The A-Team

After a long night caring for the child with the medication overdose we decided to transfer him to Kigali. His heart continued to stop pumping and his oxygen levels were declining.

I was asked to supervise the transfer and was assigned a fantastic nurse and the best anesthesiologist around.

At 3PM, we loaded the patient in the back of a covered truck and started our journey through the mountains. The anesthesiologist gave the child breaths and the nurse gave medications and fluids. I kept my hand on the child’s foot and titrated an epinephrine drip based on the strength and frequency of his pulse.

At 5PM, I started to get nauseas due to the jostling of the truck. Just as I was starting to feel sorry for myself, I saw the anesthesiologist use his forehead to slide open the window and forcefully vomit several times. Despite his retching, he didn’t miss a beat giving the patient oxygen.

After the four hour trip, we delivered the child to the Rwandan emergency room. As we left the truck, his heart rate was 120 and his oxygen saturation was 99%. The doctors at the hospital were shocked that the patient survived the trip and welcomed us with open arms.

It was an honor to work with such a great team.


One Response to “The A-Team”

  1. Francisco Acosta Says:

    great job guys, I just love it when a plan come’s together!

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: