On February 15th, two new NED missions arrived in Zanzibar (Tanzania).

The first, attached to the NED ICU Project, is made up of Dr Hamish Thompson (Intensivist), Dr Daniel V. Tucker (Anesthesiologist) and Mrs. Pilar Garcia Esteban (ICU Nurse). This magnificent team remained at the Mnazi Mmoja Hospital until March 1st.

Their work focused on the review of patients during the morning, with the whole team, and organization of work following an ABCDE order, plan, complementary tests and treatment for the day. Nursing: creation of a methodical and simple work plan adapted to working conditions so that the tasks established during the medical review are fulfilled. The importance of nursing participating in the Ward round and establishing the care plan to be followed later was emphasized; An attempt was made to be able to recognize the signs of pain in the patient and assess the need for analgesia and sedation depending on the circumstances. The different ventilatory modes and the most important parameters to take into account, as well as the compatibilities of the different blood groups and possible adverse effects, were outlined in a simple and visually appealing way.


The second one, Neurosurgical, was coordinated by Dr Jose Luis Llacer Ortega (Neurosurgeon); on this occasion he was accompanied by Dr Christian Sepulveda Podije (Medical Resident), Dr Sharon Ferez Prado (Medical Resident) and the Scrub Nurses, Mrs. Maria Jose Cervera Badia and Mr. Victor Manuel Parra Codoñer, who carried out their work in the Mnazi Mmoja NED Surgical Institute.

They held: morning sessions. Neurosurgery clinical consultations. Surgical interventions. Evaluation of postsurgical patients in the Hospitalization Room. Assessment and treatment of pediatric patients. Microscope review, material and its organization.

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