This is the second ISHI mission to Peru. After an initial contact in 2013, with Healing The Children (HTC) of New Jersey upon their return from a mission to Peru. They strongly recommended we pursue a mission to Trujillo, Peru and spoke highly of Kevin Hurley. ISHI contacted Kevin, who initially advised us to try a local government hospital, but due to the progress, a decision was made to change course and begin coordination with the Madre de Cristo Clinic.
The Peruvian Consulate provided guidance in completing the required documentation to enter the country as a surgical missionary entity. A formal agreement between Peru and ISHI was drafted and a legalized documentation of ISHI volunteer credentials, roles in the mission, and specific surgical procedures, were defined. Specific documentation was required for surgical instruments, supplies for donation, and equipment intended for temporary admission into Peru. Each box of supplies had a manifest to undergo formal inspection at Customs and Immigration upon entry into Peru. All prepared documents were shared with the local government sponsors prior to arrival, to help ensure ISHI a smooth entry into Peru to conduct the surgical mission.
The Clinic announced ISHI’s surgical mission through posters advertising and offering free surgical care. The Clinic pre-triaged approximately 80 patients and prepared a list for the ISHI team. Subsequently, ISHI conducted operative procedures and post-operative care using this pre-selected patient list.
Patient Care planned:
To perform 50 Major surgical operations in 5 operative days.
To deliver medication and supplies as donations to the Clinic.
Teach local staff: informally at bedside, on the ward, and in the OR.
Other Projects Planned:
Evaluate for possible repeat ISHI missions to Trujillo and Visit regional trauma center.
Do a surgical Triage in the Alto Trujillo school clinic.
Use TAP block with portable Ultrasound to reduce post op pain.*( Transversus abdominis plane)
MEDICAL SUPPLIES AND EQUIPMENT FOR THE MISSION:
Medical Supplies, materials, and medicines were: Donated by MAP, Americare, and purchased online via https://www.mooremedical.com. Also purchased in Trujillo from the local Pharmacy. -Surgical Equipment: Only ISHI surgical equipment was used on this mission
MISSION TRAVELS :
Three separate groups of volunteers flew to Lima, Peru: The largest group flew from Newark to Lima. A large double-decker bus was used to travel 8 hours overnight from Lima to Trujillo. The ISHI team travelled with 20 boxes and luggage filled with medical supplies and equipment.
LODGING ( 10 days):
The team stayed at Hostal Colonial Hotel, located in the old town of Trujillo.
Triage of 84 patients
Performed 60 operations and 20 Tap blocks (to reduce pain)
Evaluated surgical patients in the Emergency Room
Donated medication & supplies to Clinica Madre de Cristo
Teaching and Training:
Collaboration between ISHI and local staff and nurses for preoperative evaluation and post op care.
ISHI course given to 2 medial students & 1 PA from a medical elective. They joined ISHI for 6 Days.
Visited to the Local Governmental Trauma center: strong interest in collaboration and teaching ATLS.
Repeat ISHI mission to Trujillo is recommended due to great support by local institutions.
ISHI mission to more rural clinics was discussed; not feasible due to security and safety issue.
Visited the Alta Trujillo school clinic triaged over 30 patient but few were surgical patients.
ISHI mission practical course (15 stations) well received completed by 3 students
TAP block proved to be very safe and successful in easing post op pain after gallbladder removal.