The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study
ConclusionsThe burden of heart failure and stroke on hospital admissions in Tanzania is substantial, and the volume of stroke admissions is rising precipitously. ACS is a rare diagnosis, and the distribution of cardiovascular disease phenotypes in Tanzania differs from what has been observed outside of Africa. Further research is needed to ascertain the reasons for these differences. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - August 9, 2019 Category: Emergency Medicine Source Type: research

Evaluating trauma scoring systems for patients presenting with gunshot injuries to a district-level urban public hospital in Cape Town, South Africa
This study compares the Triage Early Warning Score (TEWS), Injury Severity Score (ISS), Trauma and Injury Severity Score (TRISS), Kampala Trauma Score (KTS) and Revised Trauma Score (RTS) as predictors of mortality among patients with gunshot injuries at a district-level urban public hospital in Cape Town, South Africa.MethodsGunshot-related patients admitted to the resuscitation area of Khayelitsha Hospital between 1 January 2016 and 31 December 2017 were retrospectively analysed. Receiver Operating Characteristic (ROC) analysis were used to determine the accuracy of each score to predict all-cause in-hospital mortality. ...
Source: African Journal of Emergency Medicine - August 9, 2019 Category: Emergency Medicine Source Type: research

Identifying quality indicators for prehospital emergency care services in the low to middle income setting: The South African perspective
ConclusionWithin the South Africa setting, there are a multitude of QIs that are relevant and appropriate for use in PEC. This was evident in the number, variety and type of QIs reaching consensus agreement in our study. Furthermore, both the methodology employed, and findings of this study may be used to inform the development of PEC specific QIs within other LMIC settings. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - August 8, 2019 Category: Emergency Medicine Source Type: research

Rapid, remote education for point-of-care ultrasound among non-physician emergency care providers in a resource limited setting
ConclusionsRemotely delivered quality assurance feedback is an effective educational tool to enhance provider skill and foster continued and sustainable use of ultrasound in LMICs. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 10, 2019 Category: Emergency Medicine Source Type: research

Triage conducted by lay-staff and emergency training reduces paediatric mortality in the emergency department of a rural hospital in Northern Mozambique
Publication date: Available online 2 July 2019Source: African Journal of Emergency MedicineAuthor(s): Johanna Dekker-Boersema, Jonas Hector, Laura Frances Jefferys, Clemência Binamo, Deavis Camilo, Gerard Muganga, Mussa Manuel Aly, Ernesto Belario Rafael Langa, Penelope Vounatsou, Michael André HobbinsAbstractIntroductionThe majority of emergency paediatric death in African countries occur within the first 24 h of admission. A coloured triage system is widely implemented in high-income countries and the emergency triage and assessment treatment (ETAT) is recommended by the World Health Organization, but not ...
Source: African Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Source Type: research

Clinical presentation and diagnostic work up of suspected pulmonary embolism in a district hospital emergency centre serving a high HIV/TB burden population
ConclusionsPE remains a diagnostic challenge. In our study, the retrospectively calculated CDR was not predictive of PE in a population with a high prevalence of HIV and TB. Emergency physicians should be cautious when making a clinical probability assessment of PE in this setting. However, further studies are needed to develop a predictive CDR for the local environment. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Source Type: research

Needs assessment for a formal emergency medicine residency program in southern Madagascar
ConclusionsWhile the needs assessment indicates substantial need for emergency medicine development in southern Madagascar, the yield (particularly for the metropolitan Fianarantsoa area) would serve the population well. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Source Type: research

Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development
ConclusionsTrends toward NCDs and traumatic diseases have been described by this study and merit further investigation in both the urban and rural setting. Specifically, the significance of head injury on healthcare cost, utilisation, and patient death and disability points to the growing need of additional resources at Kenyatta National Hospital for acute care. It further demonstrates the mounting impact of trauma in Kenya and throughout the developing world.African relevance•This is a comprehensive description of the emergency centre at Kenya's largest public tertiary hospital•It adds to descriptions of trends ...
Source: African Journal of Emergency Medicine - July 2, 2019 Category: Emergency Medicine Source Type: research

Nervous breakdown! A registry of nerve blocks from a South African emergency centre
ConclusionThis study illustrates the use of nerve blocks as an effective, safe and timeous analgesic solution to a wide variety of musculoskeletal injuries in an academic emergency centre in South Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 26, 2019 Category: Emergency Medicine Source Type: research

Guest Editorial: Introduction to the Trauma Special Issue
Publication date: 2019Source: African Journal of Emergency Medicine, Volume 9, SupplementAuthor(s): Timothy Craig Hardcastle, George Oosthuizen, Charlie Mock, Tarek Razek (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 14, 2019 Category: Emergency Medicine Source Type: research

A cross-sectional description of open access publication costs, policies and impact in emergency medicine and critical care journals
ConclusionsWe present a single database that captures emergency medicine and critical care journal impact rankings alongside its respective open access cost and green open access policies. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 7, 2019 Category: Emergency Medicine Source Type: research

A prehospital randomised controlled trial in South Africa: Challenges and lessons learnt
Publication date: Available online 6 March 2019Source: African Journal of Emergency MedicineAuthor(s): Willem Stassen, Lee Wallis, Maaret Castren, Craig Vincent-Lambert, Lisa KurlandAbstractThe incidence of cardiovascular disease and STEMI is on the rise in sub-Saharan Africa. Timely treatment is essential to reduce mortality. Internationally, prehospital 12 lead ECG telemetry has been proposed to reduce time to reperfusion. Its value in South Africa has not been established. The aim of this study was to determine the effect of prehospital 12 lead ECG telemetry on the PCI-times of STEMI patients in South Africa. A multicen...
Source: African Journal of Emergency Medicine - March 7, 2019 Category: Emergency Medicine Source Type: research

The cost of time: A randomised, controlled trial to assess the economic impact of upfront, point-of-care blood tests in the Emergency Centre
ConclusionUpfront, POC blood tests can be utilised in the resource-constrained EC to manage patients more efficiently by saving time. This time-saving can, in fact, be more cost effective than traditional EC workflow making it an economically viable option for implementation in LMIC. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 4, 2019 Category: Emergency Medicine Source Type: research

Disparity in conference registration cost for delegates from low- and middle-income backgrounds
This study aimed to describe the expense-associated barriers to a selection of international emergency medicine and critical care conferences, in terms of registration cost and out-of-pocket expense.MethodsA cross sectional, retrospective design was used. Registration cost variables (cost, waivers, discounts and scholarships) were collected from a cohort of international emergency medicine and critical care conferences held during 2016. The World Health Organization Purchasing Power Parity index was then applied to calculate an equitable registration cost for delegates from South Africa, Brazil, Turkey, China, Australia, G...
Source: African Journal of Emergency Medicine - March 4, 2019 Category: Emergency Medicine Source Type: research

The epidemiology of sepsis in a district hospital emergency centre in Durban, KwaZulu natal
ConclusionA better understanding of the demographic and clinical profile of sepsis syndrome in South African ECs is required to guide clinical and operational policy development. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 4, 2019 Category: Emergency Medicine Source Type: research

Efficacy of nebulized fentanyl and low dose ketamine for pain control of patients with long bone fractures: A randomized, double-blind, clinical trial
Publication date: Available online 3 March 2019Source: African Journal of Emergency MedicineAuthor(s): Mohammadreza Maleki Verki, Javad Mozafari, Fateme Tirandaz, Hassan Motamed, Afsane KhazaeliAbstractIntroductionFentanyl is a lipid soluble, highly potent opioid. The lipid solubility of fentanyl makes it an ideal opioid to be administrated by inhalation. The current study compared ketamine infusion and nebulized fentanyl in bone fracture pain relief.MethodsIn this double-blind, randomized clinical trial, patients aged 18 to 55 years who were admitted to the emergency department (ED) with limb fracture were recruited. A ...
Source: African Journal of Emergency Medicine - March 4, 2019 Category: Emergency Medicine Source Type: research

Trauma intensive care in a terror-ravaged, resource-constrained setting: Are we prepared for the emerging challenge?
ConclusionMajor trauma contributes significantly to local intensive care admissions, with terrorism- related trauma now an emerging challenging cause of major trauma in our region. The observed poor outcomes in this study are a reflection of the quality of available intensive care, and lends credence to the concept of appropriately resourced, specialised intensive care units for optimisation of care. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 14, 2019 Category: Emergency Medicine Source Type: research

Utilisation of emergency blood in a cohort of South African emergency centres with no direct access to a blood bank
ConclusionTrauma remains a major indication for emergency blood transfusion in this setting. This study questions the use of emergency blood for certain non-urgent diagnoses (i.e. anaemia). Given the scarcity of this resource and limitations to access, appropriate use of emergency blood needs to be better defined locally. Ongoing monitoring of the indications for which emergency blood is used, improved transfusion stewardship and better systems to access emergency blood should be a priority in this setting. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 11, 2019 Category: Emergency Medicine Source Type: research

The variables perceived to be important during patient handover by South African prehospital care providers
ConclusionThis study has provided some interesting results related to which handover elements prehospital care providers consider as most important to include in handover. More research is required to correlate these findings with the opinions of emergency centre staff. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 9, 2019 Category: Emergency Medicine Source Type: research

Prognostic performance of ECG abnormalities compared to vital signs in acutely ill patients in a resource-poor hospital in Uganda
DiscussionThe majority of acutely ill medical patients admitted in a low-resource hospital in sub-Saharan Africa had ECG abnormalities, of which prolonged QTc and left ventricular hypertrophy were most common. Those with any Tan score abnormality were twice as likely to die as those without an abnormality. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 7, 2019 Category: Emergency Medicine Source Type: research

Implementation and evaluation of an innovative leadership and teacher training program for non-physician emergency medicine practitioners in Uganda
ConclusionThis course was a successful CE intervention in this setting as measured by Kirkpatrick’s framework. The most frequently mentioned concepts used in practice point to the NPCs ability to take on leadership roles in this setting. Further research and evaluation methods should focus on the influence of culture and personalities on leadership education and translation into practice in an EM setting. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 6, 2019 Category: Emergency Medicine Source Type: research

The burden of road traffic injury among trauma patients in Ethiopia: A systematic review and meta-analysis
ConclusionThe burden of RTI among trauma patients was high. Therefore, strengthening road safety management throughout the country is needed to reduce RTI. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Waveform capnography in a South African prehospital service: Knowledge assessment of paramedics
ConclusionParamedics report using waveform capnography extensively when it is available in the South African out-of-hospital environment. Although the knowledge around capnography and its usage was found to be good in most areas, more complicated scenarios exposed flaws in the knowledge of many paramedics and suggest the need for improved and ongoing training, as well as incorporation into curricula as the field develops across the continent. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Triage live lecture versus triage video podcast in pre-hospital students’ education
DiscussionWe suggest that video podcasts are ready to replace traditional teaching methods in triage. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Dissemination patterns of scientific abstracts presented at the first and second African Conference of Emergency Medicine
ConclusionThe overall publication rate for the first and second Africa Conferences of Emergency Medicine is comparable to other non-African Emergency Medicine conferences. The increasing publication trend between conferences might reflect the development of regional research capacity. Emergency Medicine providers in Africa need to be encouraged to participate in high quality, locally relevant research and to distribute those findings through accessible formats. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Fatal Boomslang bite in the Northern Cape
ConclusionThis case highlights the importance of having monovalent Boomslang antivenom rapidly available in all referral centres that may be involved in the management of Boomslang bite victims. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Mixed methods process evaluation of pilot implementation of the African Federation for Emergency Medicine trauma data project protocol in Ethiopia
ConclusionA mixed methods process evaluation is an invaluable tool when implementing novel data collection protocols, especially in resource-limited settings. We determined early successes and challenges of the implementation of the AFEM-TDP protocol and generated strategies to adapt the protocol to better suit our setting. Lessons from this process evaluation may be informative for other researchers designing and implementing similar data collection protocols. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period
ConclusionThe incidence of severe scorpionism to the TPIC was low. Care should be taken when children are involved and when calls are received more than six hours after the sting. TPIC consultants as well as healthcare professionals working in semi-arid regions should be aware of these high risk populations. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Patterns and outcomes of paediatric trauma at a tertiary teaching hospital in Kenya
DiscussionPaediatric injuries remain a major public health problem and contribute a substantial proportion of all paediatric surgical admissions at the Aga Khan University Hospital in Nairobi. Based on the patterns and outcomes seen in this study, we therefore recommend for Nairobi (and possibly Kenya) to establish greater supervision and safety measures for children; targeting safety interventions at all children but particularly at boys, the very young, at home and in residential buildings; building pre-hospital emergency care that can accommodate children; and equipping paediatric trauma hospitals to especially handle b...
Source: African Journal of Emergency Medicine - February 5, 2019 Category: Emergency Medicine Source Type: research

Access to acute care resources in various income settings to treat new-onset stroke: A survey of acute care providers
This study describes and compares the availability of resources to treat new-onset stroke in countries based on the World Bank’s gross national incomes, using recommendations of the American Heart Association and the American Stroke Association 2013 update.MethodsA self-reported cross-sectional survey was conducted of delegates that attended the April 2016 International Conference on Emergency Medicine using the web-based e-Survey client, Survey Monkey Inc. The survey assessed both pre-hospital and in-hospital settings and was piloted before implementation.ResultsThe survey was distributed and opened by 955 delegates...
Source: African Journal of Emergency Medicine - January 20, 2019 Category: Emergency Medicine Source Type: research

Pre-hospital intercostal chest drains in South Africa: A modified Delphi study
ConclusionDefinitive care of a life-threating pneumothorax and/or haemothorax must be sought emergently. The insertion of an ICD, under select conditions, may be required in the pre-hospital setting in South Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 20, 2019 Category: Emergency Medicine Source Type: research

The burden of trauma at a district hospital in the Western Cape Province of South Africa
ConclusionThis district hospital emergency centre, with a small complement of non-EM trained physicians and no trauma surgical services, cared for a high volume of trauma with over half presenting on weekends and overnight when personnel are limited. The high volume and rate of admission/ transfer of intentional injuries suggests the need for improving prehospital trauma triage and trauma referrals. The results suggest strengthening trauma care systems at and around this resource-limited district hospital in South Africa may help alleviate the high burden of post-trauma morbidity and mortality. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 20, 2019 Category: Emergency Medicine Source Type: research

Poor access to acute care resources to treat major trauma in low- and middle-income settings: A self-reported survey of acute care providers
ConclusionMajor trauma care requires a chain of successful, evidence-based events for outcomes to benefit. This small study suggests that many of the links of this chain are either missing or broken within low- and middle-income countries. These settings simply do not benefit from the currently available evidence-base in major trauma care. It is important that this evidence-base also be evaluated within low- and middle-income countries. The capacity of low- and middle-income country emergency care systems also needs better describing. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 18, 2019 Category: Emergency Medicine Source Type: research

Cochrane, evidence-based medicine and associated factors: A cross-sectional study of the experiences and knowledge of Ethiopian specialists in training
ConclusionEthiopian trainee specialists lacked formal EBM training, awareness and use of the Cochrane Library. To improve the healthcare quality and patient outcomes, EBM education should be integrated into residency curricula. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 18, 2019 Category: Emergency Medicine Source Type: research

Traumatic ocular lens dislocation
ConclusionOcular lens dislocation may be easily diagnosed with ultrasound. Direction of lens dislocation dictates management, however posterior dislocations may be amenable to outpatient management. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 18, 2019 Category: Emergency Medicine Source Type: research

Fifteen years of emergency medicine literature in Africa: A scoping review
ConclusionOur review revealed a considerable increase in the growth of African EM literature from 1999 to 2014. Overwhelmingly, articles were observational, studied all-comers, and focused on undifferentiated complaints. The articles discovered in this scoping review are reflective of the relatively immature and growing state of African EM. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 18, 2019 Category: Emergency Medicine Source Type: research

Are “virtual” paediatric weight estimation studies valid?
ConclusionsThe virtual and real weight estimates had very similar accuracy outcomes for both tapes in this study. However, if virtual studies are used, they should be followed by real-life studies in order to assess the impact of human and patient factor errors on the accuracy of the weight estimation systems. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 17, 2019 Category: Emergency Medicine Source Type: research

Development of a nurse-led tranexamic acid administration protocol for trauma patients in rural South Africa
ConclusionsNursing staff in resource poor rural settings can use a protocol based on the South African Triage Scale and the CRASH-2 study to safely administer TXA to trauma patients. We believe this to be the first published literature on nurse-led administration of TXA. Mortality from trauma may be reduced in rural settings by the timely administration of TXA in the prehospital and rural primary healthcare settings. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - January 9, 2019 Category: Emergency Medicine Source Type: research

Modified Delphi study to determine optimal data elements for inclusion in a pilot violence and injury observatory in Cape Town, South Africa
This study provides a research priority framework for violence and injury prevention work within South Africa. These expert-identified violence and injury indicators and datasets are context-appropriate and may serve to guide the development of additional VIOs within the region. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - December 11, 2018 Category: Emergency Medicine Source Type: research

Global emergency care clinical practice guidelines: A landscape analysis
We described the characteristics and quality of CPGs relevant to prehospital care worldwide, in order to strengthen guideline development in low-resource settings for emergency care.MethodsWe conducted a descriptive study of a database of international CPGs relevant to emergency care produced by the African Federation for Emergency Medicine (AFEM) CPG project in 2016. Guideline quality was assessed with the AGREE II tool, independently and in duplicate. End-user documents such as protocols, care pathways, and algorithms were excluded. Data were imported, managed, and analysed in STATA 14 and R.ResultsIn total, 276 guidelin...
Source: African Journal of Emergency Medicine - October 24, 2018 Category: Emergency Medicine Source Type: research

Procedural sedation and analgesia practices in the emergency centre
ConclusionAlthough the safe practice and awareness of procedural sedation and analgesia in both public-sector and private-sector emergency centres in Southern Gauteng appears to be on the increase, there is still a need to enhance practitioner training and promote awareness of current local and international trends, protocols and recommendations. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - October 14, 2018 Category: Emergency Medicine Source Type: research

A descriptive analysis of casualties evacuated from the Africa area of operations
We describe trauma cases reported in the Africa Command (AFRICOM) area of operations to date within the Department of Defense Trauma Registry (DODTR).MethodsWe queried the DODTR for all subjects evacuated from the AFRICOM area of operations from January 2002 to June 2017.ResultsThere were 49 subjects in the registry during our time frame from AFRICOM. Most of the evacuations came from Djibouti (53%). The median age was 29 years, most evacuees being male (92%). Non-battle injuries accounted for most of the injuries (82%), and most were US military (90%). All battle injuries were gunshot wounds (GSW). Composite injury scor...
Source: African Journal of Emergency Medicine - October 13, 2018 Category: Emergency Medicine Source Type: research

Developing a South African Helicopter Emergency Medical Service Activation Screen (SAHAS): A Delphi study
DiscussionThe combination of existing literature and participant opinions, established that call-out criteria are most efficient when based on clinical parameters and geographic considerations, as opposed to a specified list of criteria. The initial concept of our SAHAS should be investigated further. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - October 13, 2018 Category: Emergency Medicine Source Type: research

Impact of emergency medicine training implementation on mortality outcomes in Kigali, Rwanda: An interrupted time-series study
This study evaluated the impact of EM training and associated systems implementation on mortality among patients treated at the University Teaching Hospital-Kigali (UTH-K).MethodsAt UTH-K an EM post-graduate diploma programme was initiated in October 2013, followed by a residency-training programme in August 2015. Prior to October 2013, care was provided exclusively by general practice physicians (GPs); subsequently, care has been provided through mutually exclusive shifts allocated between GPs and EM trainees. Patients seeking Emergency Centre (EC) care during November 2012–October 2013 (pre-training) and August 201...
Source: African Journal of Emergency Medicine - October 13, 2018 Category: Emergency Medicine Source Type: research

Cola therapy for oesophageal food bolus impactions a case series
DiscussionWhile keenly aware of our retrospective study’s limitations, we found a promising success rate for cola as an acute intervention for oesophageal food bolus impactions. We registered no adverse events attributable to cola. Also, given that cola is cheap, widely available and seemingly safe we believe it can be considered in patients with oesophageal obstructions due to food, either as pre-endoscopy treatment or in case endoscopy is not available at all. We think our findings provide an impetus for prospective research on this intervention. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - October 13, 2018 Category: Emergency Medicine Source Type: research

Acute mesenteric ischaemia: A case of expedited diagnosis and management using point-of-care ultrasound
We describe the case of a 28-year-old male who presented to an urban Ethiopian emergency centre with three days of vomiting, bloody diarrhoea, and abdominal pain. He collapsed in triage with weak pulses and an undetectable blood pressure. Point-of-care ultrasound revealed a hyperechoic, mobile mass in the left ventricle of the heart. Small bowel dilation and thickening was visualised throughout the abdomen. Mesenteric ischaemia was rapidly identified as the working diagnosis, prompting early surgical consultation and aggressive, goal-directed resuscitation.DiscussionShort of elucidating a definitive diagnosis, ultrasound n...
Source: African Journal of Emergency Medicine - October 5, 2018 Category: Emergency Medicine Source Type: research

Respiratory failure requiring mechanical ventilation in critically ill adults in Ghana: A prospective observational study
ConclusionRespiratory failure requiring intubation and mechanical ventilation is common in patients presenting to the emergency centre or intensive care unit at an academic tertiary care centre in Ghana. The true incidence of ARDS was likely underestimated by our study. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - September 21, 2018 Category: Emergency Medicine Source Type: research

African Federation for Emergency Medicine’s Francophone Working Group – May 2018 Report
Publication date: September 2018Source: African Journal of Emergency Medicine, Volume 8, Issue 3Author(s): Müller M Mundenga, Ken Diango, Gabin Mbanjumucyo, Diulu Kabongo, Andrea G TennerAbstractEven though the African Federation for Emergency Medicine (AFEM) has been successfully developing emergency care in Africa for the past nine years, a considerable amount of potential AFEM members from the African-Francophone countries are not able to access AFEM resources. In response, an AFEM Francophone Working Group has been created to coordinate all existing and new initiatives to promote emergency care in African-Francoph...
Source: African Journal of Emergency Medicine - August 30, 2018 Category: Emergency Medicine Source Type: research

The case for investing in public health surveillance in low- and middle-income countries
Publication date: Available online 31 July 2018Source: African Journal of Emergency MedicineAuthor(s): Kidist K. BartolomeosAbstractSurveillance is central to public health. In the absence of comparable data from most low-income and middle-income countries, national and international agencies use estimates to monitor health targets. Although morbidity and mortality estimations generated by statistical modelling can fulfill national and global reporting requirements, locally generated data are needed to guide evidence-based local action. The focus on measurement around the sustainable development goals provides an opportuni...
Source: African Journal of Emergency Medicine - August 1, 2018 Category: Emergency Medicine Source Type: research

The burden of trauma presenting to the government referral hospital in Freetown, Sierra Leone: An observational study
DiscussionInjury accounts for a high burden of disease at Connaught Hospital and consumes a significant proportion of EC and hospital resources. Efforts should be directed towards strengthening the pre-hospital and emergency trauma systems with accurate, formal data collection as well as targeting injury prevention initiatives and improving road safety to reduce morbidity and mortality. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 28, 2018 Category: Emergency Medicine Source Type: research