to lack of facilities there was only one thermometer between all the children; not being cleaned after each use. On the ward round a number of patients were being discharged, showing their treatment is effective. The doctor engaged well with the children talking to them and making them laugh. When discussing cerebral palsy the doctor stated that some people believe that burning the back of people with cerebral palsy will cure it. It seems people with a disability have trouble accessing mainstream healthcare services as they are often sent to rehabilitation units regardless of their medical need. There was a notable lack of resources such as suction machines which are readily available in the UK. We then went into the assessment room where we only stayed briefly.
We then decided to go to the ICU and Emergency Room. We were surprised by some of the resources in ICU such as monitors and beds that were used in the UK. Staffing levels were very low with just one nurse responsible for 6 critically ill patients. We asked how she would manage if two people went into cardiac arrest and she said she would ring other wards for help. She showed us the crash trolley but she was aware that it probably wasn't fully stocked due to limited resources.
On the Emergency Room we asked the doctor if it was okay for us to observe for a short time. We saw a patient with a gun shot wound on his leg and all he had was a piece of cardboard held together by a piece of string.
Tomorrow we are visiting physiotherapy.