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 26, 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 10, 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
ConclusionsBoth an accurate weight estimation and a dosing guide with comprehensive information were necessary to produce an accurate prescription. The information on the Broselow tape was not sufficient for this purpose. The current guidelines recommending the use of tapes with limited information should be revised. The results from the comprehensive dosing guides were substantially better, but still had a lower proportion of accurate prescriptions than desirable. The role of training in every aspect of the emergency paediatric weight estimation and drug dosing procedure cannot be underestimated and should be routine in a...
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
ConclusionCommunity assault cases may present with similar demographics when compared to non-community assault cases, but the difference in disposition and outcome was highlighted in this study with a higher intensive care unit admission rate and a higher mortality rate. A multi-centre follow-up study is recommended to compare demographics across Pretoria and to monitor trends in this subgroup of interpersonal violence cases. (Source: African Journal of Emergency Medicine)
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