Wednesday, January 24, 2024

Vac Therapy

 

 Started a trial of using Vac Therapy for large non healing Diabetic Wounds. 

The procedure and equipment are very simple:

  • Wound is cleaned with saline.
  • Draped with a sterile Gauze Cotton (gamjee) pad.
  • Sterile Foley's catheter inserted into the pad and connected to a simple suction machine.
  • Cling wrap used to seal the edges.
  • Pressure of - 100 mmHg is maintained for 30 minutes.
  • Suction disconnected and local hyperoxygenation using an Oxygen Concentrator delivering 95% O2 at 4 lpm for 30 minutes.
  • Oxygen disconnected and suction reapplied for 30 minutes.
  • Daily for 5 days.
  • Results are encouraging.

A large wound

Gamjee pad, saline soaked
Suction Catheter in place
   

Cling Wrap done

The Set up for vac



WOUND HEALING FOLLOWING 5 DAYS OF VAC





The Health Centre

 

The Entrance to the Health Centre


The OPD Block and Patient waiting area


Diagnostic Centre




THE MAIN QUADRANGLE
DOCTORs OFFICES & MAIN OP











Saturday, December 09, 2023

Suturing and BLSS Workshop

 WORKSHOP ON SUTURING

Dr Antony Arvind, Plastic Surgeon, spent a couple of weeks at the RHC in July 23. His son Tarun interned with us. Anto is Dr Kamakshi's batchmate from Madras Medical College. 
Anto had brought with him practice suture kits.

Medical Staff

A detailed workshop, spanning 5 days was held for Doctors and Nurses. The workshop was just awesome. It really helped the Medial staff hone their skills. Suturing is not something which is taught in Medical / Nursing School. It's a skill one picks up on the way. 

                                                           



EXPOSURE TO Class 11 & 12 SCIENCE STUDENTS OF Rishi Valley School

An initiative of the Biology Teachers at Rishi Valley, students spent two hours with the kits. Needless to say, they thoroughly enjoyed this hands-on exposure.


    




BLS WORKSHOP

Anto had brought along a practice mannequin. His on Tarun, who is a certified BLS instructor taught the staff the basics of BLS.
This was done daily for a week in the afternoons.
Again, a much-needed skill which is not taught well enough.




BLS CONTINUING TRAINING


Chokalingam (ISC 88) and his wife Dr Uma (an intensivist) donated a mannequin for training on BLS. Really great stuff.
Every week the nurses and other staff are put through their paces.









Sunday, December 03, 2023

Rural Health Centre - an overview

 The following pdf is an overview of the RHC