African Journal of Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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
ConclusionParticipating in an emergency care simulation assessment significantly elevated levels of anxiety in a group of 36 students, however an objective measure of stress did not identify changes significantly different to those at rest, with the exception of heart rate. The high levels of anxiety documented before and after simulation assessments may have a negative effect on performance and require further investigation. (Source: African Journal of Emergency Medicine)
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

Self-assessed competencies of nurses at an emergency department in Ghana
DiscussionSpecialist training enhances nurses' perceived competences in emergency nursing procedures. This reiterates the need for regular theory and practice-based education for GNs on intermediate and advanced procedures as they prepare to enrol in specialist programmes. As nurses take on expanded professional roles in this emerging nursing specialty in low- and middle-income countries, it is important the needed capacity is developed to adequately address the needs of patients and families that require services in ECs. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 23, 2019 Category: Emergency Medicine Source Type: research

The Urgent Need for Postgraduate Medical Training in Emergency Medicine in Nigeria
Publication date: Available online 18 November 2019Source: African Journal of Emergency MedicineAuthor(s): Adebayo DaCosta, Ayokunle Osonuga, Oluwaseyitan Adesegun (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 20, 2019 Category: Emergency Medicine Source Type: research

Evaluation of a modified South African Triage Score as a predictor of patient disposition at a tertiary hospital in Rwanda
ConclusionThe mSATS tool accurately predicted patient disposition and mortality for the overall ED population. The mSATS tool provided useful clinical guidance on the need for hospital admission for medical patients but did not accurately predict patient disposition for injured patients. Further trauma-specific triage studies are needed to improve emergency care in Rwanda. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 20, 2019 Category: Emergency Medicine Source Type: research

High-anion gap hyperchloremic acidosis mimicking diabetic ketoacidosis on initial presentation – Case report
DiscussionHyperchloremic acidosis is associated with a non-anion gap, decrease in plasma bicarbonate and increase in plasma chloride. Rarely, as with this case, it may present with a high-anion gap. The use of bicarbonate therapy has shown improvement in cases of non-anion gap acidosis however there is very little data to support its role in high-anion gap hyperchloremic metabolic acidosis. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 17, 2019 Category: Emergency Medicine Source Type: research

An analysis of US Africa command area of operations military medical transportations, 2008–2018
We describe medical evacuations analyzed from the US Air Force Transportation Command Regulating and Command & Control Evacuation System (TRAC2ES).MethodsWe performed a retrospective review of all TRAC2ES medical records for medical evacuations from the AFRICOM theater of operations conducted between January 1, 2008 and December 31, 2018. We abstracted free text data entry in TRAC2ES for diagnostic and therapeutic interventions performed prior to the patient movement request.ResultsDuring this time, there were 963 cases recorded in TRAC2ES originating within AFRICOM. 961 records were complete for analysis. Most patients we...
Source: African Journal of Emergency Medicine - November 17, 2019 Category: Emergency Medicine Source Type: research

Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five year review
ConclusionPneumonia and aspiration pneumonitis are major contributors to morbidity and mortality due to respiratory diseases for which interventions towards improving childhood health indices should be prioritized. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 13, 2019 Category: Emergency Medicine Source Type: research

For the students, by the students: Student perceptions of low cost medical moulage in a resource-constrained environment
ConclusionThe use of low-cost, self-constructed moulage is a feasible and economically viable means of enhancing fidelity within the resource-constrained simulation setting. This technique is not necessarily limited to emergency medical care and can be used in other areas of healthcare simulation. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - November 2, 2019 Category: Emergency Medicine Source Type: research

Cross-sectional survey on occupational needle stick injuries amongst prehospital emergency medical service personnel in Johannesburg
ConclusionPrehospital personnel are at risk of sustaining a NSI. There is a need to promote awareness with regards to the risks, preventive measures, awareness of PEP protocols and the timely initiation and completion of HIV PEP amongst EMS personnel in Johannesburg. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - October 24, 2019 Category: Emergency Medicine Source Type: research