Another weekly question for all of those students on placement - almost 170 across all our destinations this week! We asked “what is the most interesting case or presentation you have seen so far on placement?” The response was fantastic and there are some interesting and poignant stories.
Dar es Salaam
“When on the labour ward I observed an assessment of a baby who was delivered face presentation which is very rare. The baby had some deformities which were assessed post-delivery. The sister was shocked that this happened. The babies face was swollen so we were able to ask staff what would happen over time.” Lauren (Nursing)
“The most interesting case I saw on placement was Orthopaedic institute I was able to assist the scrub nurse and the surgeons took the time to explain what they were doing during the procedure. I had never seen surgery on the brain before so having the opportunity to do so was amazing.” Abigail (Nursing)
“There have been many interesting cases but the most memorable – I was doing A&E placement where a man had been in a motorbike accident and had suffered several head fractures. He was taken to theatre.” Katie (Nursing)
“The most interesting case that I have seen on placement was on the labour ward when a patient refused to push during the contractions the baby needed to be delivered so vacuuming was done. This was done really differently compared to the way it is done in England as was the rest of the procedure. I had to deliver the placenta but this was done differently than at home and the doctor ended up pulling my hand to pull the placenta out without it being ready. The doctor continued being rough and it was quite shocking to view.” Zoe (Nursing)
“A patient came in with 60% burns because there had been a petrol explosion in his shop. This was the most interesting case for me because I have never treated anybody with burns so it was a new experience. It was shocking to see but also interesting to see the way the patients wounds were dressed and how this would differ to treatment in the UK.” - Hannah (Nursing)
I was able to see a whole pancreas operation. It was a wonderful experience to watch how an anastomosis is done by doctors; they use the remaining parts of the pancreas and stomach and join them.
“A mother who delivered at home came in with hypovolemic shock from blood loss. And she was taken to the theatre to repair the uteral wall and cervix which I observed. A young boy with cerebral malaria was completely paralysed except some right hand movement and blinking. He was unresponsive to all pain stimuli and doctors decided he needed full examination to determine the prognosis.” Emily (Nursing)
“A child in paediatrics with query cerebral malaria was able to perform a variety of reflex tests and visionary test. He had to be transferred to hospital in the nation’s capital for a head CT. A whole family came in to the casualty following a gas explosion in their home and the level of the injuries and the treatment given was really interesting.” Jessica (Nursing)
“The most challenging and interesting case was cerebral malaria in a child. This is because it is a disease with complicated management and not really seen in the UK.” Arran (Medicine)
“A small boy with swelling of the orbit and jaw as well as severe anaemia and fever. The doctor suspected either retinoblastoma or Burkitt's lymphoma. The child was sent to Dar es Salaam for further treatment” Kirsty (Nursing)
“I saw a baby being born who required resuscitation. The neonate was not breathing and after 45 minute of resuscitation was unsuccessful. This baby was also haemorrhaging from the nasal passage. The underlying problem was unknown. This was a very sad case.” Babu (Medicine)
“Maternity ward; births here are so different. Women's water is broken with scissors.” Maria Picken (Nursing)
“I find the relationship between the Nepali families very interesting. The families care very much for each other and take on most of the caring responsibility in the hospital. A man died because he couldn't afford to have surgery which is very different from the UK. It's sad to see.” Chisa (Nursing)
We think you’ll agree that these quotes offer a real insight into just some of the things you may encounter on placement in an under resourced environment.
Working in a developing country is a fantastic opportunity to use, develop and share your skills whilst gaining experience working with communicable diseases and advanced pathologies that are rare in the Western world.
If you would like to find out more about our placements and destinations why not get in touch with us today!