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Paediatric weight estimation practices of advanced life support providers in Johannesburg, South Africa
DiscussionThe knowledge and understanding of weight estimation systems by many advanced life support paramedics was poor and the use of inappropriate weight estimation systems was common. Further education and intervention is needed in order to change the sub-optimal weight estimation practices of ALS paramedics in Johannesburg. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 5, 2018 Category: Emergency Medicine Source Type: research

Estimating children’s weight in a Rwandan emergency centre
This study aimed to compare the accuracy of various weight estimation methods and to derive a dedicated age-based tool within a Rwandan setting.MethodsThis was a retrospective study using age, weight and height data from randomly selected charts of Rwandan children, aged between one and ten years, who attended the paediatric emergency centre, Centre Hospitalier Universitaire de Kigali, Rwanda. Weights were estimated using four versions of the Broselow Tape and several age-based formulae. Linear regression was used to derive a new age-based weight estimation formula, the Rwanda Rule. Weight estimations were then compared wi...
Source: African Journal of Emergency Medicine - July 5, 2018 Category: Emergency Medicine Source Type: research

A cross-sectional survey of child abuse management knowledge among emergency medicine personnel in Cape Town, South Africa
DiscussionSignificant perceived and actual knowledge deficits of child abuse management exist among both emergency care practitioners and emergency medicine registrars in this setting. Future interventions should address the need for guidelines and increased training opportunities to ensure the health and safety of abused children. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 5, 2018 Category: Emergency Medicine Source Type: research

Major incident simulation in Rwanda: A report of two exercises
ConclusionThe exercises demonstrated the need for a standardised, physiological method of triage based on clinical needs; this is in order to maximise the number of lives saved. Triage training should be an integral part of further major incident exercises, which should be conducted regularly. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 5, 2018 Category: Emergency Medicine Source Type: research

Essential medicines for emergency care in Africa
ConclusionThe 25 novel medications not currently on the WHO EML should be considered by planners when making rational formularies for developing emergency care systems. It is our hope that these resource-stratified lists will allow for easier implementation, and will be a useful tool for practical expansion of emergency care delivery in Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - July 5, 2018 Category: Emergency Medicine Source Type: research

Essential medicines for emergency care in Africa
Conclusion The 25 novel medications not currently on the WHO EML should be considered by planners when making rational formularies for developing emergency care systems. It is our hope that these resource-stratified lists will allow for easier implementation, and will be a useful tool for practical expansion of emergency care delivery in Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 29, 2018 Category: Emergency Medicine Source Type: research

Head injury burden in a major referral hospital emergency centre in Botswana
This study describes the demographics, aetiology, emergency centre diagnosis and severity indicators of patients with head injuries presenting to the largest referral hospital emergency centre in Botswana. Methods Cross-sectional retrospective data was collected from July 2015 to September 2015 for all emergency centre head injury presentations at Princess Marina Hospital. Information was extracted from emergency centre records regarding patient demographics, mechanism of injury, clinical observations, diagnosis, and treatment. Results Three-hundred and sixty head injury patients presented to the emergency centre in the ...
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

A description of the self-perceived educational needs of emergency nurses in Durban, KwaZulu-Natal, South Africa
Discussion The study emphasises the need for support systems for educational development of emergency nurses. Further training in specific skills and competencies may enhance emergency care provided. There is a growing need for ongoing educational development of emergency nurses in South Africa. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

A low fidelity eye model for lateral canthotomy training
Publication date: Available online 5 May 2018 Source:African Journal of Emergency Medicine Author(s): Rodrigo Kong, Dersim Pascal Kaya, Eric Cioe-Pena, Josh Greenstein We introduce a low-fidelity, low-cost, reusable training model for the lateral canthotomy procedure. We believe that this trainer has the potential to improve clinicians’ knowledge and skill of the procedure, especially when cost or access to higher-fidelity trainers is prohibitive. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

The burden of intentional self-poisoning on a district-level public Hospital in Cape Town, South Africa
Discussion Intentional self-poisoning patients place a significant burden on emergency centres. The high percentage of low-grade acuity patients managed in a high-acuity area is of concern and should be investigated further. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

A cross-sectional survey of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa
Discussion The results indicate that a large proportion of the doctors who work in these emergency centres are at moderate to high risk of burnout. Based on our findings we recommend that interventions be introduced at the work place to reduce burnout in doctors and improve their mental well-being. This will ensure better service delivery to patients with emergencies. Further research into the causes of occupational burnout should be explored. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

Emergency health education in a conflict stricken environment: A situational analysis
Conclusions drawn suggest that the knowledge of emergency medicine by front line professionals is limited. Therefore, the development of field curricula, practical and theoretical training by visiting practitioners, provision of additional teaching aids, tools and equipment, integration of multiple disciplines in training and financial resource mobilisation would be beneficial in improving knowledge, attitudes and practices of emergency care. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

Major incident simulation in Rwanda: A report of two exercises
Conclusion The exercises demonstrated the need for a standardised, physiological method of triage based on clinical needs; this is in order to maximise the number of lives saved. Triage training should be an integral part of further major incident exercises, which should be conducted regularly. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

Estimating children ’s weight in a Rwandan emergency centre
This study aimed to compare the accuracy of various weight estimation methods and to derive a dedicated age-based tool within a Rwandan setting. Methods This was a retrospective study using age, weight and height data from randomly selected charts of Rwandan children, aged between one and ten years, who attended the paediatric emergency centre, Centre Hospitalier Universitaire de Kigali, Rwanda. Weights were estimated using four versions of the Broselow Tape and several age-based formulae. Linear regression was used to derive a new age-based weight estimation formula, the Rwanda Rule. Weight estimations were then compared...
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research

Freely Accessible Medical Education (FAME) for Africa
Publication date: June 2018 Source:African Journal of Emergency Medicine, Volume 8, Issue 2 Author(s): Giles N. Cattermole, Appolinaire Manirafasha, Adam R. Aluisio, Gabin Mbanjumucyo (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - June 16, 2018 Category: Emergency Medicine Source Type: research