A qualitative study exploring nurses ’ attitudes, confidence, and perceived barriers to implementing a traumatic brain injury nursing chart in Uganda
Conclusion Nurses were receptive to the education session and nursing chart, and felt that it increased their confidence and improved their ability to care for traumatic brain injured patients. However, lack of supplies, overwhelming numbers of patients, and inadequate staffing interfered with consistent monitoring of patients. The nurses offered various suggestions for improving traumatic brain injury care that should be further investigated. More research is needed to assess the applicability of a standardised traumatic brain injury nursing education and chart in a broader context. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 20, 2018 Category: Emergency Medicine Source Type: research

Paediatric weight estimation practices of advanced life support providers in Johannesburg, South Africa
Discussion The 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 - March 20, 2018 Category: Emergency Medicine Source Type: research

The association between hospital arrival time, transport method, prehospital time intervals, and in-hospital mortality in trauma patients presenting to Khayelitsha Hospital, Cape Town
Discussion Method of transport, hospital arrival time and prehospital transport time intervals did not have a substantially measurable effect on in-hospital mortality. More studies with larger samples are suggested due to the small event rate. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 20, 2018 Category: Emergency Medicine Source Type: research

Estimated injury-associated blood loss versus availability of emergency blood products at a district-level public hospital in Cape Town, South Africa
Conclusion The volume of available emergency blood appears inadequate for injury care, and doesn’t consider the need for other causes of acute haemorrhage (e.g. gastric, gynaecological, etc.). Furthermore, lack of other blood components (i.e. plasma and platelets) presents a challenge in this low-resourced setting. Further research is required to determine the appropriate management of injury-associated haemorrhage from a resource and budget perspective. (Source: African Journal of Emergency Medicine)
Source: African Journal of Emergency Medicine - March 20, 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
Discussion Significant 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 - March 20, 2018 Category: Emergency Medicine Source Type: research