Emergency Medicine

Integrating mHealth at point of care in low- and middle-income settings : the system perspective

Wallis, Lee; Blessing, Paul; Dalwai, Mohammed; Shin, Sang Do (Taylor & Francis Open, 2017)

While the field represents a wide spectrum of products and services, many aspects of mHealth have great promise within resource-poor settings: there is an extensive range of cheap, widely available tools which can be used ...

A roadmap for the implementation of mHealth innovations for image-based diagnostic support in clinical and public-health settings : a focus on front-line health workers and health-system organizations

Wallis, Lee; Hasselberg, Marie; Barkman, Catharina; Bogoch, Isaac; Broomhead, Sean; Dumont, Guy; Groenewald, Johann; Lundin, Johan; Bergendahl, Johan Norell; Nyasulu, Peter; Olofsson, Maud; Weinehall, Lars; Laflamme, Lucie (Taylor & Francis Open, 2017)

Background: Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the ...

Describing the categories of people that contribute to an Emergency Centre crowd at Khayelitsha hospital, Western Cape, South Africa

Ahiable, Emmanuel; Lahri, Sa ad; Bruijns, Stevan (Elsevier, 2017-06)

Introduction: Emergency Centre (EC) crowding has globally been recognised to adversely affect patients, staff and visitors. Anecdotally, local ECs are perceived to be fairly crowded, however, not much is known about the ...

Poor adherence to Tranexamic acid guidelines for adult, injured patients presenting to a district, public, South African hospital

Wiese, Jacobus G. G.; Van Hoving, Daniel J.; Hunter, Luke; Lahri, Sa ad; Bruijns, Stevan R. (Elsevier, 2017-06)

Introduction: In South Africa’s high injury prevalent setting, it is imperative that injury mortality is kept to a minimum. The CRASH-2 trial showed that Tranexamic acid (TXA) in severe injury reduces mortality. Implementation ...

Percutaneous coronary intervention still not accessible for many South Africans

Stassen, Willem; Wallis, Lee; Lambert, Craig; Castren, Maaret; Kurland, Lisa (Elsevier, 2017-09)

Introduction: The incidence of myocardial infarction is rising in Sub-Saharan Africa. In order to reduce mortality, timely reperfusion by percutaneous coronary intervention (PCI) or thrombolysis followed by PCI is required. ...

Case mix of patients managed in the resuscitation area of a district-level public hospital in Cape Town

Hunter, L. D.; Lahri, S.; Van Hoving, D. J. (Elsevier, 2017-03)

Introduction: At the core of the district health system is the emergency centre, for many the entry point into the healthcare system. Limited data is available on the patient population served by district-level emergency ...

African emergency care providers' attitudes and practices towards research

Van Hoving, D. J.; Brysiewicz, P. (Elsevier, 2017-03)

Introduction: Emergency care research in Africa is not on par with other world regions. The study aimed to assess the perceptions and practices towards research among current emergency care providers in Africa. Methods: ...

Poor return on investment : investigating the barriers that cause low credentialing yields in a resource-limited clinical ultrasound training programme

Lamprecht, Hein; Lemke, Gustav; Van Hoving, Daniel; Kruger, Thinus; Wallis, Lee (SpringerOpen, 2018-02-21)

Background: Clinical ultrasound is commonly used in medical practices worldwide due to the multiple benefits the modality offers clinicians. Rigorous credentialing standards are necessary to safeguard patients against ...

Adherence to referral criteria at admission and patient management at a specialized burns centre : the case of the red cross War Memorial Children’s Hospital in Cape Town, South Africa

Boissin, Constance; Hasselberg, Marie; Kronblad, Emil; Kim, So-Mang; Wallis, Lee; Rode, Heinz; Laflamme, Lucie (MDPI, 2017-07-06)

ENGLISH ABSTRACT: Referral guidelines for burn care are meant to assist in decision-making as regards patient transfer and admissions to specialized units. Little is known, however, concerning how closely they are followed ...

Comparison of mean on-scene times : road versus air transportation of critically ill patients in the Western Cape of South Africa

Van Hoving, D. J.; Smith, W. P.; Wallis, L. A. (BMJ Publishing Group, 2007-12)

Background: The South African setting lends itself to the extensive use of air transport. There is a perception with healthcare providers that flight crews spend too much time with a patient before departure. The main ...

Utilisation of emergency blood in a cohort of emergency centres in Cape Town, South Africa

Morris, David (Stellenbosch : Stellenbosch University, 2007-03)

ENGLISH SUMMARY : Background: The transfusion of blood and blood products forms an essential part of the resuscitation of patients with acute haemorrhage. Group O blood is stored for this purpose in many emergency facilities ...

Investigation of first onset seizures in adults in Western Cape Emergency Centres

Smith, Anne Beth (Health & Medical Publishing Group, 2012-03)

ENGLISH SUMMARY : Objectives: This study aimed to review which investigations were done on adults presenting with first onset seizures to six Emergency Centres in the Western Cape Province, South Africa. Methods: A ...

An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania

Mbaya, Khalid Rajabu (Stellenbosch : Stellenbosch University, 2013-03)

ENGLISH SUMMARY : Aim: The aim of the study was to document the burden of disease presenting to Tanzania mainland public district and regional hospitals’ acute intake areas, to describe the range of early diagnostic and ...

A survey to determine self-reported confidence amongst emergency centre nurses in initiating bls across emergency centres in Cape Town

Maharaj, Suvarna (Stellenbosch : Stellenbosch University, 2013-12)

ENGLISH SUMMARY : Background: In any Emergency Centre (EC), the response to a cardiac arrest is regarded as the most time critical intervention. The first responders are usually EC nurses who need to initiate basic life ...

Arterial blood gases in emergency medicine: how well do our registrars and consultants currently enrolled in the Western Cape Division of Emergency Medicine interpret them

Xafis, Paul (Stellenbosch : Stellenbosch University, 2014-12)

ENGLISH SUMMARY : Intro: Arterial blood gas (ABG) analysis is a useful tool in point-of‐care testing for patients presenting to an emergency center (EC). Emergency Medicine (EM) doctors need to be equipped with sufficient ...

The State of Point of Care Ultrasound Certification in South Africa. Why are so Few Providers Completing the Certification Process

Lemke, Franz Gustav (Stellenbosch : Stellenbosch University, 2014-12)

ENGLISH SUMMARY : Introduction: Point of Care Ultrasound (POCUS) is widely used in clinical practice. Although relatively new to South Africa, the POCUS introductory course received wide interest with many clinicians ...