Research Articles (Emergency Medicine)
Recent Submissions
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A retrospective study evaluating the efficacy of identification and management of sepsis at a district-level hospital internal medicine department in the Western Cape Province, South Africa, in comparison with the guidelines stipulated in the 2012 Surviving Sepsis Campaign
(Health & Medical Publishing Group, 2017)Background. Currently there is little information on the identification, management and outcomes of patients with sepsis in developing countries. Simple cost-effective measures such as accurate identification of patients ... -
Family medicine training in Africa : views of clinical trainers and trainees
(AOSIS publishing, 2018-03)Background: This article reports on the findings of a workshop held at the joint 5th World Organisation of Family Doctors (WONCA) Africa and 20th National Family Practitioners Conference in Tshwane, South Africa, in 2017. ... -
Integrating mHealth at point of care in low- and middle-income settings : the system perspective
(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
(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
(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
(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
(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
(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
(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
(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
(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
(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 ... -
Investigation of first onset seizures in adults in Western Cape Emergency Centres
(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 ... -
Emergency care research priorities in South Africa
(Health & Medical Publishing Group, 2015)ENGLISH SUMMARY : Background. Emergency care research is rarely undertaken in low- and middle-income countries. A manageable ‘road map’ for research in South African (SA) emergency care is needed to address research ... -
Operational demands on pre-hospital emergency care for burn injuries in a middle-income setting : a study in the Western Cape, South Africa
(SpringerOpen, 2017-01)ENGLISH SUMMARY : Background: Burns occur disproportionately within low-socioeconomic populations. The Western Cape Province of South Africa represents a middle-income setting with a high rate of burns, few specialists and ... -
A smartphone app and cloud-based consultation system for burn injury emergency care
(PLoS, 2016-02-16)Background Each year more than 10 million people worldwide are burned severely enough to require medical attention, with clinical outcomes noticeably worse in resource poor settings. Expert clinical advice on acute ... -
Image-based medical expert teleconsultation in acute care of injuries : a systematic review of effects on information accuracy, diagnostic validity, clinical outcome, and user satisfaction
(PLoS, 2014-06)Objective: To systematically review the literature on image-based telemedicine for medical expert consultation in acute care of injuries, considering system, user, and clinical aspects. Design: Systematic review of ... -
Injury severity in relation to seatbelt use in Cape Town, South Africa : a pilot study
(Health & Medical Publishing Group, 2014-07)Background. Injuries and deaths from road traffic collisions present an enormous challenge to the South African (SA) healthcare system. The use of restraining devices is an important preventive measure. Objective. To ... -
A 5-year analysis of the helicopter air mercy service in Richards Bay, South Africa
(Health & Medical Publishing Group, 2014-02)Background. A helicopter emergency medical service (HEMS) was established in 2005 in Richards Bay, KwaZulu-Natal, South Africa, to provide primary response and inter-facility transfers to a largely rural area with a ... -
Adrenaline and amiodarone dosages in resuscitation : rectifying misinformation
(Health & Medical Publishing Group, 2013-09-03)ENGLISH SUMMARY : Despite the recognition of specialists in emergency medicine and the professionalisation of prehospital emergency care, international guidelines and consensus are often ignored, and the lag between guideline ...
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