Research Articles (Emergency Medicine)
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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) ... -
Abdominal ultrasound for diagnosing abdominal tuberculosis or disseminated tuberculosis with abdominal involvement in HIV-positive individuals
(John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration, 2019)Background: Accurate diagnosis of tuberculosis in people living with HIV is difficult. HIV‐positive individuals have higher rates of extrapulmonary tuberculosis and the diagnosis of tuberculosis is often limited to imaging ... -
Access to top-cited emergency care articles (published between 2012 and 2016) without subscription
(Department of Emergency Medicine, 2019)Introduction: Unrestricted access to journal publications speeds research progress, productivity, and knowledge translation, which in turn develops and promotes the efficient dissemination of content. We describe access ... -
Admission factors associated with the in-hospital mortality of burns patients in resource-constrained settings : a two-year retrospective investigation in a South African adult burns centre
(Elsevier, 2019)Objective: Little is known concerning the factors associated with in-hospital mortality of trauma patients in resource-constrained settings, not least in burns centres. We investigated this question in the adult burns ... -
Medication storage in Emergency Medical Services : temperature ranges from a South African sample
(Emergency Care Society of South Africa, 2021)Background: Pre-hospital emergency care providers working in emergency medical services (EMS) are licenced to administer medication to the acutely ill and injured. In South Africa, there are significant seasonal variations ... -
Palliative care made visible: developing a rural model for the Western Cape Province, South Africa
(AOSIS, 2019)Introduction: Caring for people with life-threatening illnesses is a key part of working in health care. While South Africa launched the National Policy Framework and Strategy for Palliative Care 2017–2022, integrating ... -
Targeting ethical considerations tied to image-based mobile health diagnostic support specific to clinicians in low-resource settings : the Brocher proposition
(Taylor & Francis, 2019-09-18)Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical ... -
Tuberculosis infection control in a South African rural regional hospital emergency centre : prioritisation for patients and healthcare workers
(Health & Medical Publishing Group, 2019-07-27)South Africa (SA) is in the midst of a tuberculosis (TB) epidemic and has one of the highest TB incidence rates globally. Despite increasing global commitment to eliminate TB, SA appears to be falling behind in this regard. ... -
Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs) : results of research prioritisation setting exercise
(BMC (part of Springer Nature), 2020-08-31)Background: More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely ... -
An educational pathway and teaching materials for first aid training of children in sub-Saharan Africa based on the best available evidence
(BMC (part of Springer Nature), 2020-06-03)Background: First aid training is a cost-effective way to decrease the burden of disease and injury in low- and middle-income countries (LMIC). Since evidence from Western countries has shown that children are able to ... -
Barriers to accessing cervical cancer screening among HIV positive women in Kgatleng district, Botswana : a qualitative study
(Public Library of Science, 2018)Background: Low and middle-income countries have a greater share of the cervical cancer burden, but lower screening coverage, compared to high-income countries. Moreover, screening uptake and disease outcomes are generally ... -
Towards developing a consensus assessment framework for global emergency medicine fellowships
(BMC (part of Springer Nature), 2019-11-11)Background: The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of ... -
Demographics and predictors of mortality in children undergoing resuscitation at Khayelitsha Hospital, Western Cape, South Africa
(Health and Medical Publishing Group, 2018)Background. The clinical outcomes of paediatric patients requiring resuscitation depend on physicians with specialised knowledge, equipment and resources owing to their unique anatomy, physiology and pathology. Khayelitsha ... -
Describing suspected non ST-elevation acute coronary syndrome using troponin at a regional, public South African emergency centre with the Roche cardiac reader
(South African Heart Association, 2018)Background: There are few data available regarding acute coronary syndrome presenting to emergency centres in sub-Saharan Africa compared to the rest of the world. The aim of this study was to describe the acute coronary ... -
Cardiopulmonary resuscitation by emergency medical services in South Africa : barriers to achieving high quality performance
(Elsevier, 2018)Introduction: Survival rates from out-of-hospital cardiac arrest significantly improve when high-quality cardiopulmonary resuscitation (CPR) is performed. Despite sudden cardiac arrest being a leading cause of death in ... -
Estimated injury-associated blood loss versus availability of emergency blood products at a district-level public hospital in Cape Town, South Africa
(Elsevier, 2018)Introduction: International guidance suggests that injury-associated haemorrhagic shock should be resuscitated using blood products. However, in low- and middle-income countries resuscitation emphasises the use of crystalloids ... -
The burden of intentional self-poisoning on a district-level public hospital in Cape Town, South Africa
(Elsevier, 2018)Introduction: Intentional self-poisoning is a significant part of the toxicological burden experienced by emergency centres. The aim of this study was to describe all adults presenting with intentional self-poisoning over ... -
The association between hospital arrival time, transport method, prehospital time intervals, and in-hospital mortality in trauma patients presenting to Khayelitsha Hospital, Cape Town
(Elsevier, 2018)Introduction: Trauma is a leading cause of unnatural death and disability in South Africa. The aim of the study was to determine whether method of transport, hospital arrival time or prehospital transport time intervals ... -
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. ...
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