A mountain trekker came to us with history of losing consciousness at high altitude. She was deeply unconscious, and we needed to put her on a ventilator, beside anti cerebral edema measures. However her clinical behaviour and pattern of unconsciousness were not fitting into HACE. She was transferred by ventilated ambulance to a tertiary centre where she turned out to have an intracerebral bleed.
A ct scan here would help many patients like this. Acute trauma and head injury, elective imaging for surgery all do require scanning, the nearest one being sixty kilometers away.
We would be dependant on donations for such a venture. The capital expenditure involved would not allow us to recover the cost with the numbers of scans we will do. We cannot enter the scenario commonly practiced of giving “kickbacks” to doctors perscribing it. And that is where we are now.
