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.

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
ConclusionKetamine can be used as an alternative non-invasive treatment to successfully relieve pain in patients with limb fractures. (Source: African Journal of Emergency Medicine)
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