Surgery and Emergency Medicine in El Salvador · 2018-10-30 · About El Salvador - Smallest...
Transcript of Surgery and Emergency Medicine in El Salvador · 2018-10-30 · About El Salvador - Smallest...
James De Andrade
Sonny Sledge
Surgery and Emergency Medicine in El Salvador
About El Salvador
- Smallest country in
continental Americas
-- Capital: San
Salvador
-- 6 million inhabitants
-- Rapidly urbanizing
-- Spanish spoken
everywhere
Demographics and Culture
- Highly religious:
Catholic majority but
growing Protestant
minority
- Per capita income:
$5,600– less outside
the capital
- Less indigenous culture
than neighboring
countries
Health Care
- “Free” for all not
always the case
- Vast differences in
standard of care
- Common technology
unavailable
Typical Day
ACTIVITY TIME
Wake up 5:30 AM
Report to hospital 6:30 AM
Morning duties
•Observe surgery
•Consults/Post-ops
•Wound and Ulcer Clinic
6:30 -11:30 AM
Lunch 11:30-1:00 PM
Class
•Case presentations
1:00-2:00 PM
Afternoon rounds 2:00-4:00 PM
On call
•Every Monday and Thursday
6:00 PM – 6:00 AM
Preparations
Vaccines:
Typhoid
Hep A
Meds:
Malaria prophylaxis
Cipro!
Practice Spanish
Preparations
Leaving the comfort of
home
Hot showers?
Air conditioning
Get Lonely Planet
invaluable
Do some research, and
plan ahead
Expenses
Airfare: $650
Homestay: $375
housing
2 meals/day
laundry
Vaccinations: $200
Meds: $50
Total: $1,250 + side traveling, entertainment, etc
Granada, Nicaragua
Ometepe, Nicaragua
Las Peñitas, Nicarauga
Juayúa, El Salvador
Copán, Honduras
Antigua and Lake Atitlán, Guatemala