Building focused cardiac ultrasound capacity in a lower middle-income country: A single centre study to assess training impact
Publication date: Available online 19 June 2020Source: African Journal of Emergency MedicineAuthor(s): Wangari Waweru-Siika, Anders Barasa, Benjamin Wachira, David Nekyon, Barbara Karau, Fatimah Juma, Grace Wanjiku, Harun Otieno, Gerald S. Bloomfield, Erik Sloth (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 19, 2020 Category: Emergency Medicine Source Type: research

Quality of emergency nursing care in two tertiary healthcare settings in a developing Sub-Saharan African Country
Publication date: Available online 17 June 2020Source: African Journal of Emergency MedicineAuthor(s): Alade A Ogunlade, Emmanuel O Ayandiran, Olufemi O Oyediran, Oyeyemi O Oyelade, Adenike AE Olaogun (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 19, 2020 Category: Emergency Medicine Source Type: research

Paediatric Emergency Department preparedness in Nigeria: A prospective cross-sectional study
Publication date: Available online 17 June 2020Source: African Journal of Emergency MedicineAuthor(s): Callistus O.A. Enyuma, Muhammed Moolla, Feroza Motara, Gbenga Olorunfemi, Heike Geduld, Abdullah E. Laher (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 19, 2020 Category: Emergency Medicine Source Type: research

Emergency department management of traumatic brain injuries: A resource tiered review
Publication date: Available online 16 June 2020Source: African Journal of Emergency MedicineAuthor(s): Julia Dixon, Grant Comstock, Jennifer Whitfield, David Richards, Taylor W. Burkholder, Noel Leifer, Nee-Kofi Mould-Millman, Emilie J. Calvello Hynes (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

Emergency care systems in Africa: A focus on quality
Publication date: Available online 17 June 2020Source: African Journal of Emergency MedicineAuthor(s): V.C. Kannan, A. Tenner, H.R. Sawe, M. Osiro, T. Kyobe, E. Nahayo, N.G. Rasamimanana, S. Kivlehan, R. Moresky (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa
Publication date: Available online 16 June 2020Source: African Journal of Emergency MedicineAuthor(s): David Morris, Megan Rogers, Nicole Kissmer, Anzanne Du Preez, Nicholas Dufourq (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

African Federation for Emergency Medicine resources for managing COVID-19 in low resourced settings
Publication date: Available online 16 June 2020Source: African Journal of Emergency MedicineAuthor(s): Lee A. Wallis (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 17, 2020 Category: Emergency Medicine Source Type: research

A systematic review of the cost-effectiveness of emergency interventions for stroke in low- and middle-income countries
Publication date: Available online 11 June 2020Source: African Journal of Emergency MedicineAuthor(s): Euridxe Barbosa, Brito Gulela, Maria A. Taimo, Dino M. Lopes, O. Agatha Offorjebe, Nicholas Risko (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Source Type: research

The effect of clinical simulation assessment on stress and anxiety measures in emergency care students
Publication date: Available online 11 June 2020Source: African Journal of Emergency MedicineAuthor(s): Amina Mushtaq, Mariam Al-Jumaily, Sana Hashemi, Hosna Sherzai, Laila Danesh, Dost Jabarkhyl (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Source Type: research

Developing a research question: A research primer for low- and middle-income countries
Publication date: Available online 11 June 2020Source: African Journal of Emergency MedicineAuthor(s): Rob D. Mitchell, Gerard M. O'Reilly, Georgina A. Phillips, Trina Sale, Nobhojit Roy (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 12, 2020 Category: Emergency Medicine Source Type: research

Research skills and the data spreadsheet: A research primer for low- and middle-income countries
Publication date: Available online 7 June 2020Source: African Journal of Emergency MedicineAuthor(s): David McD. Taylor, Peter W. Hodkinson, Abdus Salam Khan, Erin Simon (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 8, 2020 Category: Emergency Medicine Source Type: research

Providing end-of-life care in the emergency department: Early experience from Médecins Sans Frontières during the Covid-19 pandemic
Publication date: Available online 1 June 2020Source: African Journal of Emergency MedicineAuthor(s): Anne-Marie Pegg, Miguel Palma, Cliff Roberson, Chibuzo Okonta, Marie-Hortense Nkokolo Massamba/Koudika, Natalie Roberts (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 2, 2020 Category: Emergency Medicine Source Type: research

A comparative study on the diagnostic validity of three scoring systems in the diagnosis of acute appendicitis in emergency centres
Publication date: Available online 30 May 2020Source: African Journal of Emergency MedicineAuthor(s): Farahnaz Farahbakhsh, Mehdi Torabi, Moghaddameh Mirzaee (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 31, 2020 Category: Emergency Medicine Source Type: research

The air up there - Chilaiditi's syndrome: A case report and review of the literature
Publication date: Available online 25 May 2020Source: African Journal of Emergency MedicineAuthor(s): Hassan Ali Tariq, Tharuneshan Pillay (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

An assessment of Nurses' knowledge, attitude and practice of emergency care related to road traffic accident victims at three selected hospitals in Rwanda
Publication date: Available online 25 May 2020Source: African Journal of Emergency MedicineAuthor(s): Claudine Nshutiyukuri, Busisiwe Rosemary Bhengu, Darius Gishoma (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

Social media and the modern scientist: a research primer on social media-based research, dissemination, and sharing
Publication date: Available online 25 May 2020Source: African Journal of Emergency MedicineAuthor(s): Junghwan Kevin Dong, Colleen Saunders, Benjamin W. Wachira, Brent Thoma, Teresa M. Chan (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

Left ventricular mass in a patient with severe heart failure
Publication date: Available online 26 May 2020Source: African Journal of Emergency MedicineAuthor(s): Felix Wangmang, Ryan Joseph (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

Injuries and their related household costs in a tertiary hospital in Ghana
Publication date: Available online 26 May 2020Source: African Journal of Emergency MedicineAuthor(s): Paa-Kwesi Blankson, Justice Nonvignon, Genevieve Aryeetey, Moses Aikins (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

The application of optimisation modelling and geospatial analysis to propose a coronary care network model for patients with ST-elevation myocardial infarction
Publication date: Available online 26 May 2020Source: African Journal of Emergency MedicineAuthor(s): Willem Stassen, Leif Olsson, Lisa Kurland (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

Applying the Haddon matrix conceptual model to guide motor vehicle crash injury research and prevention in Botswana
Publication date: Available online 26 May 2020Source: African Journal of Emergency MedicineAuthor(s): Claire Bocage, Yohana Mashalla, Paul Motshome, Othusitse Fane, Lydia Masilo-Nkhoma, Olorato Mathiba, Emang Mautle, Botsile Kuiperij, Tlhabano Mmusi, John H. Holmes, Vicky Tam, Frances K. Barg, Douglas J. Wiebe (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 27, 2020 Category: Emergency Medicine Source Type: research

Analysing the literature: A research primer for low- and middle-income countries
Publication date: Available online 24 May 2020Source: African Journal of Emergency MedicineAuthor(s): Christopher R. Carpenter, Bonaventure Hollong, Erin Simon, Colin A. Graham (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 26, 2020 Category: Emergency Medicine Source Type: research

Preparedness is key - the challenge of COVID-19 in low resource settings: four checklists from Doctors Worldwide to prepare for COVID-19
Publication date: Available online 7 May 2020Source: African Journal of Emergency MedicineAuthor(s): Fatimah Wobi, Monowara Gani, Najeeb Rahman (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 14, 2020 Category: Emergency Medicine Source Type: research

Conference presentations: A research primer for low- and middle-income countries
Publication date: Available online 11 May 2020Source: African Journal of Emergency MedicineAuthor(s): Jonathan C. Knott, David McD Taylor (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 12, 2020 Category: Emergency Medicine Source Type: research

Preparedness is key - the challenge of COVID-19 in low resource settings: 4 checklists from Doctors Worldwide to prepare for COVID-19
Publication date: Available online 7 May 2020Source: African Journal of Emergency MedicineAuthor(s): Fatimah Wobi, Monowara Gani, Najeeb Rahman (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 7, 2020 Category: Emergency Medicine Source Type: research

Please do not put a chest drain in my chest! Vanishing lung syndrome
Publication date: Available online 5 May 2020Source: African Journal of Emergency MedicineAuthor(s): Avinash Aujayeb (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 7, 2020 Category: Emergency Medicine Source Type: research

Non-operative management of blunt abdominal solid organ trauma in adult patients
Publication date: Available online 5 May 2020Source: African Journal of Emergency MedicineAuthor(s): Wesam Ibrahim, Gamal Mousa, Jon Mark Hirshon, Mohamed El-Shinawi, Hani Mowafi (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 7, 2020 Category: Emergency Medicine Source Type: research

A mixed methods investigation of emergency communications centre triage in the Government Emergency Medical Services System, Cape Town, South Africa
Publication date: Available online 4 May 2020Source: African Journal of Emergency MedicineAuthor(s): M.F. Alshehri, J.L. Pigoga, L.A. Wallis (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 6, 2020 Category: Emergency Medicine Source Type: research

Delayed presentation of paracetamol overdose
Publication date: Available online 4 May 2020Source: African Journal of Emergency MedicineAuthor(s): Johnre Retief Els, Luan Taljaard, Bruce Strover (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 4, 2020 Category: Emergency Medicine Source Type: research

Could lung ultrasound be used instead of auscultation?
Publication date: Available online 1 May 2020Source: African Journal of Emergency MedicineAuthor(s): Avinash Aujayeb (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - May 1, 2020 Category: Emergency Medicine Source Type: research

A successful hybrid emergency medicine postgraduate partnership in Southern Africa
Publication date: Available online 25 April 2020Source: African Journal of Emergency MedicineAuthor(s): Megan Cox, Japhter Masunge, Heike Geduld (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - April 25, 2020 Category: Emergency Medicine Source Type: research

COVID-19 Severity Scoring Tool for low resourced settings
Publication date: Available online 2 April 2020Source: African Journal of Emergency MedicineAuthor(s): Lee A. Wallis (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - April 2, 2020 Category: Emergency Medicine Source Type: research

Injury patterns of patients presenting to a non-governmental hospital in Western Uganda
Publication date: Available online 25 March 2020Source: African Journal of Emergency MedicineAuthor(s): Heather A. Brown, Joshua Skaggs, Caroline Brady, Vincent Tumusiime, Austin S. White (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 27, 2020 Category: Emergency Medicine Source Type: research

Trauma burden, patient demographics and care-process in major hospitals in Tanzania: A needs assessment for improving healthcare resource management
Publication date: Available online 10 March 2020Source: African Journal of Emergency MedicineAuthor(s): Michael Mwandri, Timothy Craig Hardcastle, Hendry Sawe, Francis Sakita, Juma Mfinanga, Sarah Urassa, Alex Mremi, Lazaro Nelbert Mboma, Prosper Bashaka (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 11, 2020 Category: Emergency Medicine Source Type: research

Medical student satisfaction and confidence in simulation-based learning in Rwanda – Pre and post-simulation survey research
Publication date: Available online 9 March 2020Source: African Journal of Emergency MedicineAuthor(s): Simeon Turatsinze, Alice Willson, Haley Sessions, Peter Thomas Cartledge (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 11, 2020 Category: Emergency Medicine Source Type: research

The state of emergency medical technician education in Ghana
Publication date: Available online 7 March 2020Source: African Journal of Emergency MedicineAuthor(s): Katelyn E. Flaherty, Ahmed N. Zakariah, Vicki A. Vescio, Maxwell Osei-Ampofo, Mohammed-Najeeb Mahama, Vitus Agongo, Torben K. Becker (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 7, 2020 Category: Emergency Medicine Source Type: research

Interpretation of emergency CT scans in polytrauma: trauma surgeon vs radiologist
Publication date: Available online 7 March 2020Source: African Journal of Emergency MedicineAuthor(s): Priyashini Parag, Timothy Craig Hardcastle (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 7, 2020 Category: Emergency Medicine Source Type: research

Clinical teams' experiences of crowding in public emergency centres in Cape Town, South Africa
DiscussionWith its high patient acuity and volume and its limited human and material resources, South Africa is an important case study for understanding how emergency care providers manage working in crowded conditions. The solutions to crowding recommended by interviewees were to expand the EC workforce and to add discharge lounges and examination tables. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 19, 2020 Category: Emergency Medicine Source Type: research

Patterns of injury at an Ethiopian referral hospital: Using an institutional trauma registry to inform injury prevention and systems strengthening
ConclusionThis study highlights the utility of institutional trauma registries in collecting crucial injury surveillance data. In Addis Ababa, road safety is an important target for injury prevention. Our findings suggest that the most severely injured patients may not be making it to the referral centers with the capacity to treat their injuries, thus efforts to improve prehospital care and triage are needed.African relevanceInjury is a public health priority in Africa. Institutional trauma registries play a crucial role in efforts to improve trauma care by describing injury epidemiology to identify targets for injury pre...
Source: African Journal of Emergency Medicine - February 19, 2020 Category: Emergency Medicine Source Type: research

Palliation, end-of-life care and burns; concepts, decision-making and communication – A narrative review
Publication date: Available online 9 February 2020Source: African Journal of Emergency MedicineAuthor(s): Daan den Hollander, Rene Albertyn, Julia AmberAbstractPalliative care is the turn from cure as the priority of care to symptom relief and comfort care. Although very little is published in the burn literature on palliative care, guidelines can be gleaned from the general literature on palliative care, particularly for acute surgical and critical care patients. Palliative care may be started because of futility, on request of the patient, or because of limited resources. The SPIKES acronym is a useful guide to avoid err...
Source: African Journal of Emergency Medicine - February 10, 2020 Category: Emergency Medicine Source Type: research

Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses
The objectives of this study were to evaluate the accuracy of drug dose calculations using the Broselow tape, the PAWPER XL tape plus its companion drug-dosing guide, a custom-designed mobile phone app and no drug-dosing aid (control group).MethodsThis was a prospective study in which 32 emergency medicine volunteers participated in eight simulations of common paediatric emergency conditions, using children models. The participants used the three methods to estimate the children's weight and calculate drug doses. The accuracy of and time taken for the drug dose determinations were then evaluated for each of the methods.Res...
Source: African Journal of Emergency Medicine - February 9, 2020 Category: Emergency Medicine Source Type: research

Colchicine overdose: A South African experience, a case report
DiscussionThe clinical presentation and management should be familiar to all those who work in acute care in order to be able to identify and treat it timeously thus preventing morbidity and mortality. Treatment is largely supportive. To the best of our knowledge this is the first case of colchicine overdose described in Sub-Saharan Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Source Type: research

Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases
Publication date: Available online 5 February 2020Source: African Journal of Emergency MedicineAuthor(s): Rulé Human, Mimi GeyserAbstractIntroductionInterpersonal violence cases make up a significant portion of the trauma cases seen in emergency centres in South Africa. Community assaults are extremely violent attacks on suspected perpetrators by members of the community aimed at inflicting serious injury. The aim of this study was to profile the major interpersonal violence cases at Kalafong Hospital with emphasis on the community assaults and how this group compares with non- community assaults regarding demograph...
Source: African Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Source Type: research

Telephonic description of sepsis among callers to an emergency dispatch centre in South Africa
ConclusionIt was found that certain categories appeared in higher frequencies than others so that a pattern could be recognised. Utilising these categories, telephonic recognition algorithms for sepsis could be developed to aid in predicting sepsis over the phone. This would allow for dispatching of the correct level of care immediately and could subsequently have positive effects on patient outcome. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Source Type: research

Transfusion, mortality and hemoglobin level: Associations among emergency department patients in Kigali, Rwanda
ConclusionsNo association between PRBC transfusion and odds of mortality was observed amongst EC patients in this LMIC setting. An increased mortality association was found for patients receiving PRBC transfusions with an initial hemoglobin>5 mg/dL. Results suggest benefits from PRBC transfusion are limited as compared to HIC. Further research evaluating emergent transfusion thresholds for medical pathologies should be performed in LMICs to guide practice. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 6, 2020 Category: Emergency Medicine Source Type: research

Novel educational adjuncts for the World Health Organization Basic Emergency Care Course: A prospective cohort study
DiscussionImplementation of flipped classroom educational adjuncts for the WHO BEC course is feasible and may improve healthcare worker learning in low resource settings. Our focus- group feedback suggest that the course and adjuncts are user friendly and culturally appropriate. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 24, 2020 Category: Emergency Medicine Source Type: research

Impact of traffic, poverty and facility ownership on travel time to emergency care in Nairobi, Kenya
ConclusionAverage travel times to health facilities capable of providing emergency care in Nairobi are quite low, but traffic congestion double or triple estimated travel times. Furthermore, we estimate significant disparities in timely access to care for those individuals living under the poverty line who preferentially seek care in public or faith-based facilities. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 15, 2020 Category: Emergency Medicine Source Type: research

Bull horn injury causing traumatic tooth intrusion – ultrasound and CT imaging
ConclusionIn such cases, whenever the conventional imaging modalities like the X-rays such as intra oral peri-apical views and orthopantomograms are unavailable, or where use of ionizing radiation is a grave concern (especially in children and pregnant patients), ultrasonography offers a non-invasive diagnostic imaging method which helps in diagnosis of the condition and also helps in supplementing the clinical information, thereby helping in better understanding of the underlying condition. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 9, 2020 Category: Emergency Medicine Source Type: research

The effect of clinical simulation assessment on stress and anxiety measures in emergency care students
This study aimed to assess the effect of participation by students in an emergency care simulation on an objective measure of stress and a subjective measure of anxiety.MethodsHeart rate variability (HRV) and scores from a validated state anxiety instrument (the State-Trait Anxiety Inventory) were assessed in 36 emergency medical care students participating in scheduled simulation assessments. Data recorded during a resting control period were used for comparison.ResultsHRV variables showed changes in the simulation assessment group suggesting decreased variability and parasympathetic withdrawal, however these were not sig...
Source: African Journal of Emergency Medicine - January 7, 2020 Category: Emergency Medicine Source Type: research

Association between multivitamin supplementation and mortality among patients with Ebola virus disease: An international multisite cohort study
ConclusionEarly multivitamin supplementation was associated with lower overall mortality. Further research on the impact of micronutrient supplementation in EVD is warranted. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 4, 2020 Category: Emergency Medicine Source Type: research

Looking back over a decade with the African Journal of Emergency Medicine
Publication date: Available online 22 November 2019Source: African Journal of Emergency MedicineAuthor(s): Stevan R. Bruijns (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 23, 2019 Category: Emergency Medicine Source Type: research