Research Articles (Emergency Medicine)
Recent Submissions
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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. ... -
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 ...
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