Mission Trip to Kenya, 2012 – CPR & FIRST AID

I recently got back from a 2 week mission trip to Kipkaren Kenya. As I have said before traveling is a true passion of mine. It stared young when my parents took us to Australia to get my first taste of life outside the States. Since then I have been quite a few places, the only continent I haven’t hit is Antarctica and believe me I’m looking in to how to get there one day. I was lucky enough to spend a few days in Tanzania, a few more in South Africa and about a week in Egypt, all during college study abroad programs. So I have experienced a few very different areas in Africa, but only as a tourist. I remember thinking how I felt almost cheated by not getting to see the real people beyond my safari tour guides, who lived and worked on this huge continent. Well this January I was able to travel 20 hrs. flying time to Kenya. Only this time I wasn’t going to be escorted around and hanging out with all the other European and American tourists, I was going with a group of 6 other individuals to teach Kenyans in Kipkaren a little about farming (farming passion), and a little about medical care (EMT passion). We had a diverse group going, some of us with agricultural backgrounds, some medical, some with a passion for helping anywhere they could, some who have fed the hungry here in the US and others who were just looking for a way to serve God overseas. The trip was incredible to say the least and although I wish I could bore you with a 10 page blog about all of it, I’m going to focus just two blogs on this whole trip. This one will be about the CPR and First Aid training class, and the next will focus on our farming classes. We did write a blog while we were there and you can find that at, www.salemsekenya.blogspot.com.

The roads in Kenya leave much to be desired. I am not kidding when I say that I wouldn’t drive my 4wheeler down some of these roads let alone a vehicle, or more importantly an ambulance. Not only are the roads treacherous, they are also very dangerous. Cars swerving in and out of traffic, passing, honking, squeezing in where ever they could fit while a semi-truck going the other direction comes at them with great speed and bad brakes. At one point on our way to Nairobi we were put on a gravel detour road, it was really dusty and had a lot of corners you couldn’t see around; of course though our Kenyan driver wasn’t to be deterred by this, he was still passing like crazy at every slow vehicle that got in our way. So someone had the nerve to ask if this was a 2way detour, “No” he replied with ease, “1 way I’m sure!” 2 minutes later after passing a semi on a particularly blind corner, a fuel truck came barreling by going the other direction. We all looked at each other wide eyed, “Well I guess it’s a 2 way detour.” Our driver replies nonchalantly. We were all peeing our pants! This, my friends, is Africa.

I start off with that introduction to let you know that the infrastructure throughout Kenya is very poor. So getting supplies, people, or anything anywhere seems to be much more challenging than anything we are used to here in the states. For instance if you were to get injured in rural Kenya you can do 1 of 2 things:
1. Call 222, equivalent of 911.
2. Make an audible noise followed by a brief description of the incident and it will be passed along from village to village. Ex: WOO WOO, dog bite, WOO WOO dog bite.

If you were to choose the first option be ready to wait not minutes, hours if you’re lucky, but most likely a few days for an ambulance to get to you. I’m not sure if this entails planning ahead to do dangerous activities and calling days before you even begin or not, but I don’t think that it’s an option that is used very often. If you decide on the second option, surprisingly enough within a few hours you’re likely to get some kind of help your way. It won’t be an ambulance, more likely a matatu (bus taxi) or a piki piki (motorcycle taxi) that is coming to take you to the nearest hospital probably hours away. Neither choice would be my first, but this is what they are faced with, and in the end makes for many deaths that could have been stopped, many with simple first aid to keep them alive until they can get to a hospital.

One of the first things that really struck me was the mentality that because they weren’t doctors, they couldn’t help anyone. They have this feeling like they are not worthy to do anything, they just have to pick up and get someone to a doctor as fast as they can, or in the worst case do nothing. And as you can already see, fast isn’t fast in Africa when it comes to medical care. So our first objective was letting them know that they can help! That small things such as stopping bleeding from wounds, or opening someone’s airway, and general assessment of what is going on with someone who may be having an emergency, and what to do next. We taught the Heimlich maneuver, CPR, and many of the concepts that anyone here would learn when taking a first aid course.

We also covered some things that wouldn’t be covered in a First Aid course here in the U.S. I was lucky to have another teacher there with me who used to work with the Red Cross and has gone and taught this class 3 times in Kipkaren. Since she has been over there a few times and in this particular area she was more prepared to cover other topics that she knew challenged the people in Kenya and may not be covered in traditional

Blue Jean Cot

classes. For example Kenya has the 2 most deadly snakes in the world, and they are all over the place. They also have many deadly spiders. It’s to the point that they don’t even distinguish good and bad snakes or spiders, they just consider them all bad and kill every single one they see. There is no running away from them screaming, unless you’re running to grab a stone to kill it with! This is not something that I got to experience (THANK GOODNESS!!! I’m a wuss when it comes to both snakes and spiders!) We also talked about how to boil water to make it safe for drinking. Simple concepts such as not using the same pot that you used to get the water from the river as the pot to store your clean water, unless you also sterilize the pot. Things that we take for granted, such as clean water, there can mean healthy or sick, life or death.

Slings out of Scarves

I don’t want to make them out to be “dumb” about things, they just truly have never been taught such simple skills. Things that we might see in a movie even, such as stopping the bleeding of a wound with pressure and bandages. I have to admit though that one of my favorite parts of the class was teaching them how to brace, bandage, and transport patients. We made cots out of large sticks and blue jeans, braces using scarves, and tourniquets with pens and string. They were very creative!

To finish up I would like to share two stories with you. One is about one of the girls named Concepta who was a student at the training center. She took our first aid CPR class and was one of my favorite students. A week or so after we left Concepta collapsed while at

Concepta at Graduation

the training center. Her fellow classmates, who had also gone through the training, made a cot and quickly took her down the road to the clinic. It turned out that she had typhoid and they were able to treat here there at the clinic and she is now recovering. I wonder what would have happened if they hadn’t thought to take her there, if they had called for an ambulance and waited days, while she would have probably died. I know this sounds extreme, but this is what is their reality. It seems like such a miracle that we were able to be there, teach, and then see how helpful this could be.

The second story is about another student. He came up to me at the end of class. He told me a story about how last year he was following his friend on the highway and his friend’s car hit another. It was a bad accident and by the time he got up to his friend a whole crowd was gathering around. His friend was lying on the ground, bleeding to death. With all those people standing around, he included, not one person knew what to do. They were scared to move him, they were scared to touch him, and they were scared to do anything. So they did nothing and his friend died right there in front of him. He shook my hand and said, “I want to thank you, because you have taught me that next time I can help someone, and I can make a difference, I will know what to do.” I can’t tell you how much that tore at my heart, first of all to see what kind of pain these people go through every day, every year as they live their lives, but also how much hope they have that they can take that experience and now say to themselves that they are empowered and can move forward.

Wild Goose Chasing…Is it working?

I have run for a lot of reasons in my life. I ran after the gypsy that robbed me in Spain. I ran a marathon. I ran through Los Angeles Airport dressed like a chicken. I ran to catch many a train. I ran to catch a ship bound for Tanzania. I ran when I felt sad, happy, anxious, excited, bored, tired and energetic. I ran to get in shape, to feel good, to get something off my mind. Really the reasons I run are fairly endless, however the most recent running experience I’ve had probably proves to be the most silly. I ran while on a very literal wild goose chase!

It was a nice day a few weeks ago and I was out driving around looking at a few fields. We have a particularly interesting situation here in Oregon, when the, as we like to refer to them Canadian Air Force (aka Canadian Geese) come into town they can wreak havoc on your crops. They eat like a buffet across all that you’ve worked so hard to get into the ground and get growing. This was a particularly large gaggle around 2,000, munching down and cackling away on the other side of a 50 acre field. After spotting them I reached back for my gun, as any self-respecting country girl would do, to find that I had forgotten it at home. I looked around some more hoping to find something to get these geese off my crop, unfortunately all I found was two arms I found and 6 legs (mine and my dog Yukon’s). I jumped out of my rig and set off across the field.

Now to give you a description of the best techniques for scaring geese with only your dog and yourself, I would say it looks quite ridiculous. It involves arms flying in the air like a crazy person, yelling at the top of your lungs anything you can think of, running as fast as you can over uneven grass stubble, and yes of course tripping along the way. To add to how funny this must look, my companion Yukon is not the best at this activity. He had a run in a few years back the first time we went to scare geese. He took off at Mach 5 right toward the geese. All it took was 6 of them to turn around, start squawking and flapping their wings for him to turn tail and run back into the bed of my pick-up, with this look like, “holy cow those things look mean!” So now he does more barking at me and as I imagine he’s saying, “You’re so CRAZY mom, those things are really dangerous…GET BACK IN THE PICK-UP!!” But I keep running…they must leave! As I get closer they are getting more and more nervous, I’m getting more and more winded, praying for them to just freaking leave already!!! And then the moment comes, a few pop their heads up and decide they have had enough. Off they go with the greatest of ease and in a very loud exit they are off to the next field. Although they don’t really make it to the next field, they just go to another corner of mine…Now I am truly on a wild goose chase. And we’re off again, Yukon barking, me yelling and yes doing quite a bit of laughing praying no neighbors drive by. I finally did get them to leave that day, only after they left me a wonderful surprise by crapping on my pick-up the green digested grass that I was hoping would stay in the ground. Life is so ironic at times!

A Good day of Hunting

Fighting with geese has become an interesting problem in the Willamette Valley.  How do you find a good way to keep them off your ground and from eating your crop? We do a lot of hazing and I think that is fairly effective, but the problem becomes when you miss one day and they graze 20 acres of clover in that one time you were out of town, or had other things on your list and just didn’t get to it. To haze we use what we call goose crackers. They are like an M80 that is in a shotgun shell cartridge. When you shoot them they fly into the air before exploding, so that you can get particularly close to the geese with the loud noise. We are licensed in the state the carry these shells and use them, so when we went to buy more this past year we were frustrated to find out that now not only do you need to be licensed in the state, you also need a federal permit. Just another hoop to jump through that is added on to the most effective tool that we have out there. I know many farmers who just gave up because the process to get federally licensed was so tedious. I did go through the process and am waiting to hear if I get approved or not. It took quite a bit of work, including getting finger printed and filling out pages and pages of application.  I think the worst part was realizing that while we’re struggling on our farms to protect our crops, government is making it more difficult to legally help with the problem.  They don’t want their protected birds to be killed, and I don’t want them on my crops, so let me do what is right and haze without all the hoops and frustration!  Hopefully we’ll be able to have that tool back as a way to help take care of our crops, if not , it looks like I’ll be spending more time goose hunting than farming in the years to come.

5 Crops and what to plant?

When people first find out that I’m a farmer, usually they don’t believe it.  I am a 28 year old single woman, I look nothing like the 57 year old male married farmer that most people think of and makes up the majority of our farmers in the US.  But once I say again that yes, I am a farmer, the next question is inevitably, “What do you farm and how many cows do you have?”  And I proceed to tell them that we actually don’t have any cows, we’re purely a crop farm and we grow 5 crops; grass seed, hazelnuts, wheat, crimson and green beans.  And here’s about how the rest of the conversation plays out information wise…

  • Grass seed.  We grow perennial grass seed as one of our main crops.  We farm in an area that has wonderful growing conditions for growing the seed that is used on golf courses, in lawns, and on sports fields.  This crop stays in for anywhere from 2 to 4 years depending on the variety and available irrigation.  Our largest battle keeping these fields healthy is battling slugs in the winter which will eat your crop down to nothing in the dormant season so that once the sun does come out and things start to grow, these plants have been hurt so bad they will never come back.  Also fighting off-type grasses is an issue.  This is why we have chosen to use rotation crops so that we can cut down on our chemical usage.

  • Hazelnuts (Also known as filberts).  These are grown in orchards on trees.  We produce a type of nut that after harvested is dried down and sent all over the world.  They dry them down even more in a salt brine and then crack them and eat them as snacks, like pistachios.  For harvesting, the nuts fall off the tree naturally when they are mature, we come by and sweep them up into rows between the trees so our harvester can then pick them up off the ground and after going over some chains and through a fan they are taken via conveyer belt to a tote and then out of the field.  This is usually the dirtiest part of our harvest season, lots of dust and dirt.  Our biggest battle with this crop is a filbert blight that came over from the East side of the state.  It is slowly killing our trees.  We are trying to hold it back by using pruning, scouting, and also chemical programs to keep it at bay.  However Oregon State University has been working very hard to come out with blight resistant trees.  In the past few years they have been very successful and we have seen hundreds of acres of filberts being planted all over the Willamette Valley.

  • No Till Wheat growing through stubble

    Wheat.  We grow winter and spring wheat here.  In the past wheat here has always been a last resort for crop rotation, but with the better prices in the past 5 years the mentality has changed and we are using it more and more as a tool to help with weed issues and keep our fields away from grass seed for at least 2 years.  The winter wheat we plant into minimum tilled ground.  Originally we did this to help save on the rising fuel costs and we have been very happy the results.  However like I mentioned in the grass seed section, we have a very large slug problem so we haven’t mastered no-till yet on the winter wheat.  Spring wheat we grow for seed as well and have had great success with no-till.  The spring wheat is very fast growing and seems to grow faster than the slugs can eat it.

  • Field of Crimson Clover in Bloom

    Crimson Clover.  Our clover is used mostly as a rotation crop to clean up our fields after the perennial grass has been in the ground for 3 years.  We grow it for the seed and it is used all over as a cover crop for other farms.  Also it is a crop that puts nitrogen back into the soil, so it will help with our soil and plant health for the next crop we plant.

  • Green Bean Harvest

    Green Beans. This is another rotational crop that is also DELICIOUS!  We have been growing green snap beans for the past 3 years and it’s been a learning curve.  We went from crops that took all year to produce to one that only takes a few months and it’s ready to be harvested.

So what to plant next year?  It’s a question that our farm faces in our future planning all the time.  We aren’t looking to diversify more in the next two years, but have been looking at a few other options.  Basically we want to be able to keep our land healthy and use continual rotation to help keep weeds down.  And hopefully continue our increase in the use of no-till planting to save not only our topsoil, but our diesel bill as well!