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                  <text>Jurnal Internasional Afrika vol. 10  issue 3 2020</text>
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                <text>Jurnal Internasional Afrika vol.10  issue.3 2020&#13;
African Journal of Emergency Medicine&#13;
Emergency department management of traumatic brain injuries: A resource tiered review</text>
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                <text>Traumatic brain injury&#13;
trauma&#13;
Emergency management&#13;
Head injury&#13;
TBI</text>
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          <element elementId="41">
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                <text>Introduction: Traumatic brain injury is a leading cause of death and disability globally with an estimated African&#13;
&#13;
incidence of approximately 8 million cases annually. A person suffering from a TBI is often aged 20–30, con-&#13;
tributing to sustained disability and large negative economic impacts of TBI. Effective emergency care has the&#13;
&#13;
potential to decrease morbidity from this multisystem trauma.&#13;
Objectives: Identify and summarize key recommendations for emergency care of patients with traumatic brain&#13;
injuries using a resource tiered framework.&#13;
&#13;
Methods: A literature review was conducted on clinical care of brain-injured patients in resource-limited set-&#13;
tings, with a focus on the first 48 h of injury. Using the AfJEM resource tiered review and PRISMA guidelines,&#13;
&#13;
articles were identified and used to describe best practice care and management of the brain-injured patient in&#13;
resource-limited settings.&#13;
Key recommendations: Optimal management of the brain-injured patient begins with early and appropriate&#13;
triage. A complete history and physical can identify high-risk patients who present with mild or moderate TBI.&#13;
Clinical decision rules can aid in the identification of low-risk patients who require no neuroimaging or only a&#13;
&#13;
brief period of observation. The management of the severely brain-injured patient requires a systematic ap-&#13;
proach focused on the avoidance of secondary injury, including hypotension, hypoxia, and hypoglycaemia. Most&#13;
&#13;
interventions to prevent secondary injury can be implemented at all facility levels. Urgent neuroimaging is&#13;
recommended for patients with severe TBI followed by consultation with a neurosurgeon and transfer to an&#13;
intensive care unit. The high incidence and poor outcomes of traumatic brain injury in Africa make this subject&#13;
an important focus for future research and intervention to further guide optimal clinical care.</text>
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                <text>Julia Dixon, Grant Comstock, Jennifer Whitfield, David Richards, Taylor W. Burkholder, Noel Leifer, Nee-Kofi Mould-Millman, Emilie J. Calvello Hynes</text>
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              <elementText elementTextId="18229">
                <text>https://doi.org/10.1016/j.afjem.2020.05.006</text>
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            <name>Date</name>
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                <text>20 May 2020</text>
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            <name>Contributor</name>
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                <text>peri irawan</text>
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                <text>english</text>
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        <name>Jurnal Internasional Keperawatan</name>
      </tag>
      <tag tagId="3254">
        <name>Traumatic brain injury trauma Emergency management Head injury TBI</name>
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                  <text>Jurnal Internasional Afrika vol. 10  issue 3 2020</text>
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                <text>Jurnal Internasional Afrika vol.10  issue.3 2020&#13;
African Journal of Emergency Medicine&#13;
Colchicine overdose: A South African experience, a case report</text>
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                <text>Overdose&#13;
Colchicine&#13;
Multi-organ failure</text>
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                <text>Introduction: Colchicine overdose is uncommon but is associated with a high mortality rate. It has a narrow&#13;
therapeutic index and has been described to have a 100% mortality with ingestion of &gt; 0.8 mg/kg (Finkelstein&#13;
et al., 2010; Herran-Monge et al., 2013; Aghabiklooei et al., 2014; Erden et al., 2013).&#13;
Case report: This is a case report of a 19-year-old male who ingested 0.4 mg/kg of colchicine in a suicide attempt.&#13;
He developed multiorgan dysfunction. He was managed supportively, and the dysfunction resolved.&#13;
Discussion: The clinical presentation and management should be familiar to all those who work in acute care in&#13;
order to be able to identify and treat it timeously thus preventing morbidity and mortality. Treatment is largely&#13;
supportive. To the best of our knowledge this is the first case of colchicine overdose described in Sub-Saharan&#13;
Africa.</text>
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                <text>Jenna Essam, Saul Grossberg, Adam Mahomed</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="18219">
                <text>https://doi.org/10.1016/j.afjem.2019.12.005</text>
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                <text>31 December 2019</text>
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                <text>peri irawan</text>
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        <name>Overdose Colchicine Multi-organ failure</name>
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