Trauma and wound care injuries have been a huge portion of the patients that I have seen arrive to the Emergency Department at Nyakibale on a daily basis. Nyakibale is a small, district hospital in rural southwestern Uganda not too far from the borders of Rwanda and the Democratic Republic of the Congo. What we know of health care in the US is nonexistent here. Families are extremely lucky if they possess the means to see a doctor before things take a turn for the worse.
What we know of health care in the U.S. is nonexistent here. The ECP’s must develop an amazingly broad skill set at repairing complex wounds that most Emergency Medicine physicians in the U.S. would feel uncomfortable closing on their own.
In order to lead the advanced suturing workshop, I had to first broaden my own skill set and fill in knowledge gaps for the procedures I often ask the specialists to perform. I had to look outside of the standard Emergency Medicine literature as a common recommendation was to consult a specialist without giving any details of the procedure.
The Junior ECP’s were excited to learn the new techniques and get the focused time to practice. Later that afternoon they were already implementing the new corner stitch to fix a scalp laceration and were carefully reattaching a partially amputated ear after a machete attack.