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Assessment and reassessment of injured patients at non-tertiary hospitals in
Ghana: A stepped-wedge cluster randomized trial
Introduction: Frequent reassessment of injured patients is an important component of trauma and emergency
care. How frequently such reassessment is done in African hospitals has been minimally addressed. We sought to
address this gap, as well as to…
care. How frequently such reassessment is done in African hospitals has been minimally addressed. We sought to
address this gap, as well as to…
Financial medicine: A multi-dimensional concept moving towards
contextually specific working definitions for use in the South African
prehospital setting
Introduction: The phenomenon that has been described as Financial Medicine has been occurring within the South
African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no
organised body of…
African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no
organised body of…
Experiences of injured patients referred to higher levels of care after initial
assessment and management at non-tertiary hospitals in Ghana
Background: The experiences of trauma patients referred from Ghanaian non-tertiary hospitals for definitive care
at higher levels is not well-known. Understanding the motivations of injured patients who do not attend their
referral for definitive…
at higher levels is not well-known. Understanding the motivations of injured patients who do not attend their
referral for definitive…
Understanding the factors that influence CT utilization for mild traumatic
brain injury in a low resource setting - a qualitative study using the
Theoretical Domains Framework
Introduction: In low resource settings (LRS), utilization of Computed Tomography scan (CTS) for mild traumatic
brain injuries (mTBIs) presents unique challenges and considerations given the limited infrastructure, financial
resources, and trained…
brain injuries (mTBIs) presents unique challenges and considerations given the limited infrastructure, financial
resources, and trained…
Computed tomography benefits and cost in hemodynamically stable
patients with blunt abdominal trauma at an Egyptian University Hospital
Background: Trauma is a significant cause of mortality, especially among individuals aged between 15 and 44
years, with a substantial burden falling on economically active populations. Low- and middle-income countries
(LMICs) bear the burden of…
years, with a substantial burden falling on economically active populations. Low- and middle-income countries
(LMICs) bear the burden of…
A consensus-based tool for capability benchmarking of emergency medical
services in South Africa
Introduction: Standards for Emergency Medical Services [EMS] have recently been introduced in South Africa in a
movement towards the promotion of quality improvement. While these standards identify a minimum set of
criteria for EMS quality they do…
movement towards the promotion of quality improvement. While these standards identify a minimum set of
criteria for EMS quality they do…
Knowledge and practices of epistaxis in Eastern Tanzania: A cross-sectional
study of an emergency in otorhinolaryngology
Introduction: It’s approximated that 60% of the population globally experience epistaxis during lifetime. Despite
epistaxis being prevalent in Tanzania, there are limited studies that have explored experience of participants on
epistaxis. This…
epistaxis being prevalent in Tanzania, there are limited studies that have explored experience of participants on
epistaxis. This…
The value of electrocardiography in predicting inpatient mortality in
patients with acute pulmonary embolism: A cross sectional analysis
Introduction: Pulmonary embolism (PE) is a significant global cause of mortality, ranking third after myocardial
infarction and stroke. ECG findings may play a valuable role in the prognostication of patients with PE, with
various ECG abnormalities…
infarction and stroke. ECG findings may play a valuable role in the prognostication of patients with PE, with
various ECG abnormalities…
Catheterized chicken for training on ultrasound-guided vascular access: A
simple, cost-effective, and effective model
Ultrasound-guided vascular access is a medical procedure that is becoming increasingly common in daily practice
and is recommended to avoid iatrogenic complications. One of the procedures with a high-risk rate of complications is the vascular…
and is recommended to avoid iatrogenic complications. One of the procedures with a high-risk rate of complications is the vascular…
Emergency care capacity in Sierra Leone: A multicentre analysis
Background: The Disease Control Priorities Project estimates that over 50 % of annual mortality in low- and
middle-income countries can be addressed by improved emergency care. Sierra Leone’s Ministry of Health and
Sanitation has highlighted…
middle-income countries can be addressed by improved emergency care. Sierra Leone’s Ministry of Health and
Sanitation has highlighted…