The hospital does have plain radiography and an ultrasound machine and there is access to a very limited number of blood tests. The hospital's pharmacy has good supplies of antibiotics, anti-malarials and a limited supply of analgesics and cardiorespiratory medications. There are oxygen cylinders. Ketamine sedation is available and allows for the doctor on the Island to do quite a range of minor procedures such as drainage of abscesses and setting of simple fractures is available in KiraKira. There is an operating theatre. Complex cases are referred on to the National Referral Hospital in Honiara and can be transported on one of the four commercial flights that leaves the island each week. The Patients that present for care will often have been bought by their family for a medical consultation after trekking for two or three days to see the doctor. The most common cause of trauma in Kirakira is falling from a Coconut tree. From a young age children and men climb coconut trees to try and harvest a few coconuts or simply because they are thirsty and would like a drink. They are often 5 or 6 metres above the ground and when they fall unfortunately it is the cause of many broken bones.