Jeanette Flores, MD Cesamo San Jose Copan Gloria Cacenes, MD Cesamo San Jose Copan
Claudia Calix, MD Hospital Gracias
Sonia Delattibodier, MD HRO Marisabel Rivera, MD HRO Marco Rodriguez, Paramedico, Santa
Rosa de Copan Map of Honduras SRDC, Gracias, Teguciga lpa
Carlos Delgado, MD Emory University, Atlanta, Georgia David Goo, MD - Emory University, Atlanta, Georgia Alex Rogers, MD - University of Michigan, Ann Arbor, Michigan
Ricardo Jimenez, MD All Childrens Hospital, St. Petersburg, Florida The Faculty Faculty The Course
The PALS video was shown and
translated into Spanish, pausing the video while discussion and translation occurred Skills station checklists were checked off and signed by the instructors Shock lecture was given in Spanish Dysrhythmia lecture was translated into Spanish
1 person 30:2 2 Person 15:2 AED Airway Defibrillator Dysrhythmias
Presenting the Video Intra-osseous Lecture Intra-osseous station Where to decompress a pneumothorax?
Defibrillator Station Guest Lecturer Natalie (Anesthesiologist at Hospital Occidente)
DOPE Pneumonic En Espangnol Desplazamie nto Obstruccion Pneumotorax
Equipo Shock Lecture Assess-CategorizeDecide-Act Testing Scenarios
Las Drogas Teaching The Broselow Tape Working the Megacode
Megacode Clinical Testing All participants passed the
megacode. A few clinical deficiencies were identified and corrected. Thanks to the CAMO support staff
Organization of participants Course Manuals
Preparation of mannequins and all the many supplies for airway, BLS, AED, etc Copies of materials and tests Snacks, coffee, lunch Chicken legs for the intr-osseus skills station CAMO Organization of
Equipment CAMO Support Staff Lunch and Snacks The Written Test
Pre-test and discussion were translated into Spanish Actual test was in Spanish 7 out of the 13 passed on the first try (Passing grade of 84) 2 missed just one extra question (80) Most were with in two questions (76)
Tests were graded and key points were reviewed without answering the actual questions on the test. Participants were re-tested and all passed successfully Lunch post testing
Graduation 13 Medical Professionals successfully finished the new PALS course
Continued objectives will be to return and in time teach instructors and have a sustainable PALS class here in Santa Rosa de Copan Success! Faculty Organization
Four pediatric emergency medicine attendings from 3 different hospitals around the US successfully put on a PALS course in Spanish The trip was self funded with the cooperation of CAMO a large non-profit group in Honduras Faculty preparation and teaching time as
well as some equipment were donated to the course and hospital. In kind course donations Central American Medical Outreach
CAMO has been serving Central America since 1993. CAMO's founder, Kathryn Tschiegg, RN served as a Peace Corps volunteer in Honduras. Kathy returned to Honduras with a team of physicians and technicians from the United States in early 1992.
In 1993 she founded CAMO to provide medical supplies, equipment and education to hospitals and clinics in Central America. CAMO
At present, CAMO serves over 67,000 people a year in Central America Receives over $2million dollars in donated
supplies, time and financial contributions. A distribution center was built in Honduras in 2003 and is now operated by CAMOs Central American counterpart Fundacin CAMO. Fundacin CAMO serves as CAMO USAs local partner and conduit to the community.
Equipment Each year has seen an increase in the size and the number of specialty teams and an increase in the amount of
medical equipment integrated into the public health system. All equipment provided by CAMO is technically sound and in good working order. This equipment would be or has been discarded in the United States. Sustainability
CAMO trains Honduran public health staff to use the donated equipment through the efforts of licensed medical professionals from the United States who donate their time and services to
Central American hospitals and clinics. These medical teams travel with the sole purpose of integrating medical equipment and technology into the daily workings of these facilities and training the Central American staff to use their new skills after the U.S. teams leave. CAMO Programs
Capital Improvements in Medical Facilities Dental Program Wheelchair Repair and Distribution
Surgical Development: Orthopedics, Plastics, Eye, and Urology Prosthetic Lab MMERV Program Medical Education
Technical School Research and Development Community Center/Gym Audiometry
Multidisciplinary Breast Clinic Eye Clinic Day Care Center Medical Education
Educational Programs Currently Running: Respiratory care and equipment Neonatal care & NALS ACLS & CPR OB/GYN
Laboratory and X-ray Emergency medical services Dentistry and orthodontics Mammography & related areas Now PALS Accountability
Where Does the Money Go? With the extensive network of volunteers and in-kind contributions CAMO is able to get $7 dollars worth of work and equipment out of very $1 donated enabling CAMO to give the money to those who need it
most. Volunteer Costs Time and $$
It costs about $1,000 per team member for a week in Honduras Medical professionals donate their time with the understanding that they participate in an ongoing program which might require a commitment of
1 -2 weeks per year for five years. PALS will probably take three to four trips to accomplish the goal of a selfsustaining course Hospital Grounds Surgery and Womens Surgery
Emergency Room Ambulance Area Old Pediatric Area Outside Old Pediatric
Ward Current Pediatric Ward Nursing Station Pharmacy
Enfermera Preparing Meds Penicillin Test Dose Rounding with the Pediatricians
Radiology and Chart Filing System in the Patients Bedspace (Chair) Reviewing X-rays Chest X Ray
? Pneumothorax Femoral Cutdown Femoral Cutdown
Done at bedside Pediatrician on call, covers ER, Nursery, and Inpatient wards
Used a 10 French feeding tube cut off at an acute angle and inserted into the femoral vein after nicking. Vessel then ligated and feeding tube tied in.
Intubated in General Pediatric Ward Mother with Ventilated Child
18 month old female with a history of one week of eye swelling. No fever No history of trauma No pertinent past
medical history Hospital Occidente ? Bot Fly Pathology Ophthalmomyiasis refers to the invasion
of the lids, conjunctiva, cornea, and rarely the orbit or globe of the mammalian eye by fly larvae (order Diptera) .1 The human botfly (D hominis) is the most common cause of cutaneous myiasis in Central and South America, but few cases of external ophthalmomyiasis and no previous case to our knowledge of
1. Savino DF, Margo CE, McCoy ED, Friedl FE. Dermal myiasis of invasion have been reported.2 theorbital eyelid. Ophthalmology. 1986;93:1225-1227.
2. Wilhelmus KR. Myiasis palpebrarum. Am J Ophthalmol. 1986;101:496-498. ambergriscaye.com/pages/town/botfly2.html The Bot Fly Scientific classification Kingdom: Animalia Phylum: Arthropoda
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