1 10 11 https://repository.horizon.ac.id/files/original/3da2e2fb2a9ad7de74f9a6eb6ddc877b.pdf cf3887baed72fc3dfa7828b82c4280e2 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine A cross sectional study of the availability of paediatric emergency equipment in South African emergency units Subject The topic of the resource Paediatric Emergency Equipment Resuscitation Emergency unit Description An account of the resource Background: Despite children representing a significant proportion of Emergency Unit (EU) attendances glob- ally, it is concerning that many healthcare facilities are inadequately equipped to deliver paediatric resuscita- tion. The rapid availability of a full range of paediatric emergency equipment is critical for delivery of effective, best-practice resuscitation. This study aimed to describe the availability of essential, functional paediatric emergency resuscitation equipment on or close to the resuscitation trolley, in 24-hour EUs in Cape Town, South Africa. Methods: A cross sectional study was conducted over a six-month period in government funded hospital EUs, providing 24-hour emergency paediatric care within the Cape Town Metropole. A standardised data collection sheet of essential resuscitation equipment expected to be available in the resuscitation area, was used. Items were considered to be available if at least one piece of equipment was present. Functionality of available equipment was defined as: equipment that hadn't expired, whose original packaging was not outwardly damaged or compromised and all components were present and intact. Results: Overall, a mean of 43% (30/69) of equipment was available on the resuscitation trolley across all hospitals. The overall mean availability of equipment in the resuscitation area was 49% (34/69) across all hospitals. Mean availability of functional equipment was 42% (29/69) overall, 41% (28/69) at district-level hospitals, and 45% (31/69) at regional/tertiary hospitals. Conclusion: Essential resuscitation equipment for children is insufficiently available at district-level and higher hospitals in the Cape Town Metropole. This is a modifiable barrier to the provision of high-quality paediatric emergency care. Creator An entity primarily responsible for making the resource Lauren Lai King, Baljit Cheem, D.J. van Hoving Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.06.008 Date A point or period of time associated with an event in the lifecycle of the resource 16 June 2020 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 Paediatric Emergency Equipment Resuscitation Emergency unit https://repository.horizon.ac.id/files/original/37876437cc7681fb5f1514863afd62be.pdf 8412bf82775711f2f4cb1eaaffb192e5 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine Impact of community-based first responder development for the management of drowning casualties in rural areas of Bangladesh Subject The topic of the resource First Aid CPR Community volunteers Drowning Description An account of the resource Background: Drowning is the leading cause of childhood death in Bangladesh. In order to minimize the number of casualties Centre for Injury Prevention and Research, Bangladesh (CIPRB) incorporated a ‘first responder’ program which includes Cardio Pulmonary Resuscitation (CPR), in community based drowning prevention program, SwimSafe. Along with swimming lessons, swimming instructors provide first responder services in the community. The objective of this study was to describe the results of the volunteer based first responder services for the management of drowned casualties between 2012 and 2015 in the rural communities of Bangladesh. Methods: Adolescents and youths who volunteered as community swimming instructors were trained as first responders to provide first aid and resuscitation in the community. Trainers from the International Drowning Research Centre Bangladesh (IDRC-B) of CIPRB delivered the training. The first responders were also trained on the documentation of the first responder services they provided in the community. The documented records were collected from the volunteers on a regular basis; when drowning cases were reported CIPRB management fol- lowed up with an in depth data collection, using a structured form. Results: 2,305 community volunteers were trained between 2012 and 2015. Of them 1,461 reported providing first responder services among 6,773 casualties, including 184 drowning casualties. Of the drowning casualties, volunteers treated 31 casualties with Cardiopulmonary Resuscitation (CPR), 51 casualties by putting into the recovery position and 102 casualties were treated for the shock on site. Of those given CPR, 22 (71%) survived and 9 (29%) died. After receiving treatment from the first responder 104 (56.5%) of the drowning casualties were referred to health facilities for further treatment. Conclusions: The training of community first responders seems to be an effective way of managing and reducing drowning causalities in countries like Bangladesh, where drowning is a significant public health hazard. Creator An entity primarily responsible for making the resource Mohammad Jahangir Hossain, Md Shafkat Hossain, Cinderella Akbar Mayaboti, AKM Fazlur Rahman, Salim Mahmud Chowdhury, Saidur Rahman Mashreky, Aminur Rahman Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.07.009 Date A point or period of time associated with an event in the lifecycle of the resource 16 July 2020 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 First Aid CPR Community volunteers Drowning Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/59e221acb116e971ac044ce688718f7f.pdf 2857bf1e537ccf120bb9d220196fd2cd 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa Subject The topic of the resource Covid-19 Coronavirus Trauma Lockdown Motor vehicle accidents Interpersonal violence Description An account of the resource Introduction: The Covid-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and severity of trauma presentations to a regional emergency department in Kwa-Zulu Natal. Methods: A retrospective cohort study of the triage register at Edendale Hospital Emergency Department was conducted, comparing all trauma presentations in the month of April 2020 with those from the preceding two years. The number of patients, mechanism of trauma and severity of illness were recorded and compared. Results: A 47% reduction in the number of trauma cases was recorded for April 2020. The proportion of severe cases did not change. The categories showing a major decrease were motor vehicle accidents, pedestrian vehicle accidents, assault and gunshot wounds. The incidence of dog bite wounds and burns remained unchanged. Conclusion: This study shows that the burden of trauma presenting to the emergency department was decreased in the month of April 2020 by the regulations implemented in response to the Covid-19 pandemic. Creator An entity primarily responsible for making the resource David Morris, Megan Rogers, Nicole Kissmer, Anzanne Du Preez, Nicholas Dufourq Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.06.005 Date A point or period of time associated with an event in the lifecycle of the resource 11 June 2020 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 Covid-19 Coronavirus Trauma Lockdown Motor vehicle accidents Interpersonal violence Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/a4dabcf636b3fd12dd83fceb4aea5670.pdf 4c18fff892c28e712715e86c98ff2f7b 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine Impact of nursing education and a monitoring tool on outcomes in traumatic brain injury Subject The topic of the resource Uganda Secondary brain injury Emergency care Traumatic brain injury Low resource settings Nursing chart Description An account of the resource Introduction: Throughout the world, traumatic brain injury (TBI) is one of the leading causes of morbidity and mortality. Low-and middle-income countries experience an especially high burden of TBI. While guidelines for TBI management exist in high income countries, little is known about the optimal management of TBI in low resource settings. Prevention of secondary injuries is feasible in these settings and has potential to improve mortality. Methods: A pragmatic quasi-experimental study was conducted in the emergency centre (EC) of Mulago National Referral Hospital to evaluate the impact of TBI nursing education and use of a monitoring tool on mortality. Over 24 months, data was collected on 541 patients with moderate (GCS9-13) to severe (GCS≤8) TBI. The primary outcome was in-hospital mortality and secondary outcomes included time to imaging, time to surgical inter- vention, time to advanced airway, length of stay and number of vital signs recorded. Results: Data were collected on 286 patients before the intervention and 255 after. Unadjusted mortality was higher in the post-intervention group but appeared to be related to severity of TBI, not the intervention itself. Apart from number of vital signs, secondary outcomes did not differ significantly between groups. In the post- intervention group, vital signs were recorded an average of 2.85 times compared to 0.49 in the pre-intervention group (95% CI 2.08-2.62, p ≤ 0.001). The median time interval between vital signs in the post-intervention group was 4.5 h (IQR 2.1-10.6). Conclusion: Monitoring of vital signs in the EC improved with nursing education and use of a monitoring tool, however, there was no detectable impact on mortality. The high mortality among patients with TBI underscores the need for treatment strategies that can be implemented in low resource settings. Promising approaches in- clude improved monitoring, organized trauma systems and protocols with an emphasis on early aggressive care and primary prevention. Creator An entity primarily responsible for making the resource Miriam Gamble, Tonny Stone Luggy, Jacqueline Mabweijano, Josephine Nabulime, Hani Mowafi Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.05.013 Date A point or period of time associated with an event in the lifecycle of the resource 29 May 2020 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 Uganda Secondary brain injury Emergency care Traumatic brain injury Low resource settings Nursing chart https://repository.horizon.ac.id/files/original/86a0246e4c2835d7e71e717f4f49f461.pdf 1b5d667e568fbc379a68057e434d150a 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine Standardised management of atraumatic epistaxis for improved outcomes in an emergency department with off-site ear, nose and throat cover - A quality improvement project Subject The topic of the resource Epistaxis Nosebleed Nasal packing Bleeding ENT Emergency department Description An account of the resource Problem description: Otorhinolaryngology services are not available in all hospitals and atraumatic epistaxis is a common presentation to Emergency Departments (ED). Not all ED staff are experienced in managing epistaxis and there appeared to be a high rate of re-bleeding after treatment provided. We aimed to improve outcome for ED patients presenting with atraumatic epistaxis and staff conditions by creating a Departmental pathway outlining a management plan and ensuring all equipment needed was readily available. Methods: A retrospective 6-month audit was done to assess current management and re-bleed percentage rates post nasal packing. A team was assembled, stocked a trolley, created an Atraumatic epistaxis ED pathway and promoted its use by staff. Repeated Plan-Do-Study-Act cycles were undertaken. Chosen measures were (1) Reduced re-bleed rates post nasal packing from initial audit levels; (2) Increased nasal packing duration; (3) Improved qualitative feedback by ED doctors (4) 100% E.N.T. trolley stock. Results: Audit showed minimal use of vasoconstrictor spray, a 7-hour mean nasal pack duration, a re-bleed rate post nasal packing of 39% and staff reports of difficulties accessing items required. After introduction of the E.N.T. trolley, there was positive staff feedback regarding improved availability of treatment items and full stocking of the trolley was achieved after repeated cycles. Following introduction of the Epistaxis pathway and staff education, average re-bleed rates post nasal packing dropped* from 39% to 20% in the first cycle; 21% in the third cycle; 25% in the fourth cycle and 14% in the fifth cycle- (*Isolated re-bleed average of 40% observed in the second cycle). Mean nasal packing duration increased from 7 h to 9, 10, 10, 12 and 8 h in the 2-monthly cycles successively. Conclusion: The project's aims of improving epistaxis patients' outcomes and improved convenience for ED staff were achieved. Creator An entity primarily responsible for making the resource Eziefa Obuseh, Emily O'Conor Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.07.001 Date A point or period of time associated with an event in the lifecycle of the resource 4 July 2020 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 Epistaxis Nosebleed Nasal packing Bleeding ENT Emergency department Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/30b9c7918d3a3d9ab31e7629404ed516.pdf ef98808857a6d3818b2da3aa07c93cf8 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. 10 issue 4 2020 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.10 issue.4 2020 African Journal of Emergency Medicine Developing sustainable prehospital trauma education in Rwanda Subject The topic of the resource Trauma Prehospital Education Africa Rwanda Description An account of the resource Introduction: Every year, > 5 million people worldwide die from trauma. In Kigali, Rwanda, 50% of prehospital care provided by SAMU, the public prehospital system, is for trauma. Our collaboration developed and im- plemented a context-specific, prehospital Emergency Trauma Care Course (ETCC) and train-the-trainers program for SAMU, based on established international best practices. Methods: A context-appropriate two-day ETCC was developed using established best practices consisting of traditional 30-minute lectures followed by 20-minute practical scenario-based team-driven simulation sessions. Also, hands-on skill sessions covered intravenous access, needle thoracostomy and endotracheal intubation among others. Two cohorts participated — SAMU staff who would form an instructor core and emergency staff from ten district, provincial and referral hospitals who are likely to respond to local emergencies in the com- munity. The instructor core completed ETCC 1 and a one-day educator course and then taught the second cohort (ETCC2). Pre and post course assessments were conducted and analyzed using Student's t-test and matched paired t-tests. Results: ETCC 1 had 17 SAMU staff and ETCC 2 had 19 hospital staff. ETCC 1 mean scores increased from 40% to 63% and ETCC 2 increased from 41% to 78% after the course (p < 0.001 using matched pair analysis). A one- way ANOVA mean square analysis showed that regardless of the baseline level of training for each participant, all trainees reached similar post-course assessment scores, F (1) = 15.18, p = 0.0004. Discussion: This study demonstrates effective implementation of a context-appropriate prehospital trauma training program for prehospital staff in Kigali, Rwanda. The course resulted in improved knowledge for an instructor core and for staff from district and provincial hospitals confirming the effectiveness of a train-the- trainers model. This program may be effective to support capacity development for prehospital trauma care in the country using a qualified local source of instructors. Creator An entity primarily responsible for making the resource Ashley Rosenberg, Ignace Kabagem, Basil Asay, Jean Marie Uwitonze, Stephanie Louka, Menelas Nkeshimana, Gabin Mbanjumucyo, Luke Wolfe, Catherine Valukas , Theophile Dushimeb , Sudha Jayaramana Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.07.015 Date A point or period of time associated with an event in the lifecycle of the resource 29 July 2020 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 Trauma Prehospital Education Africa Rwanda https://repository.horizon.ac.id/files/original/09418274aaba92b51ee86cbab357458c.pdf e3ee31f3745b30a63e853c2c46870542 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. 10 issue 4 2020 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.10 issue.4 2020 Barriers to the implementation of prehospital thrombolysis in the treatment of ST-segment elevation myocardial infarction in South Africa: An exploratory inquiry Subject The topic of the resource Prehospital thrombolysis Implementation Acute myocardial infarction St-segment myocardial infarction Prehospital coronary care Description An account of the resource Introduction: Evidence-based guidelines advocate percutaneous coronary intervention (PCI) as the mainstay reperfusion strategy for ST-segment elevation myocardial infarction (STEMI). However, the South African health system is not well positioned to provide PCI as a ‘mainstay strategy’. In response, the Health Professions Council of South Africa approved the use of prehospital thrombolysis (PHT) for emergency care practitioners in 2009. However, since its approval, prehospital thrombolysis has failed to reach a level of systematic uptake indicative of successful implementation. The current study aimed to explore, through a qualitative inquiry, barriers to PHT for the treatment of myocardial infarction within a South African context. Methods: A qualitative single-case study design was used where a series of semi-structured interviews were conducted involving purposefully selected participants. The case comprised a nationalised private emergency medical service, and participants were selected in view of relevant experience and knowledge. Requisite data was conceptualised through the consolidated framework for implementation research, and thematic analysis outlined the data coding procedures of the study. Results: The study identified potential barriers to the implementation of PHT. These comprised cost, logistics, inter-professional collaboration, leadership engagement, and beliefs or scepticism associated with PHT. Conclusion: A lack of strategic implementation has resulted in a poor introduction of evidenced-based pre- hospital cardiac care, affecting vulnerable populations who may have otherwise benefited from receiving this level of care. Given the time-sensitive nature of STEMI management, and severely limited access to ‘primary reperfusion’, PHT resembles not only a logical but also appealing solution in the South African context. Creator An entity primarily responsible for making the resource Andrew Lynch, Simpiwe Sobuwa, Nicholas Castle Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.08.001 Date A point or period of time associated with an event in the lifecycle of the resource 4 August 2020 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 Prehospital thrombolysis Implementation Acute myocardial infarction St-segment myocardial infarction Prehospital coronary care https://repository.horizon.ac.id/files/original/6d4c0eda377afc515cb1d47e9e8bd72a.pdf be0bd4f713016c2c67996ff9f6dfeee7 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre Subject The topic of the resource Acute myocardial infarction Emergency medical dispatchers Heart attack Chest pain Description An account of the resource Introduction: Acute myocardial infarction (AMI) is a time sensitive emergency. In resource limited settings, prompt identification and management of patients experiencing AMI in the pre-hospital setting may minimise the negative consequences associated with overburdened emergency medical and hospital services. Expedited care thus, in part, relies on the dispatch of appropriate pre-hospital medical providers by emergency medical dispatchers. Identification of these patients in call centres is challenging due to a highly diverse South African society, with multiple languages, cultures, and levels of education. The aim of this study was therefore, to describe the terms used by members of the South African public when calling for an ambulance for patients suffering an AMI. Methods: In this qualitative study, we performed content analysis to identify keywords and phrases that callers used to describe patients who were experiencing an advanced life support (ALS) paramedic-diagnosed AMI. Using the unique case reference number of randomly selected AMI cases, original voice recordings between the caller and emergency medical dispatcher at the time of the emergency were extracted and transcribed verbatim. Descriptors of AMI were identified, coded and categorised using content analysis, and quantified. Results: Of the 50 randomly selected calls analysed, 5 were not conducted in English. The descriptors used by callers were found to fall into three categories; Pain: Thorax, No pain: Thorax and Ill- health. The code that occurred most often was no pain, heart related (n = 16; 23.2%), followed by the code describing pain in the chest (n = 15; 21.7%). Conclusion: South African callers use a consistent set of descriptors when requesting an ambulance for a patient experiencing an AMI. The most common of these are non-pain descriptors related to the heart. These descriptors may ultimately be used in developing validated algorithms to assist dispatch decisions. In this way, we hope to expedite the correct level of care to these time- critical patients and prevent the unnecessary dispatch of lim- itedly available ALS paramedics to inappropriate cases. Creator An entity primarily responsible for making the resource Chloe Buma, Colleen Saunders, Jennifer Watermeyer, Willem Stassen Date A point or period of time associated with an event in the lifecycle of the resource 18 June 2020 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 Acute myocardial infarction Emergency medical dispatchers Heart attack Chest pain Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/bea39d712f8c38d8355a61e6f542aae1.pdf 43a1bf6bede76cc1ba3db329544a88c3 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. 10 issue 4 2020 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.10 issue 4 2020 African Journal of Emergency Medicine Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department Subject The topic of the resource ADL index Elderly Emergency Department ISAR scale Outcomes Description An account of the resource Introduction: Frail older adults are at an increased risk for adverse outcomes after an Emergency Department (ED) visit. Several tools exist for the screening of frailty among these patients. However, no tool has been validated in Tunisia. This study aims to evaluate the usefulness of frailty screening in predicting the outcome of older adults presenting to the ED. Methods: This is a prospective, monocentric study. We evaluated the eligible patients at the ED and after their discharge. Follow-up phone calls were scheduled at 1, 2, 3, and 6 months after the ED visit. All patients aged 65 years or older; and visiting the ED during the inclusion period were involved. We used the ADL index and ISAR scale for assessing frailty. Results: We enrolled 184 patients; they were living alone in 25% of cases. Half of them had medical care in- surance. The ADL index was maximum (6 = total dependency) in 20% of cases. The ISAR score was above 1 point in 38%. Unplanned hospitalizations have accounted for 34%. In univariate analysis, the ADL index and ISAR score were statistically higher in the group of “unplanned hospitalization”. In multivariate analysis, the ISAR score and ADL index have not been associated with unplanned hospitalization. Conclusion: Our results did not demonstrate the relevance of the ISAR or ADL scales in predicting the mortality or the need for unplanned hospitalization in multivariate analysis. This study did indicate an increased mortality in the “frail” patients in the univariate analysis. Further studies with larger samples and different tools are necessary. Creator An entity primarily responsible for making the resource Olfa Chakroun-Walh, Adel Walh, Haifa Bradai, Abdennour Nasri, Rim Karray, Mouna Jerbi,Rahma Trabelsi, Noureddine Rekik Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.07.014 Date A point or period of time associated with an event in the lifecycle of the resource 29 July 2020 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 ADL index Elderly Emergency Department ISAR scale Outcomes Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/8b177126e03875300b0df13f70fb0455.pdf 3533570e7c4009710e8438f0eeedfc67 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. 10 issue 4 2020 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 Nasional Infokes vol.10 issue 4 2020 Core competencies required by toxicology graduates in order to function effectively in a Poisons Information Centre: A Delphi study Subject The topic of the resource Medical Toxicology Health Professions Education Curriculum development Poison Information Specialists Delphi-study Core competencies Description An account of the resource Introduction: The availability of trained Medical Toxicologists in developing countries is limited and education in Medical Toxicology remains inadequate. The lack of toxicology services contributes to a knowledge gap in the management of poisonings. A need existed to investigate the core competencies required by toxicology graduates to effectively operate in a Poisons Information Centre. The aim of this study was to obtain consensus from an expert group of health care workers on these core competencies. This was done by making use of the Delphi technique. Methodology: The Delphi survey started with a set of carefully selected questions drawn from various sources including a literature review and exploration of existing curricula. To capture the collective opinion of experts in South Africa, Africa and also globally, three different groups were invited to participate in the study. To build and manage the questionnaire, the secure Research Electronic Data Capture (REDCap) web platform was used. Results: A total of 134 competencies were selected for the three rounds and in the end consensus was reached on 118 (88%) items. Panel members agreed that 113 (96%) of these items should be incorporated in a Medical Toxicology curriculum and five (4%) should be excluded. Discussion: All participants agreed that effective communication is an essential skill for toxicology graduates. The curriculum can address this problem by including effective pedagogy to enhance oral and written com- munication skills. Feedback from panellists indicated that the questionnaires were country-specific and not necessarily re- presentative of all geographical locations. This is an example of the ‘battle of curriculum design’ where the context in which the curriculum will be used, will determine the content. Conclusion: The Delphi method, based on three iterative rounds and feedback from experts, was effective in reaching consensus on the learning outcomes of a Medical Toxicology curriculum. The study results will ulti- mately improve education in Medical Toxicology. Creator An entity primarily responsible for making the resource C.J. Marks, A.J.N. Louw, I. Couper Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2020.05.011 Date A point or period of time associated with an event in the lifecycle of the resource 27 May 2020 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 Medical Toxicology Health Professions Education Curriculum development Poison Information Specialists Delphi-study Core competencies