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Visiting intensive care

Tuesday, 02 December, 2014
Visiting intensive care
Another early start for the long drive through lush vegetation to Kibosho Village Primary School as the second part of the Burns Awareness Project. The playacting was even better this time, and with a little stage makeup to show blisters and burns it was very realistic. In the end, everyone was rushing forward with bottles of water to cool the burns. Over 50 children took part in the lesson and had great fun and were given pencils, stickers and sweets as prizes for the best suggestions for fire safety in the home. Back at KCMC, Catherine, Meg and I were in the intensive care unit to look at the more severe burns patients. As we arrived, the anaesthetist had just given an eight year old girl, burnt in a cooking fire, an injection so that she could be sedated while her dressings were changed for the new specialist dressings. The next patient was a two year old girl sitting on the bed with burns to her chest and legs. Despite a valiant effort by Catherine and her books, toys and finger puppets, this was not going to be easy. It is really hard to hear a child cry as she knows that treatment is going to hurt. Fortunately, some five minutes later, when everything was done and she was given a lollipop, all was forgiven. We soon find the patient with burns from electricity, agitated as the new treatment feels different to him. Once he understands why, he is happy for the dressings to stay in place. The other patients are comfortable so its job done on the ward for the day. Peter and Tony are in the casualty department checking on progress and find that a new purpose built accident and emergency department is under development. This is a far cry from the three cramped cubicles that the hospital currently has to cope with hundreds of patients each day. It’s good to see progress. Peter and Tony set off back to their accommodation to prepare their teaching plans for teaching that will be delivered to the nurses later in the week. There is no electricity today so work is undertaken by candlelight.