1 10 11 https://repository.horizon.ac.id/files/original/7b0741cf9dda4b7cca69f9a0d487d233.jpg 907922696ba2bf0422e9e1d62fb0e857 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Still Image A static visual representation. Examples include paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type Text to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.3 2019 https://repository.horizon.ac.id/files/original/ec9afc60f5819afc11be2dfca7e4997f.pdf 7af95d477c9999aae6e72cb37629a26b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue 3 2019 African Journal of Emergency Medicine Efficacy of nebulized fentanyl and low dose ketamine for pain control of patients with long bone fractures: A randomized, double-blind, clinical trial Subject The topic of the resource Pain management Bone fractures Sedation Fentanyl Ketamine Description An account of the resource Introduction: Fentanyl is a lipid soluble, highly potent opioid. The lipid solubility of fentanyl makes it an ideal opioid to be administrated by inhalation. The current study compared ketamine infusion and nebulized fentanyl in bone fracture pain relief. Methods: In this double-blind, randomized clinical trial, patients aged 18 to 55 years who were admitted to the emergency department (ED) with limb fracture were recruited. A total of 127 patients were included in the study, 51.1% (65) of whom were male and 48.9% (62) of whom were female. The patients were divided equally into two groups: Group I received 100 cm3 IV infusion of normal saline and 4 μg/kg of 50 μg/ml nebulized fentanyl; Group II received 0.4 mg/kg ketamine in 10 min and 5 cm3 nebulized normal saline. Pain was assessed using a visual analog scale just before treatment and 5, 10, 15, 30, and 60 min post-treatment. Results: Before intervention, the pain scores of both groups showed no significant difference. However, log linear analysis in both groups showed a significantly decrement during the follow up (60 min) (p < 0.0001). Multiple comparison analysis showed that pain scores were significantly higher in the patients of Group I. Moreover, patients in Group I required additional treatment. Conclusion: Ketamine can be used as an alternative non-invasive treatment to successfully relieve pain in patients with limb fractures Creator An entity primarily responsible for making the resource Mohammadreza Maleki Verki, Javad Mozafari, Fateme Tirandaz, Hassan Motamed, Afsane Khazaeli Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.02.003 Date A point or period of time associated with an event in the lifecycle of the resource 4 February 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Pain management Bone fractures Sedation Fentanyl Ketamine https://repository.horizon.ac.id/files/original/3aaca5da2d030f9e251d9d5fe2078a41.pdf c962a11f677a1fde797d88a9be74d0d9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue .3 2019 African Journal of Emergency Medicine A cross-sectional description of open access publication costs, policies and impact in emergency medicine and critical care journals Subject The topic of the resource Open access Impact Emergency medicine Critical care Description An account of the resource Introduction: Finding journal open access information alongside its global impact requires access to multiple databases. We describe a single, searchable database of all emergency medicine and critical care journals that include their open access policies, publication costs, and impact metrics. Methods: A list of emergency medicine and critical care journals (including citation metrics) was created using Scopus (Citescore) and the Web of Science (Impact Factor). Cost of gold/hybrid open access and article process charges (open access fees) were collected from journal websites. Self-archiving policies were collected from the Sherpa/RoMEO database. Relative cost of access in different regions were calculated using the World Bank Purchasing Power Parity index for authors from the United States, Germany, Turkey, China, Brazil, South Africa and Australia. Results: We identified 78 emergency medicine and 82 critical care journals. Median Citescore for emergency medicine was 0.73 (interquartile range, IQR 0.32–1.27). Median impact factor was 1.68 (IQR 1.00–2.39). Median Citescore for critical care was 0.95 (IQR 0.25–2.06). Median impact factor was 2.18 (IQR 1.73–3.50). Mean article process charge for emergency medicine was $2243.04, SD = $1136.16 and for critical care $2201.64, SD = $1174.38. Article process charges were 2.24, 1.75, 2.28 and 1.56 times more expensive for South African, Chinese, Turkish and Brazilian authors respectively than United States authors, but neutral for German and Australian authors (1.02 and 0.81 respectively). The database can be accessed here: http://www. emct.info/publication-search.html. Conclusions: We present a single database that captures emergency medicine and critical care journal impact rankings alongside its respective open access cost and green open access policies. Creator An entity primarily responsible for making the resource Chante Dove, Teresa M. Chan, Brent Thoma, Damian Roland, Stevan R. Bruijns Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.01.015 Date A point or period of time associated with an event in the lifecycle of the resource 30 January 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Open access Impact Emergency medicine Critical care https://repository.horizon.ac.id/files/original/261bed5fd790d34406c886dc1cb196e7.pdf 586bb7e4cb6849a47521e5298edfc12a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue 3 2019 African Journal of Emergency Medicine A prehospital randomised controlled trial in South Africa: Challenges and lessons learnt Subject The topic of the resource ST-elevation myocardial infarction South Africa Telemedicine Randomised controlled trials Research methods Description An account of the resource The incidence of cardiovascular disease and STEMI is on the rise in sub-Saharan Africa. Timely treatment is essential to reduce mortality. Internationally, prehospital 12 lead ECG telemetry has been proposed to reduce time to reperfusion. Its value in South Africa has not been established. The aim of this study was to determine the effect of prehospital 12 lead ECG telemetry on the PCI-times of STEMI patients in South Africa. A multicentre randomised controlled trial was attempted among adult patients with prehospital 12 lead ECG evidence of STEMI. Due to poor enrolment and small sample sizes, meaningful analyses could not be made. The challenges and lessons learnt from this attempt at Africa's first prehospital RCT are discussed. Challenges associated with conducting this RCT related to the healthcare landscape, resources, training of paramedics, rollout and rando- misation, technology, consent and research culture. High quality evidence to guide prehospital emergency care practice is lacking both in Africa and the rest of the world. This is likely due to the difficulties with performing prehospital clinical trials. Every trial will be unique to the test intervention and setting of each study, but by considering some of the challenges and lessons learnt in the attempt at this trial, future studies might experience less difficulty. This may lead to a stronger evidence-base for prehospital emergency care. Creator An entity primarily responsible for making the resource Willem Stassen, Lee Wallis, Maaret Castren, Craig Vincent-Lambert, Lisa Kurland Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.02.002 Date A point or period of time associated with an event in the lifecycle of the resource 3 February 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan ST-elevation myocardial infarction South Africa Telemedicine Randomised controlled trials Research methods https://repository.horizon.ac.id/files/original/543a36c402dbad9241c45678eec52e2d.pdf f07a49536ee9c846c05dfa177c1b2a70 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue .3 2019 African Journal of Emergency Medicine Clinical presentation and diagnostic work up of suspected pulmonary embolism in a district hospital emergency centre serving a high HIV/TB burden population Subject The topic of the resource TB. Pulmonary embolism HIV Diagnosis of pulmonary embolism Description An account of the resource Introduction: The diagnosis of pulmonary embolism (PE) is challenging to make and is often missed in the emergency centre. The diagnostic work-up of PE has been improved by the use of clinical decision rules (CDRs) and CT pulmonary angiography (CTPA) in high-income countries. CDRs have not been validated in the South African environment where HIV and tuberculosis (TB) are highly prevalent. Both conditions are known to induce a hyper-coagulable state. The objective of this study was to describe the clinical presentation and diagnostic workup of suspected PE in our setting and to determine the prevalence of HIV and TB in our sample of patients with confirmed PE. Methods: This study was a retrospective chart review of patients with suspected PE who had CTPAs performed between October 2013 and October 2015 at a district hospital in Cape Town, South Africa. Data were collected on demographics, presenting signs and symptoms, vitals, bedside investigations, HIV and TB status. A Revised Geneva score (RGS) was calculated retrospectively and compared to the CTPA result. Results: The median age of patients with confirmed PE was 45 years and 68% were female. The CTPA yield for PE in our study population was 32%. The most common presenting complaint was dyspnoea (83%). Deep venous thrombosis (DVT) was present in 29%. No sign or symptom was observed to be markedly different in patients with confirmed PE vs no PE. Among patients with confirmed PE, 37% were HIV positive and 52% had current TB. RGS compared poorly with CTPA results. Conclusions: PE remains a diagnostic challenge. In our study, the retrospectively calculated CDR was not pre- dictive of PE in a population with a high prevalence of HIV and TB. Emergency physicians should be cautious when making a clinical probability assessment of PE in this setting. However, further studies are needed to develop a predictive CDR for the local environment. Creator An entity primarily responsible for making the resource Bojana Bulajic, Tyson Welzel, Kamil Vallabh Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.05.003 Date A point or period of time associated with an event in the lifecycle of the resource 17 May 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan TB. Pulmonary embolism HIV Diagnosis of pulmonary embolism https://repository.horizon.ac.id/files/original/2876f2d66fe179626e96f576c7988d69.pdf 68dfaa6724722a16218b19f268ce1d5c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.3 2019 African Journal of Emergency Medicine Disparity in conference registration cost for delegates from low- and middle- income backgrounds Subject The topic of the resource Parity Health expenditures Critical care Emergency medicine Fellowships and scholarships Conference Description An account of the resource Background: Better access for clinicians from low- and middle-income countries to international conferences can improve collaborative opportunities and subsequently address the knowledge gap between the weaker and stronger knowledge economies. A better understanding of the cost of international conferences may help con- ference organisers improve access to their conferences. This study aimed to describe the expense-associated barriers to a selection of international emergency medicine and critical care conferences, in terms of registration cost and out-of-pocket expense. Methods: A cross sectional, retrospective design was used. Registration cost variables (cost, waivers, discounts and scholarships) were collected from a cohort of international emergency medicine and critical care con- ferences held during 2016. The World Health Organization Purchasing Power Parity index was then applied to calculate an equitable registration cost for delegates from South Africa, Brazil, Turkey, China, Australia, Germany and the United States for each conference. Results: Twenty conferences were included. Eight conferences (36%) offered discounted rates, and another eight offered scholarships for low- and middle-income country delegates. Calculated, equitable registration rates were 2.6, 1.9, 1.9, 1.7, 0.9, 1.1 times lower than quoted respectively for South Africa, Brazil, Turkey, China, Australia and Germany compared to the rate in United States dollar. Only one conference provided equitable registration rates for all test-countries. Discussion: Current international conference registration costs (despite discounts, waivers and scholarships) are likely a barrier to including low- and middle-income delegates in the educational, networking and promotional opportunities that conferences provide. Conference organisers should consider restructuring registration costs to encourage more representative international audiences. Creator An entity primarily responsible for making the resource Parity Health expenditures Critical care Emergency medicine Fellowships and scholarships Conference Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.01.016 Date A point or period of time associated with an event in the lifecycle of the resource 30 January 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Parity Health expenditures Critical care Emergency medicine Fellowships and scholarships Conference https://repository.horizon.ac.id/files/original/490487c079eb8b88f5061ba1e75aaa13.pdf 846d183177670885688b1defb9d2dfde Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.3 2019 African Journal of Emergency Medicine Needs assessment for a formal emergency medicine residency program in southern Madagascar Subject The topic of the resource Needs assessment Emergency medicine Madagascar International emergency medicine Global medicine Description An account of the resource Introduction: World Health Organization data for Madagascar reveal that the nation's under age five mortality rate is 56/1000, and that its maternal mortality rate is 440/100,000. Malaria, leprosy, plague, and tuberculosis remain significant communicable disease threats. Malnutrition rates are improving but continue to impact ne- gatively on the general health of the Malagasy population, especially in the southern region with its 1.9 million inhabitants. There are no emergency medicine (EM) training programs to serve the southern half of Madagascar, which has a large urban population in Fianarantsoa. This study aimed to assess the need for and potential feasibility of an emergency medicine training program in southern Madagascar. Methods: We met with the institutional leadership on site at the university hospital in Fianarantsoa. A needs assessment was performed on multiple domains. Domain 1: existing hospital infrastructure and its physical plant and emergency centre (EC) space allotment. Domain 2: existing clinical and technological resources. Domain 3: educational resources and the existing curriculum for EM. Domain 4: medical student educational program and availability of prospective residency candidates. Domain 5: pre-hospital care and emergency medical services. Results: The size of the EC is adequate for the current census. Clinical resources are typical of many developing countries, with significant need for technological advancement and support, which we delineate in the body of our paper. There is an existing curriculum in Antananarivo and in Majanga, as well as one available through the African Federation for Emergency Medicine. The medical school in the area is relatively new, with graduating classes numbering approximately 30. There is no organised pre-hospital care system, no 9-1-1 equivalent, and no pre-hospital treatment from within metropolitan Fianarantsoa. Conclusions: While the needs assessment indicates substantial need for emergency medicine development in southern Madagascar, the yield (particularly for the metropolitan Fianarantsoa area) would serve the population well. Creator An entity primarily responsible for making the resource Gretchen Mockler, Rivo Andry Rakotoarivelo, Jaona Ranaivo, Rolando Valenzuela, Katherine Pierson, Dalia Calix, William Mallon Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.05.001 Date A point or period of time associated with an event in the lifecycle of the resource 10 May 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Needs assessment Emergency medicine Madagascar International emergency medicine Global medicine https://repository.horizon.ac.id/files/original/60b0bee9087c8e701175242735e878fc.pdf 8da6758c98bb164b9d83c5652fb7f7a3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.3 2019 African Journal of Emergency Medicine Rapid, remote education for point-of-care ultrasound among non physician emergency care providers in a resource limited setting Subject The topic of the resource ultrasound;non-physician quality assurance Hydroxyl radicals remote feedback Description An account of the resource Introduction: Access to high-quality emergency care in low- and middle-income countries (LMIC) is lacking. Many countries utilise a strategy known as “task-shifting” where skills and responsibilities are distributed in novel ways among healthcare personnel. Point-of-care ultrasound (POCUS) has the potential to significantly improve emergency care in LMICs. Methods: POCUS was incorporated into a training program for a ten-person cohort of non-physician Emergency Care Providers (ECPs) in rural Uganda. We performed a prospective observational evaluation on the impact of a remote, rapid review of POCUS studies on the primary objective of ECP ultrasound quality and secondary objective of ultrasound utilisation. The study was divided into four phases over 11 months: an initial in-person training month, two middle month blocks where ECPs performed ultrasounds independently without remote electronic feedback, and the final months when ECPs performed ultrasounds independently with remote electronic feedback. Quality was assessed on a previously published eight-point ordinal scale by a U.S.-based expert sonographer and rapid standardised feedback was given to ECPs by local staff. Sensitivity and specificity of ultrasound exam findings for the Focused Assessment with Sonography for Trauma (FAST) was calculated. Results: Over the study duration, 1153 ultrasound studies were reviewed. Average imaging frequency per ECP dropped 61% after the initial in-person training month (p = 0.01) when ECPs performed ultrasound independently, but rebounded once electronic feedback was initiated (p = 0.001), with an improvement in quality from 3.82 (95% CI, 3.32–4.32) to 4.68 (95% CI, 4.35–5.01) on an eight-point scale. The sensitivity and specificity of FAST exam during the initial training period was 77.8 (95% CI, 59.2–83.0) and 98.5 (95% CI, 93.3–99.9), respectively. Sensitivity improved 88% compared to independent, non-feedback months whereas specificity was unchanged. Conclusions: Remotely delivered quality assurance feedback is an effective educational tool to enhance provider skill and foster continued and sustainable use of ultrasound in LMICs. Creator An entity primarily responsible for making the resource Benjamin Terry, David L. Polan, Rashidah Nambaziira, Julius Mugisha, Mark Bisanzo, Romolo Gasparia Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.05.004 Date A point or period of time associated with an event in the lifecycle of the resource 17 May 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan ultrasound;non-physician quality assurance Hydroxyl radicals remote feedback https://repository.horizon.ac.id/files/original/52a56817f47f26d4ee16842c02ff76c5.pdf b6c664b985c4cf4cb3275f0303cf1b85 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue.3 2019 African Journal of Emergency Medicine Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development Subject The topic of the resource Kenya Head injury Trauma Triple burden of disease Emergency medicine Kenyatta National Hospital Description An account of the resource Introduction: Low- and middle-income countries (LMICs) are continuing to experience a “triple burden” of disease - traumatic injury, non-communicable diseases (NCDs), and communicable disease with maternal and neonatal conditions (CD&Ms). The epidemiology of this triad is not well characterised and poses significant challenges to resource allocations, administration, and education of emergency care providers. The data collected in this study provide a comprehensive description of the emergency centre at Kenya's largest public tertiary care hospital. Methods: This study is a retrospective chart review conducted at Kenyatta National Hospital of all patient en- counters over a four-month period. Data were collected from financial and emergency centre triage records along with admission and mortality logbooks. Chief complaints and discharge diagnoses collected by specially trained research assistants were manually converted to standardised diagnoses using International Classification of Disease 10 (ICD-10) codes. ICD-10 codes were categorised into groups based on the ICD-10 classification system for presentation. Results: A total of 23,941 patients presented to the emergency centre during the study period for an estimated annual census of 71,823. The majority of patients were aged 18-64 years (58%) with 50% of patients being male and only 3% of unknown sex. The majority of patients (61%) were treated in the emergency centre, observed, and discharged home. Admission was the next most common disposition (33%) followed by death (6%). Head injury was the overall most common diagnosis (11%) associated with admission. Conclusions: Trends toward NCDs and traumatic diseases have been described by this study and merit further investigation in both the urban and rural setting. Specifically, the significance of head injury on healthcare cost, utilisation, and patient death and disability points to the growing need of additional resources at Kenyatta National Hospital for acute care. It further demonstrates the mounting impact of trauma in Kenya and throughout the developing world. Creator An entity primarily responsible for making the resource Julie Saleeby, Justin G. Myers, Karen Ekernas, Katherine Hunold, Ali Wangara, Alice Maingi, Peyton Wilson, Vincent Mutiso, Sarah Zamamiri, Daniel Bacon, Wes Davis, John Suder, Yash Agrawal, Ogar Ogar, Ian B.K. Martin, Stephen Dunlop Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.05.002 Date A point or period of time associated with an event in the lifecycle of the resource 16 May 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Kenya Head injury Trauma Triple burden of disease Emergency medicine Kenyatta National Hospital https://repository.horizon.ac.id/files/original/f30440b4cda92b46e7e516ecbd23991f.pdf fe9e29c6e5effc4df035bf28813977b0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 9 issue 3 2019 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol.9 issue 3 2019 African Journal of Emergency Medicine The epidemiology of sepsis in a district hospital emergency centre in Durban, KwaZulu natal Subject The topic of the resource Sepsis Emergency department Developing countries Description An account of the resource Introduction: Sepsis is one of the leading causes of death worldwide. There is a paucity of data describing the epidemiology of sepsis in emergency centres in developing countries. This study aims to describe the clinical profile and management of patients presenting with sepsis in this setting. Methods: A retrospective chart review was conducted in an Emergency Centre (EC) of a district hospital in Durban from December 2015 to February 2016. All patients with a diagnosis of an infection that met the Surviving Sepsis Campaign criteria for sepsis syndrome were included in the study. Results: A total of 1195 patients who were diagnosed with an infection were screened. Of these, 52 of them met the inclusion criteria for the study. The criteria for severe sepsis was met in 40.3% (n 23) and 1.9% (n 1) met the criteria for septic shock. More than half of the patients were HIV positive and 30.7% did not know their HIV status. The most common sites of infection were respiratory tract, gastrointestinal and central nervous system respectively. Most patients were admitted to the general medical ward. The inpatient mortality rate was 15% for general medical ward admissions. Conclusion: A better understanding of the demographic and clinical profile of sepsis syndrome in South African ECs is required to guide clinical and operational policy development. Creator An entity primarily responsible for making the resource Sepsis Emergency department Developing countries Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2019.02.001 Date A point or period of time associated with an event in the lifecycle of the resource 1 February 2019 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource ENGLISH Type The nature or genre of the resource text Jurnal Internasional Keperawatan Sepsis Emergency department Developing countries