Kitgum Town

Kitgum Town
Kitgum Town

Thursday, April 17, 2014

Medical Matters

The focus of the Yotkom project is to assist in delivering better quality health services and improving access of the community of Northern Uganda to this care.
The Bregma Clinic we are assisting sees many cases of broken bones or Orthopaedics. This can be due to events such as children climbing trees, pedestrians being hit by bikes, motorcycles , cars, trucks or buses ! The roads are quite dangerous.
Yesterday while I was in the clinic we had several patients attend with fractures, ranging from a fractured jaw as a result of a punch, to broken arms in children and a frail elderly gent with a broken hip from a fall. The clinic is able to Xray and apply plasters  and splints to most fractures. Those which are displaced from their normal position can be reduced into alignment by the doctors while the patient is given a light anaesthetic through IV.  Dr Vincent particularly enjoys providing this sort of care.
Having diagnostic equipment such as an XRay machine and Ultrasound on site can make such a difference to the accuracy of diagnosis and level of care which can be provided.
The staff here are really missing their ultrasound machine which requires repair but will cost about $1000 and currently this is not in the budget. Consequently the centre is operating below its capacity.
Fractured Hip
Young boy has light anaesthetic while fractured elbow is put back in place
Over at St Josephs Hospital, there is a need to improve the Ambulance service and do more inservice training of the staff involved in delivering emergency care . Andrew met with the Medical Superintendent and other hospital staff, including Augustine, one of the Ambulance drivers to look at ways we can have input. We are hoping to be able to have Pat Holdsworth, an experienced   Paramedic from Brisbane spend time here in October and assist with this area of need. We are requesting donor funds  or donated equipment be sent in the container this year to assist with fitting out the ambulance which is currently bare . The outpatient department may also benefit from setting aside  a designated area for managing emergency cases and stabilising them.
St Josephs Ambulance
interior of Ambulance
St Josephs Hospital OPD/Emergency Dept
with Dr Pamela, Medical Superintendent and Obstetrician

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