Department of Family and Emergency Medicine
Recent Submissions
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Alternative mechanisms for delivery of medication in South Africa : a scoping review
(AOSIS, 2021-08)Background: The number of people in South Africa with chronic conditions is a challenge to the health system. In response to the coronavirus infection, health services in Cape Town introduced home delivery of medication ... -
Academy calls on South Africans to vaccinate
(AOSIS, 2021-10)Coronavirus disease 2019 (COVID-19) vaccine hesitancy in South Africa has been fuelled by conspiracy theories and misinformation. Unfortunately, some of this misinformation has come from health professionals, the most ... -
The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
(Elsevier, 2015-01)Introduction: The failed or difficult airway is a rare, but life-threatening situation. Alternative airway devices to direct laryngoscopy are essential aids to manage these scenarios successfully. The aim of this study ... -
Remdesivir for severe covid-19: a clinical practice guideline
(2020-11)Clinical question What is the role of remdesivir in the treatment of severe covid-19? This guideline was triggered by the ACTT-1 trial published in the New England Journal of Medicine on 22 May 2020. Current practice ... -
A living WHO guideline on drugs for covid-19
(2022-09)This living guideline by Arnav Agarwal and colleagues (BMJ 2020;370:m3379, doi:10.1136/bmj.m3379) was last updated on 22 April 2022, but the infographic contained two dosing errors: the dose of ritonavir with renal failure ... -
The diagnostic utility of abdominal ultrasound in adult patients presenting with non-traumatic abdominal pain to the emergency centre of Khayelitsha Hospital
(Stellenbosch : Stellenbosch University, 2022-12)ENGLISH SUMMARY: Introduction: Patients with non-trauma related acute abdominal pain often presents to emergency centres. Ultrasound is frequently used to augment the clinical diagnosis but is still a scarce imaging ... -
Universal health coverage and primary health care: the 30 by 2030 campaign
(2020)The World Health Organization (WHO) considers primary health care a cornerstone of universal health coverage (UHC) and describes it as an approach to health and well-being centred on the needs and circumstances of individuals, ... -
A multi-parameter diagnostic clinical decision tree for the rapid diagnosis of tuberculosis in HIV-positive patients presenting to an emergency centre
(Wellcome Trust, 2020-04)Background: Early diagnosis is essential to reduce the morbidity and mortality of HIV-associated tuberculosis. We developed a multi-parameter clinical decision tree to facilitate rapid diagnosis of tuberculosis using ... -
The psychometric properties of a tool to assess brief behaviour change counselling in South Africa
(AOSISAuthors retain copyright, 2020-12)Background: Primary care providers should be competent in brief behaviour change counselling (BBCC). A new model of BBCC was developed in South Africa. Tools are needed for training and research to evaluate BBCC. Aim: To ... -
The evolving role of family physicians during the coronavirus disease 2019 crisis: An appreciative reflection
(AOSIS, 2020-06-09)Ten family physicians and family medicine registrars in a South African semi-rural training complex reflected on the coronavirus disease 2019 (COVID-19) crisis during their quarterly training complex meeting. The crisis ... -
Re-organising primary health care to respond to the Coronavirus epidemic in Cape Town, South Africa
(AOSIS, 2020-11-05)Cape Town is currently one of the hotspots for COVID-19 on the African continent. The Metropolitan Health Services have re-organised their primary health care (PHC) services to tackle the epidemic with a community-orientated ... -
Investigating competencies needed by European-trained doctors in rural South African hospitals
(2020-08-25)Background: Many European-trained doctors (ETDs) recruited to work in rural district hospitals in South Africa have insufficient generalist competencies for the range of practice required. Africa Health Placements recruits ... -
Home delivery of medication during Coronavirus disease 2019, Cape Town, South Africa
(AOSISAuthors retain copyright, 2020-06-04)he public sector primary care facilities in Cape Town serve a large number of patients with chronic diseases such as human immunodeficiency virus, tuberculosis, diabetes, hypertension, asthma and chronic obstructive pulmonary ... -
Exploring gaps, strategies and solutions for primary care research mentorship in the African context: A workshop report
(2020)Background: Primary care needs research to generate evidence relevant to community needs; however, there is a lack of research engagement among primary care physicians, especially in sub-Saharan Africa. Improved research ... -
Emergency centre reorganization in preparation to the COVID-19 pandemic: A district hospital’s dynamic adaptation response
(AOSIS, 2020-09-16)The COVID-19 global pandemic forced healthcare facilities to put special isolation measures in place to limit nosocomial transmission. Cohorting is such a measure and refers to placing infected patients (or under investigation) ... -
Corrigendum: Community-based screening and testing for Coronavirus in Cape Town, South Africa: Short report
(AOSIS, 2021-11-15)In the version of the article initially published, David N, Mash R. Community-based screening and testing for Coronavirus in Cape Town, South Africa: Short report. Afr J Prm Health Care Fam Med. 2020;12(1), a2499. ... -
Book Review: Such a time of it they had: Global health pioneers in Africa
(AOSIS, 2020)This is one of those books that draws the reader in from the beginning, starting with the unusual title, and building an information-rich, honest, provocative and narrative-style story of global health, colonialism, conflict, ... -
Self-collected upper respiratory tract swabs for COVID-19 test’: A feasible way to increase overall testing rate and conserve resources in South Africa
(2020-05-28)Disparity in the testing rate of SARS-CoV-2 amongst different countries and regions is a very big challenge in understanding the COVID-19 pandemic. Although some developed countries have a very high testing rate and ... -
Prohibiting alcohol sales during the coronavirus disease 2019 pandemic has positive effects on health services in South Africa
(2020-07-15)As the coronavirus disease 2019 (Covid-19) pandemic evolves globally, we are realising its impact on communities from the disease itself and the measures being taken to limit infection spread. In South Africa (SA), 62 300 ... -
The state of family medicine training programmes within the Primary Care and Family Medicine Education network
(2020-08-11)The 2019 Primary Care and Family Medicine Education network (Primafamed) meeting in Kampala, Uganda, included a workshop that aimed to assess the state of postgraduate family medicine training programmes in the Primafamed ...