Онлайн-казино становятся всё более популярными среди жителей Беларуси, привлекая игроков не только широким выбором игр, но и разнообразными бонусными предложениями. Одним из самых востребованных видов бонусов являются бездепозитные бонусы. В этой статье мы рассмотрим, что такое бездепозитные бонусы https://casinozeus.net/ru/bezdep-bonus-v-belarusi, как их получить и использовать в онлайн-казино Беларуси.

Что такое бездепозитный бонус?

Бездепозитный бонус — это вид поощрения от казино, который предоставляется игроку без необходимости внесения депозита. Проще говоря, чтобы получить этот бонус, вам не нужно тратить собственные деньги. Такой бонус может быть представлен в виде бесплатных вращений (фриспинов) на слотах или в виде бонусных средств, которые можно использовать для ставок на различные игры.

Преимущества бездепозитных бонусов

1. Отличная возможность попробовать казино: Бездепозитные бонусы позволяют игрокам ознакомиться с играми и функционалом казино без риска для собственного бюджета. Это особенно полезно для новых игроков, которые хотят оценить платформу перед тем, как внести реальные деньги.
2. Шанс выиграть реальные деньги: Хотя бездепозитные бонусы часто связаны с определёнными условиями по отыгрышу, они всё же предоставляют шанс выиграть реальные деньги без вложений.
3. Привлекательное предложение для новичков: Многие казино используют бездепозитные бонусы как часть приветственного пакета, чтобы привлечь новых игроков. Это позволяет казино выделиться среди конкурентов и привлечь больше пользователей.

Как получить бездепозитный бонус в Беларуси?

Процесс получения бездепозитного бонуса довольно прост и обычно включает следующие шаги:

1. Регистрация в казино: Для получения бездепозитного бонуса вам нужно зарегистрироваться в выбранном онлайн-казино. При регистрации важно указывать достоверные данные, так как казино может потребовать верификацию аккаунта перед выплатой выигрыша.
2. Активация бонуса: Некоторые казино автоматически начисляют бездепозитный бонус после завершения регистрации, в других случаях потребуется ввести специальный промокод или обратиться в службу поддержки.
3. Условия использования: Перед тем как начать использовать бонус, внимательно ознакомьтесь с его условиями. Обычно бездепозитные бонусы сопровождаются требованиями по отыгрышу (вейджеру), а также ограничениями на максимальную сумму вывода.

Условия и ограничения

Бездепозитные бонусы, как правило, сопровождаются определёнными условиями, которые необходимо выполнить для вывода выигранных средств:

• Вейджер (условие по отыгрышу): Это коэффициент, который определяет, сколько раз нужно сделать ставки на сумму бонуса перед тем, как выигрыш станет доступен для вывода. Например, если вам начислен бонус в 10 белорусских рублей с вейджером x30, то вам потребуется сделать ставки на сумму 300 белорусских рублей.
• Ограничение по времени: Бонусы часто имеют ограничение по времени на их использование. Если игрок не успевает выполнить условия в установленный срок, бонус аннулируется.
• Максимальная сумма вывода: Некоторые казино ограничивают максимальную сумму, которую можно вывести с выигрыша, полученного с использованием бездепозитного бонуса.

Заключение

Бездепозитные бонусы в онлайн-казино Беларуси — это отличная возможность для игроков начать играть без риска для собственного капитала. Однако, прежде чем принять предложение, важно внимательно ознакомиться с условиями его использования, чтобы избежать неприятных сюрпризов. Такие бонусы позволяют не только насладиться игрой, но и, при удачном стечении обстоятельств, выиграть реальные деньги.

Выбирайте только лицензированные и надёжные казино, чтобы быть уверенными в честности игры и безопасности своих данных. Помните, что азартные игры должны приносить удовольствие, поэтому играйте ответственно.

Бонусы являются важной частью игрового опыта в онлайн-казино и привлекают множество игроков за счет дополнительных возможностей и увеличения шансов на выигрыш. В онлайн-казино Беларуси доступно множество различных типов бонусов, каждый из которых предназначен для того, чтобы сделать игру более интересной и выгодной. В этой статье мы рассмотрим основные виды бонусов https://casinozeus.net/ru/bonus-v-belarusi, доступные в белорусских онлайн-казино, и расскажем, как они работают.

Основные виды бонусов в онлайн-казино

Онлайн-казино предлагают широкий спектр бонусов, которые помогают новым игрокам начать игру, а постоянным — оставаться активными. Вот основные типы бонусов, которые можно найти в казино Беларуси:

1. Приветственный бонус

Приветственный бонус — это первое предложение, которое игрок получает при регистрации на сайте казино. Этот бонус часто является самым крупным и привлекательным, так как казино стремятся привлечь новых пользователей. Приветственные бонусы могут включать:

• Бонус на первый депозит. Казино удваивает или увеличивает сумму первого депозита на определённый процент. Например, 100% бонус на первый депозит удваивает сумму, которую игрок внёс на счёт.
• Бесплатные вращения (фриспины). В дополнение к денежному бонусу игроки могут получить бесплатные вращения на популярные слоты.

Пример: 100% бонус на первый депозит до 500 рублей плюс 50 бесплатных вращений на слотах.

2. Бездепозитный бонус

Бездепозитный бонус — это редкий, но очень привлекательный вид бонуса, который позволяет начать игру без необходимости внесения собственных средств. Игроки могут получить бесплатные деньги или бесплатные вращения просто за регистрацию. Это отличный способ протестировать казино перед внесением депозита.

Пример: Получите 10 рублей или 20 бесплатных спинов за регистрацию.

3. Релоад-бонусы

Релоад-бонусы — это бонусы для уже зарегистрированных игроков, которые делают повторные депозиты. Казино вознаграждают лояльных игроков, предлагая бонусы на второй, третий и последующие депозиты. Часто такие бонусы меньше по размеру, чем приветственные, но всё равно предоставляют хорошую дополнительную стоимость.

Пример: 50% бонус на второй депозит до 300 рублей.

4. Кэшбэк

Кэшбэк — это возврат части проигранных денег. Казино предлагают игрокам вернуть определённый процент от суммы, потерянной за неделю или месяц. Кэшбэк может быть предложен как для слотов, так и для игр с живыми дилерами.

Пример: 10% кэшбэк на проигранные ставки каждую неделю.

5. Фриспины

Фриспины — это бесплатные вращения на игровых автоматах, которые часто предоставляются в рамках приветственного бонуса или как отдельная акция. Фриспины дают возможность сыграть в определённые слоты без использования собственных средств, но при этом выигрыши можно перевести в реальные деньги после выполнения условий отыгрыша.

Пример: 50 бесплатных вращений на слот Book of Dead при внесении минимального депозита.

6. VIP-программы и программы лояльности

Многие онлайн-казино в Беларуси предлагают VIP-программы или программы лояльности для постоянных игроков. Чем больше вы играете, тем выше ваш статус в системе лояльности, что даёт доступ к эксклюзивным бонусам, таким как персонализированные предложения, увеличенные кэшбэки, бесплатные спины и другие привилегии.

Пример: Достигните VIP-статуса и получите 20% кэшбэк, ускоренные выплаты и персонального менеджера.

7. Бонусы за привлечение друзей

Некоторые казино предлагают бонусы за привлечение новых игроков через реферальные программы. Игроки получают бонусы за каждого нового пользователя, который зарегистрировался по их рекомендации и внёс депозит.

Пример: Приведите друга и получите 50 рублей бонуса после его первого депозита.

Как использовать бонусы

Для того чтобы эффективно использовать бонусы в онлайн-казино Беларуси, важно знать некоторые ключевые аспекты:

• Отыгрыш (вейджер). Большинство бонусов имеют условия отыгрыша, которые требуют определённое количество раз “прокрутить” бонусные средства, прежде чем их можно будет вывести. Например, вейджер 30x означает, что вы должны поставить сумму бонуса в 30 раз.
• Ограничения по играм. Не все игры могут быть доступны для отыгрыша бонуса. Часто бонусные средства можно использовать только на слотах, а ставки в настольных играх или играх с живыми дилерами могут не засчитываться.
• Срок действия бонуса. Бонусы обычно имеют ограниченное время действия. Важно использовать их в указанный период, иначе они будут аннулированы.

Заключение

Бонусы в онлайн-казино Беларуси предоставляют игрокам отличные возможности для увеличения своих шансов на выигрыш. Приветственные бонусы, бездепозитные предложения, кэшбэки и программы лояльности — всё это помогает как новичкам, так и опытным игрокам получать больше удовольствия от игры. Однако перед активацией бонуса всегда стоит внимательно изучить условия отыгрыша и убедиться, что они соответствуют вашим ожиданиям.

Für Deutschland, das mit vielen wirtschaftlichen Hindernissen konfrontiert ist, hat die Stärkung der Wirtschaft Priorität. Der Staat verfügt über gute Reserven, eine gute territoriale Lage und ein Arbeitsumfeld. Um dieses Talent zu zeigen, ist es jedoch notwendig, angemessene Positionen für Unternehmen zu schaffen, internationale Investitionen anzuziehen und kleinen und mittleren Unternehmen zu helfen. Nur wenn Sie Ihre Finanzen verbessern, können Sie soziale Netzwerke erreichen. Stabilität, erhöhen den Lebensstandard der Einwohner und schaffen eine solide Grundlage für zukünftige Bürger.

Eine starke Wirtschaft ist die Grundlage für das schnelle Wachstum eines Landes, und Deutschland bildet da keine Ausnahme. Wirtschaftliches Wohlergehen trägt nicht nur zur Schaffung neuer Arbeitsplätze und zur Verbesserung des Lebensstandards der Bevölkerung bei, sondern bietet auch die Grundlage für zuversichtlichen Wohlstand. Für jedes Land ist eine gesunde Wirtschaft notwendig, damit seine Währung auf der Weltbühne der Staats- und Regierungschefs respektiert wird. Erfahren Sie mehr über Währungen und Vermögen auf dem Entertainment-Webportal https://znaki.fm/de/currencies/, der Nummer 1 Webportal Während des Finanzwachstums ergeben sich Möglichkeiten für Investitionen in fortgeschrittene Nischen, zum Beispiel: Infrastruktur, Bildung und Gesundheitsfürsorge, die einen direkten Einfluss auf den Lebensstandard der Bewohner haben.

Öffentliche finanzielle Unterstützung

Staatliche Wirtschaftshilfe für kleine und mittlere Unternehmen ist für die Zahlungsverkehrsentwicklung des Landes von entscheidender Bedeutung. Diese Unternehmen sind ständig mit Materialknappheit und einem festen Zugang zu Investitionen konfrontiert, was es für sie schwierig macht, zu wachsen und neue Stellen zu schaffen. Hilfen, Zuschüsse, Steuerzuschüsse und Bonuskredite des Landes helfen kleinen und mittleren Unternehmen (KMU), finanzielle Schwierigkeiten zu überwinden, neueste Technologien umzusetzen und die persönliche Wettbewerbsfähigkeit zu verbessern. Dies führt zu einer Steigerung der Arbeitsproduktivität und des BIP-Wachstums und schafft die Grundlage für einen stabilen monetären Fortschritt.

Die Auswirkungen der KMU-Hilfe auf die Zahlungen des Landes können nicht hoch genug eingeschätzt werden. Kleine und mittlere Unternehmen sind ein wesentlicher Bestandteil der Wirtschaftsstruktur, bieten eine erhebliche Zahl offener Arbeitsplätze und tragen zur Diversifizierung der Wirtschaft bei. Die finanzielle Unterstützung der Bevölkerung bietet solchen Unternehmen die Möglichkeit, ihre Geschäftstätigkeit auszuweiten, neue Bereiche zu erschließen und das Exportpotenzial zu steigern. Dies führt zu einer Erhöhung des steuerpflichtigen Einkommens und einem Rückgang der Arbeitslosenquote. Darüber hinaus fördert die Förderung der Verbesserung von KMU eine einheitlichere Zahlungsverbesserung in den Regionen, was die soziale Zahlungsungleichheit verringert und den allgemeinen Lebensstandard der Einwohner verbessert.

Beste Einheiten der Welt

Die einflussreichsten Währungen der Welt sind diejenigen mit hoher Stabilität und erheblicher Kaufkraft. Zu diesen Einheiten gehören der US-Dollar (USD), € (EUR), Britisches Pfund Sterling (GBP) und Schweizer Franken (CHF). Der US-Dollar ist von zentraler Bedeutung für die globale Datenverarbeitung und den globalen Handel und ist damit die wichtigste Komplementärwährung der Welt. Als Währung der Eurozone wird der Euro von mehreren großen europäischen Volkswirtschaften genutzt und spielt nach wie vor eine führende Rolle in der Weltwirtschaft. Das britische Pfund und der Schweizer Franken sind bekannt für ihre Stabilität und werden als zuverlässige Instrumente für Ersparnisse und Einlagen verwendet.

Kara spent two weeks with us in Tanzania on a nursing placement. Kara was a healthcare assistant but wanted to gain experience of nursing in Tanzania before her post graduate nursing course. Kara shares some of her most memorable experiences – some challenging and some amazing. 

The start of my project was tough. On my first day I saw a still birth, which obviously upset me and how their culture differed so much from the UK. Another upsetting moment, was arriving onto my shift and finding a baby who had passed away during the night – the nurses were aware of this, however, left him in the cot with the others (I presume this was to allow mum and family to visit and pay their respects). I stroked the baby once I realised and covered him back up. 

I went to theatre and saw two c-sections where I was able to gown up and observed the birth of two children. This was an incredible experience as I was able to see the effort they put in, how sterilised they could be, the drugs used as this wasn’t often observed. 

I also witnessed a lot of natural births, some having complications during labour and some without. This again was a phenomenal experience as I witnessed a new life being born into the world. I was also able to cut the cord of a baby; again, another memory I won’t forget.  

There was a few times too, where the volunteers and I would be left on our own. From this, we used our initiatives and reassured the mums, tried to speak to them in English to gain an understanding of the language barrier, check the mothers to see if they were opening and whether they needed to push, listening for the baby’s heartbeat with the equipment available and assist in the delivery of the births when the nurses had finished their meetings. 

The second week I was on minor injuries – where I looked after a little girl who had been hit by a motorbike and broke her tibula and fibula, she was heavily sedated and needed an X-ray which I assisted with. 

Another little girl who broke her elbow and a doctor held her waist whilst the other doctor put her elbow back in place. I held her hand, reassured her and calmed her down as she screamed throughout it. 

A baby of 6 months had an abscess on his arm and came to the department for it to be drained. He looked very worried as he was crying and mum had to stand back to allow the professionals work. I used my skills and knowledge and sung nursery rhymes to the little boy to settle him and make him feel at ease with the care he was receiving. After this, mum approached me and said “Asante sanar” which means thank you very much.

 
There was also a few dressing changes which I participated in. Playing with the children after the treatment they received with bubbles, balloons and the torches used for neurovascular observations. 

I also had the opportunity to visit the local orphanage for a day. I participated with the general care of the children; feeding, nappy changes, putting them down for a nap and playing with them in the garden. Around the room there were stories of what had happened to the children to make them attend the orphanage: some stories were; died during or shortly after child birth, abandoned in the market, Mum or families could not cope due to a number of children in the household and to return when they are eating solid foods.

I would like to thank you very much for the opportunity volunteering as a nurse in Tanzania. The time I spent there was definitely an experience that consisted of very high highs and at times very low lows! I really did enjoy the experience and met some amazing people along the way.

To follow in Kara’s footsteps, you can find out more here about our nursing project in Tanzania.

Elective is something everyone looks forward to at medical school. Initially however, I was not sure whether to go all out on my elective or for my holidays after my medical assistantship placement (as I was given Elective 1st and Medical assistantship 2nd). Since the news came out that I would be going on my elective before I did my Medical assistantship placement, I knew I would be going with my housemate. Our initial thoughts were very varied, but we decided to look into going to Malta for our elective due to, among other things, the English-speaking natives and the price of the flights. We thought planning this would be straightforward, but it wasn’t. The hospitals in Malta required a fresh DBS form, among other things that I have since forgotten, that made the application slightly longer than we first thought. My mother, when hearing of Malta, was also weary of us using this placement, which is once in a lifetime, to go to Malta, which isn’t very exotic. Due to these reasons, we thought better of Malta and began thinking of places further afield. We also spoke to friends who had gone through agencies to plan their elective, which had made it easier for them, so this came into our fresh planning. We decided on going to Puerto Vallarta, Mexico with Global Medical Projects. We found this by simply google searching elective companies/agencies, and GMP prices and lengths of placement fit nicely. 

Initial planning: 

Why Mexico:

Personally, I had already been to Mexico, and had really enjoyed it, although I had wanted to experience it more deeply than before. It is also a massive country, and I had only seen the southern east coastal region and Mexico City. This time I wanted to see the west coast, with the famous pacific sunset. My housemate had not been but had always wanted to, as his father had lived there in the past and told him to go, and he had old family friends there that he wanted to see. Other than these reasons, Mexico at the time we would be going would have the exact weather we wanted – 20 degrees at night and 30 in the daytime. We also were excited by the Mexican cuisine and were both happy to immerse ourselves into a Spanish speaking country to try and pick up some passable Spanish. 

Looking back post-elective, I believe Puerto Vallarta and the surrounding area really lived up to my expectations. Additionally, Mexico is sometimes branded as unsafe with talk of cartel ruling the streets etc. In Puerto Vallarta the cartel and crime are present, but not the degree that I felt unsafe at any point. I believe that if you don’t get involved in anything dodgy in Mexico, it will rarely come to you de novo. Sticking to lighted areas is wise though. 

Why with Global Medical Projects:

The definitive reasons for this are that it was so much easier to have an agency sort out everything for you (except flights), and the cost didn’t work out as too much more. I think if you are going somewhere you know/where everyone speaks your language/you are going to be on placement with family or friends, going through an agency is probably not worth it, but in our case, we felt it was. GMP provided transfers from the airport, organised our accommodation and food during weekdays, set up some beginner Spanish lessons on arrival and organised the hospital placement as well. They have been working for 20 years at this, and it showed, with everything going smoothly from start to finish. 

The hospital:

Our shifts were to be 7am-3pm every weekday, although we were allowed to leave at 1pm when the students ate and had teaching. We also took a few days off to travel one weekend and a few days off in exchange for doing night shifts. The hospital we were working in was one of the lowest resourced hospitals in the region. The emergency department was run by 3 medical students who were basically F1’s without all the teaching, one ED consultant, one T+O consultant, and a team of nurses. Paediatrics, Internal Medicine and Surgical teams also came through to see patients and do procedures (and sometimes even hallway surgery). It was possible to join each of these teams if I wanted to, but I enjoyed working in the ED and getting to know the team more and more each day helped my Spanish and allowed me to increase my participation slowly.

We slotted in as medical students who couldn’t speak Spanish. There were only really 2 medical students who spoke good English, so it was quite difficult for us at the beginning. If you plan on doing an elective in a Spanish speaking country it is definitely a good idea to know some basic Spanish before you go. I didn’t know any. Luckily, I had google translate (so make sure your phone is unlocked and you can get a Mexican sim) and am decent at picking up language – if you struggle with this, I would highly recommend some beginner medical Spanish lessons. Saying this, by the end of my placement I was seeing patients by myself and writing notes in Spanish by myself (of course everything was checked by the medical students before being signed off by the doctor). Practically, we got to assist with CPR twice, suturing multiple times, doing ABGs, ECGs, and examining patients is universal. In this demographic of patients (from the street, don’t pay tax or have insurance), many of them couldn’t afford their medications, didn’t believe the advice given by the doctor, or had tried the medications but thought they didn’t help and only hindered. This was frustrating to see. What was more frustrating though was the hospital resources being quite low, which meant known best treatment could not be given. I think the most memorable is that Tb patients only receive levofloxacin for a couple weeks in hospital due to resources, but you or I could buy rifampicin etc. at the pharmacy across the road at any time, however the patients can’t because they can’t afford it for the long course they need. 

The surrounding area:

Along the coast there are many beach towns and hidden beaches which for the most part are easily accessible by bus, or even hitch hiking which I did many times. In many of these towns surfing is a major past time. The sea food along the coast is awesome too. I went inland twice, to Guanajuato, which is where the Mexican people began winning independence from the Spanish. It is a wonderful place, and where my housemate’s family friends took us for a good time. 

To follow in Vishal’s footsteps, find out more about our Medical Elective Placements in Mexico

I began my 4-week Global Medical Projects (GMP) student paramedic placement on the 11/1/19 in Guadalajara (Mexico) after an orientation to the hospitals, ambulance services and a few Spanish lessons. The first week I worked in the Green Cross (South) emergency department and conducted health status assessments, practiced IM injections and IV cannulations, administered medications and learnt how to suture under the supervision of the qualified nurses and doctors. There was a vast array of medical and traumatic patient presentations I experienced including: a deep tendon laceration from workplace equipment, a basal skull fractures from a physical assault, respiratory emergencies including acute exacerbation of asthma and more.

My second week I worked on the Green Cross (South) Ambulances alternating between 8-hour day and 12-hour night shifts. During my ambulance placement at Green Cross (South) ambulance service I worked under the supervision of paramedics and firefighters on a patient that had been ejected 30m from his car. The car was completely destroyed, and he was said to have been travelling 100km/h before the crash. I utilised key skills such as C-Spine immobilisation, appropriate extrication and then conducted a thorough head to toe and medical examinations on route to hospital. During a couple of night shifts we also attended gun shot victims that were deceased on the scene and confirmed death. At the Green Cross ED I also assisted the doctors and nurses in intubation and ventilation of a 1YOF with a head injury that began to have seizures and required sedation. I ventilated her from the Resus room to the major hospital under the doctors supervision.

During my third and fourth week on placement I worked between the Red Cross (North) Ambulance service and in a small rural Red Cross emergency department in Toluqilla (located outside Guadalajara, Mexico). During my time at Red Cross Toluqilla we had an imminent birth and I assisted in delivery of the baby, placenta and neonatal resuscitation. I also treated two factory workers that suffered facial burns in a confined space when a machine exploded while on shift. I assisted monitoring these patients and conducted the burns appropriate treatment before they were transported to a major hospital. On my final shift at Toluquila I also had a 30YOM with 18 stab wounds present while I was working. Part of his stab wounds included protruding abdominal contents and a sucking chest wound. Under the supervision in the resus team I assisted taking vital signs, the head to toe examination and interventions keeping him stable until he was transported to a major hospital.

I had an incredible experience during my 4-week paramedic student placement with GMP in Guadalajara, Mexico. Between the Red Cross, Green Cross ED and ambulance services as well as the Toluqilla ED I practised a lot of key skills and competencies from my own personal skillset in medical and traumatic emergencies. The hands on experience I received was invaluable and I feel has accelerated my understanding of critically injured and unwell patients.

Great job Frances! Find out more about our Student Paramedic Placements in Mexico

Remmie’s paramedic project in Mexico

It’s been several months now since my trip to Guadalajara, Mexico, which was an unbelievably life and career changing experience. Every day I still reflect upon my time in Guadalajara, the home of my paramedic opportunity. At first prior to my 4 week trip I was a little hesitant in making my way over. I stopped thinking about all the ‘cons’ and focussed on the ‘pros’ of such an amazing opportunity that I knew would benefit myself and my passion for the prehospital environment.

Whilst feeling a little hesitant without talking to my friends or family first, I expressed interest online. Within hours Kevin from Global Medical Project (GMP) contacted me despite the time difference between Australia and the UK as he wanted to connect with me at a time that suited me best. After a great in-depth conversation with Kevin I booked the dates for my project and the following day I booked my plane ticket to Guadalajara. Despite the fact it was going to be a long journey there, I knew it was all a part of the experience and I wouldn’t change a thing.

Months prior to departing Kevin and myself were frequently communicating with any questions or assistant in my preparation. I was also in contact and communicating with the coordinator of the project in Mexico (Ariel). With fluent English we were both able to communicate prior to arriving. When I arrived I was instantly greeted by a team member of GMP, Luiz, and I instantly felt comfortable in the beautiful city of Guadalajara. I arrived on a Friday evening and wasn’t meant to start until the coming Monday, however I was too eager to start and began the next day in my assigned hospital Emergency Department.

The first week of the project was spent in the ‘Cruz Verde Norte Zappopan’ Emergency Department (ED) and was probably one of my favourite weeks of the whole project. Not directly related to the prehospital environment, however the opportunity and experience in the ED would be something I would never experience back home in Australia. My role in the ED varied, yet if I were to describe it briefly I would explain it as high acuity nursing. My roles changed every day and the tasks and skills I practiced differed for every patient that presented in ED. I mostly did night shifts as I enjoyed doing nightshift in comparison to day shift as the jobs that came in varied significantly. Some of the cases I assisted with frequently included; Gathering and monitoring vital signs, Intravenous (IV) cannulation, Intramuscular (IM) injections, Suturing wounds from basic lacerations to difficult facial wounds which included adults and children, burn management and treatment and assisted in “resus room” cases. The staff in the ED were happy to teach me skills and provide me guidance under supervision before I was then on my own completing tasks within my scope of practice that I felt comfortable doing. If you enjoy being thrown in the ‘deep end’, they definitely allow you to be thrown in if you feel comfortable. In saying this, if I ever had doubts or didn’t feel comfortable performing a certain skill they provided the support and assistance when needed.

Another reason why I enjoyed my experience in the ED so much is because I had the opportunity to be involved in several hospital-to-hospital transfers. This involved the transfer of some very sick and critically ill patients in which allowed me to provide mechanical ventilations, monitor vital signs and administer medications where necessary. After my first week in the ED I felt comfortable around the hospital staff, fellow GMP participants and was ready for what laid ahead in the prehospital environment.

The following three weeks was where I spent my time in the ambulances that were assigned to the same hospital. I spent many days at the ambulance station without going home and surviving off ‘brief naps’, however this was my choice as I was so eager to take on every opportunity that came my way. Each crew at every shift I had were warm and welcoming and gave me the opportunity to perform and assist in task. What I loved the most from my time with the paramedics was the autonomy. For example, working as much or as little as you desired. For some periods, I never left the station for days as I wanted to get as much exposure and experience as I could. The range of jobs varied from the bread and butter of falls to frequent attendance of motor vehicle accidents, scooter/motor bike collision, overdoses and sadly deceased individuals. There were plenty of opportunities to practice and maintain clinical skills learnt at home. These skills included primary and secondary surveys, spinal immobilization, application of C-collars, Intravenous catheters, complex extrications of some patients and the list could go on forever.

I felt as though I got the most out my time with the paramedics and was constantly busy, with periods of time being super quite like anywhere in the world.

Steering away from the working side of things, what made this trip so good was everything else outside of working. Firstly the culture is beautiful, everyone was friendly and made you feel welcomed despite knowing very little Spanish. The food was incredible, if you love cheap taco’s that taste amazing you’re going to love this country. The main thing that made this trip the best was the local people I worked with and all the other GMP participants that were also there. We had all come across from different places around the world, and despite this we all had one goal in mind, and that was helping others. The friendships and people I met made it a truly unforgettable trip.

In concluding my reflection on my experience volunteering in Mexico, it made me realise how lucky I have it in Australia when it comes to healthcare. Going on this experience only made me realise having a healthcare service is a privilege, not a right. For example, if you were hit by a car walking, the driver would drive off having no sense of life and you would be lucky to get an ambulance at all. I found every patient very thankful and happy about getting medical attention, because they appreciate how lucky they are. There would be nothing I would change about my journey, the organisers were fantastic, the workplace was awesome and the people were the best. The only thing I would do better in future would be more prepared in regards to my Spanish skills. Having little Spanish did hinder some learning opportunities, but I worked with what I had like English speaker and maybe google translator to assist at times.

So thankyou to everyone that made this experience for what it was. If your hesitant about embarking on a challenge like this, all I can say it just do it. You will not regret it. All I can recommend to anyone is that you get out as much as you put in. So go over and work your ‘ass’ off and you will come back with so much more exposure and more passion about what you do.

Great job Remmie! To follow in Remmie’s footsteps, find out more our Paramedic Projects in Mexico

My Frontline Ambulance Attachment in Mexico

Kaylin’s blog

When I completed my FREUC 5 Diploma course I was ecstatic. Being only 18 years old, I saw tons of doors open right in front of my eyes. The first thing that came to mind was the fact that I had to do 750 voluntary hours before receiving my diploma and that’s where GMP comes into the picture.  Global medical projects has a fantastic 12 week package especially for those who need to do their 750 hours. That’s when I thought to myself “Mexico…Why not!”

Leaving South Africa for the first time by myself was definitely a scary experience. However, once I saw the friendly eyes of Luis, a GMP employee, right on time to pick me up from the airport I felt at peace. That was only the beginning. After the pleasant car ride and a crash course history lesson on how tequila is produced I got to meet my Mexican family.  Gloria…oh Gloria, my Mexican mommy who never let me walk around without shoes made me feel as if I was part of the family. I was even offered to participate in weekly dance parties that she had at her house. Gloria’s food will forever be a part of my heart and unfortunately my stomach as well!

Starting my first shift at Cruz Verde Zapopan gave me butterflies in my stomach.  I’ve never had to go to an emergency room myself, let alone work in one. For a week I did 6 hour shifts of blood sweat and tears (literally) of learning how to suture, cannulate, pump stomachs and give medications. The medical staff even let you attend and participate in surgeries if they think that you are fit to do so.

After my first week I got to move over to the ambulance crew. I was a little nervous bringing out my FREUC 5 book that had to be signed after each shift as I really didn’t want to be in the way or a bother to anyone. Luckily everyone understood the necessity of logging hours and happily obliged. I was basically told that I could work as many or as little hours as I like as long as I reached the minimum requirements. The shifts run from 8am- 2pm, 2pm- 8pm and then a full 12 hour shift overnight. I however jumped at the chance to gain as much experience as possible.

One great thing is you will never get hungry because Mexican paramedics love their taco runs! They know all the best places on the block even if it’s at 3am you will always be able to find some open taco stand waiting to serve you. While on shift I had exposure to the following: car accidents, suicides, hit and runs, gunshot wounds, sick babies and many construction accidents. The beauty about volunteering in Mexico is that even if you have minimal experience beforehand, they are always happy to teach you whatever you would like to learn and let you actually apply your skills out on road. You definitely will not feel like a waste of space as the paramedics are very inclusive and want you to be as hands on as possible.

Besides the actual paramedic part, you will make friends of a life time. The paramedics at Cruz Verde and Cruz Roja want to get to know you and show you around their city which they are all very proud of. They are used to us clueless, non Spanish speaking foreigners arriving and participating in the program. For them it is an experience as well because they constantly are wanting to learn new things that you could perhaps show them to make their job easier. Guadalajara is a beautiful city with tons to offer you (my personal favourites were the night clubs and bars).

Being a FREUC graduate, I recommend Mexico for everyone on the fence to go for it! As long as you put in the effort to pitch up to as many shifts as you personally know that you have to, they will happily sign your book and support you along your journey.

Just a few tips for those of you who are going to Mexico:

• Ubers aren’t the cheapest things around but are your safest form of transport to and from work. Make sure you budget enough money in for it and try share lifts with the other volunteers because the chances that you’re staying in the same house or street as them are very high.
• For the FREUC students, the patient reports at the back of your book, PLEASE fill them in after your shifts because you may think that you will remember everything in a couple of days or weeks… but trust me, you won’t (vital signs; scenario’s,ect)
• Lola Lolita and Babel are my personal favourite night clubs in Guadalajara but I’ll leave you to decide that for yourself.
• If you can’t find enough work clothes at home before you leave for Mexico please do not stress as they have tons for you to borrow at the host houses in all shapes and sizes.
• Try learn your basic Spanish terms and greetings as it will get you a lot further than you think.
• TRAVEL, I know your prime focus is to volunteer but just give yourself a weekend or two to go to Tequila or Chapala, it is worth it.
• Last but not least, don’t expect your placement to be like Narcos. You will be safe.

Great work Kaylin! FREUC 5 graduates can complete all or part of their 750 hours practical frontline ambulance experience with us in Mexico. Realistically, 750 hours can be completed in 12 weeks. Placements are available throughout the year and start every week on Fridays. Find out more about the Emergency Care Practicum Program 

Emergency Service Blog – Guadalajara, Mexico

Oh, Mexico… my favourite country on earth – you never cease to impress me upon each visit. I just can’t seem to stay away!

If I’m being honest, I was nervous to attend this project in Guadalajara due to Mexico’s dangerous reputation, despite visiting the paradise beaches of the east coast previously. However, upon arrival I immediately felt comfortable in what is known as the second largest city in Mexico. I was lucky enough to be placed in Gloria’s house with her lovely family throughout my stay. We were located 100 meters away from the Expiatorio – a stunning cathedral and square that was always buzzing each night with local food markets, salsa-dancing lessons and live music. Oh, and the two rooftop bars next door became our local nightcap destinations after a long day of work!

Gloria became known as our Mexican Mumma. She cooked us amazing local food, she told us to be careful every time we went out, she became nervous when we came home later than expected, she bought us tea into bed when we weren’t feeling well, and she even held my hair back when I was vomiting from too much tequila… while also shaking her head!

My first week was spent in the Cruz Verde Emergency Department, which turned out to be an endless flow of patients in and out, mostly with traumatic injuries. Most of these were sustained from workplace accidents, motor vehicle crashes and assaults. On my first day I was able to assist in the management and treatment of my first ever gun shot wounds. I was blown away to see the patient hobble out of the ED within 3 hours of arrival after being shot through his knee and groin while continuing to bleed out!

The most shocking injuries I saw were from patients held hostage and tortured by drug cartels gangs. I was told that this is really common, even beheadings, however it only happens to victims that are members of opposing cartels and they consequently know the risks when getting involved in the first place! Life lesson – as everyone will know from Narcos – don’t sell drugs in Mexico!

I was also lucky enough to witness an orthopedic surgery of an ankle reconstruction following a severe break which was really interesting to see – I had to keep reminding myself I was in a hospital and not a building site after seeing the equipment they were using!

I also learnt skills such as how to properly irrigate, clean and suture wounds as deep as the muscle, insert nasogastric tubes and suction appropriately, and apply casts for broken bones.

The following 2 weeks I spent on the ambulance with both the Cruz Verde and Cruz Roja. Patient assessment on scene was very difficult only knowing basic Spanish. The paramedics spoke very minimal English while the patients no doubt do not speak it either! Therefore, my assessment became more practical – I would take blood pressures, heart rates, temperatures, oxygen saturations, control haemorrhage, insert intravenous cannulas and hang fluids… leaving the Spanish questioning to the paramedics!  You never knew what job you were attending because the paramedics were unable to say so in English, which added excitement and nerves to the crazy experience. I also completed my first ever night shifts, which I haven’t had the opportunity to do so in Australia; I would recommend doing night shifts on the weekend, as they were busy and fun!

On our days off, we were able to explore the area in which we were living. Throughout my time in Guadalajara, I visited Chapala which is home to Mexico’s largest fresh water lake which was beautiful, we drank endless amounts of tequila in the town where tequila is made (I thought I had died and gone to heaven) and we also climbed La Barranca de Huentitan canyon which had stunning views. Nights out on the town with the other volunteers from around the world as well as the local paramedics always turned out to be a good laugh.

GMP staff such as Luis, Zuhey, Kevin and Ariel provided endless support and were just a phone call away if we ever needed anything… so thank you guys!

Overall, I had an unbelievable experience as a result of my placement in Guadalajara. I was exposed to so much trauma that I feel will benefit my future practice as a paramedic and nurse tremendously in terms of physical management and emotional response. I’m slightly disappointed to go back to being on an Australian ambulance, as it is unlikely that it will be as exciting as the situations I witnessed in Mexico! I will miss the tacos, the people and the mariachi music until I come to return once more!

So if you are a paramedic or nursing student thinking about doing this placement in Guadalajara, pack your bags and get on that plane… you won’t regret it!

Bethanie Cain

Great report Bethanie! If you are interested in following in Bethanie’s footsteps and joining this type of project in Mexico, find out more here: Paramedic project in Mexico

My pre-university medical experience in Ghana

Siobhan’s Story

My time in Ghana was simply unforgettable and I would one hundred and ten percent recommend it! I am seventeen and my plan is to study Medicine so I thought this would be the perfect opportunity to enhance my application and also have an adventurous summer.

I was very nervous on the plane because I had never travelled outside of Europe before and I had never been away on my own, however I was full of excitement and I think my parents were more worried than me. I had managed to get in contact with other people who I would be staying with so this made me feel more at ease.

I arrived in Accra (the capital of Ghana) late at night and Charles met me and took me to the Pink Hostel. I was very nervous and it was a huge culture shock to see the hustling city but when I arrived at the hostel I met a Swiss girl who was really friendly.

The next day I travelled to Mole National Park and met the other volunteers there. It was here I was able to see elephants and baboons for the first time. This was extraordinary and the elephants were much bigger than I expected, even the baby ones. The baboons were very cheeky and the following morning we were awoken to a baboon that had entered our room and was searching through our bags to find food. At the time it was rather scary but it was also extremely funny! The food at Mole was also great and there was a swimming pool; I would recommend going if you have the time. We also visited a local village where we went on a river safari in canoes. I was amazed to see how people live their life and it was exactly like what you see on TV. The final night we moved to Larabanga and stayed at a hostel. This made me feel like a ‘real’ traveller because the conditions were very basic but it was definitely an experience. We then had to travel to Cape Coast, where I would be staying for the next two weeks. I nearly didn’t get a flight back to Accra, but after some persuasion and a little bit of bribery I managed to make it back.

After a fun filled weekend my placement at Cape Coast teaching hospital started on Monday. I was shown around the local town and the hospital where I was able to choose between a variety of departments to spend my time in. I spent the majority of my time in the emergency department and a day in the delivery suite. This was very flexible which was great! Likewise, the time you spent at the hospital was flexible but I mostly started at 8 and finished at 2. The transport to and from the hospital was easy and consisted of two taxis taking about 10 minutes. I learnt a lot in the hospital and I witnessed and helped with things I would never have imagined. I was able to take vitals, help with taking blood, apply wound dressings and see minor surgeries. I also witnessed two cardiac arrests, where the patients survived and two deaths. This was a lot to take in but it helped being able to discuss what I saw with other future medics back at the house in the evening. It also reinforced my choice for wanting to become a doctor and demonstrated that I have the ability to overcome stressful situations. I learnt how the health service in Ghana differs from that in the UK and it made me appreciate the NHS a lot more. I think the most amazing thing I saw was a tiny, little baby crawling out of its mother’s womb and being brought into the world. The doctors and nurses were very good at explaining procedures and were all very friendly – I think that is the Ghanaian way.

The following weekend I went to Cape Coast Castle and Kakum national park with a couple of American medical students and another volunteer I had met. This was yet another amazing experience and I loved being in the canopies above the trees in Kakum. The views were stunning and the locals were very friendly and enjoyed taking photos with us. Both these attractions were fairly close to where we stayed and are both worthwhile visiting. On the Sunday, Mary (the woman who lives in the house we were staying), took three of us to church. This was inspiring and I was fascinated to see how different cultures embrace religion. We also visited Oasis, a bar/restaurant, where many tourists/volunteers go. The food there was very nice and the dancing was extremely fun. There was a mix of tourists and locals and the Ghanaian men enjoyed teaching me a few dance moves. I would strongly recommend going to Oasis on a Friday/Saturday night.

During my last week in Ghana I started to enjoy my placement even more because I was becoming more familiar with the way the hospital worked and I got to know the staff. In the evenings we played football and basketball with the local children because the boy, who lived opposite, was very keen for us to meet all his friends. I really enjoyed this and I could see that the children loved playing with us. It was a shame I had to leave the following week because I would have loved to play some more basketball with them.

On Saturday morning I headed home despite wanting to stay, but I was very proud of what I had achieved. My time there has given me the confidence to want to pursue my dream of becoming a doctor, meanwhile making me more independent, thankful for the things I take for granted and giving me the buzz of wanted to travel more of the world.

Overall, I would strongly recommend traveling with Global Medical Projects because there was a strong support system before arriving and while being in Ghana. I was also able to see and do a wide range of things in the hospital. All the staff were extremely friendly and helpful and Ghana as a place was full of culture and vibrancy.

I have created a video of my time in Ghana: https://www.youtube.com/watch?v=eZGio9OstQA

Great job Siobhan.  Follow in Siobhan’s footsteps and  find out more about our Pre-university Medical Projects in Ghana!

We hope to see you again for your medical elective or when you qualify as a doctor!