#TeamTuesday: Nepal Trip A Clinical Aspect by Andrew Clark

Today’s #TeamTuesday features a case study written by Andrew ‘Milky’ Clark, you may remember his sweet dance moves in our ‘Why Volunteer’ Video.

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The young woman in the above picture was found stumbling in the back alleys of Kathmandu, on our second day of deployment.

Observations:

Blood Pressure 60/40mmHG
Heart Rate 140
Respiratory Rate 28
SpO2 94% in room air
Tympanic Temperature 40.1C

Medical History:
Surgical Gynecological Condition

Treatment:
Positioning
Vital Signs
IV Access
1L Normal Saline 0.9% IV
Paracetamol IV

The patient that stands out for me the most was a 20-something-year old female that presented to us with sepsis. Unfortunately, she had been in hospital awaiting surgery for a gynaecological condition, however when the earthquake stuck she was sent away (deemed not sick enough for treatment)

Well, we spotted her stumbling through the back alleyways of Kathmandu with her family members, and she looked critically ill.

The family observed us packing medical gear into our truck, and I suppose they assumed we were there to help, the patient and her family then changed directions and started walking toward us.

When we were was up close with the patient, we notice that she was looked very pale, was shivering, and felt hot to touch.

Immediately the team cleared a space for her, and assisted her to lye down on some bedding, in order for us to make physical assessment of her condition.

As above mentioned, her vital signs weren’t looking great, so a few members of our team instantly headed for the local pharmacy and came back with intravenous gear, fluids, and medications.

Luckily for the patient, on the previous day the team had met a group of American doctors who had just flown in from Africa, who were operating out of a local hospital off one of the main roads in Kathmandu (they probably wouldn’t turn away a lady so sick!)

And so, after initiating life saving fluid therapy, the team organised rapid transportation to this particular hospital, where the Americans were already treating patients.

This was the sickest patient I saw throughout our trip, and although she was not a victim of the earthquake, it just goes to show that anything can happen in a disaster situation.

A special mention, Project Coordinator at Backpacker Medics Sushant and Ashmita for providing language interpretation and assistance throughout the whole mission, without their awesome help and guidance we wouldn’t have been able to function as well as we did.

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