1 10 11 https://repository.horizon.ac.id/files/original/004321681afec1bcaec1f6b84e88b2f6.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. 11 issue 4 2021 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.11 issue 4 2021 https://repository.horizon.ac.id/files/original/ec2cd1970c598b457edb44f7ff620fb8.pdf 3480d9aa710065d1dc95b838a601c7a6 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Assault-injured youth in the emergency centres of Khayelitsha, South Africa: A prospective study of recidivism and mortality Subject The topic of the resource Violence Prevention Adolescent Emergency medicine Global health Description An account of the resource Introduction: Violence is a major cause of death worldwide among youth. The highest mortality rates from youth violence occur in low and middle-income countries (LMICs). We sought to identify risk factors for violent re- injury and emergency centre (EC) recidivism among assault-injured youth in South Africa. Methods: A prospective follow up study of assault injured youth and controls ages 14–24 presenting for emer- gency care was conducted in Khayelitsha, South Africa from 2016 to 2018. Sociodemographic and behavioral factors were assessed using a questionnaire administered during the index EC visit. The primary outcomes were return EC visit for violent injury or death within 15 months. We used multivariable logistic regression to compute adjusted odds ratios (OR) and 95% confidence intervals (CI) of associations between return EC visits and key demographic, social, and behavioral factors among assault-injured youth. Results: Our study sample included 320 assault-injured patients and 185 non-assault-injured controls. Of the assault-injured, 80% were male, and the mean age was 20.8 years. The assault-injured youth was more likely to have a return EC visit for violent injury (14%) compared to the control group (3%). The non-assault-injured group had a higher mortality rate (7% vs 3%). All deaths in the control group were due to end-stage HIV or TB-related complications. The strongest risk factors for return EC visit were prior criminal activity (OR = 2.3, 95% CI = 1.1–5.1), and current enrollment in school (OR = 2.1, 95% CI = 1.0–4.6). Although the assault-injured group reported high rates of binge drinking (73%) at the index visit, this was not found to be a risk factor for violence-related EC recidivism. Discussion: Our findings suggest that assault-injured youth in an LMIC setting are at high risk of EC recidivism and several sociodemographic and behavioral factors are associated with increased risk. These findings can inform targeted intervention programs. Creator An entity primarily responsible for making the resource Sarah C. Leeper a , Mehul D. Patel b , Sa’ad Lahri c,d , Alexander Beja-Glasser e , Priscilla Reddy f , Ian B.K. Martin g , Dani ̈el J. van Hoving d , Justin G. Myers Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.07.001 Date A point or period of time associated with an event in the lifecycle of the resource 11 July 2021 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 Violence Prevention Adolescent Emergency medicine Global health https://repository.horizon.ac.id/files/original/b43605835a44eb5ff2904570741a4586.pdf 0bd196a7bb65c240456715a30750b75c 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine The effect of personal protective equipment on cardiac compression quality Subject The topic of the resource Cardiac compression Fatigue Mechanic compression device Prehospital cardiac arrest Prehospital healthcare professionals Description An account of the resource Introduction: Cardiac compression is a cumbersome procedure. The American Heart Association suggests switching of cardiopulmonary resuscitation (CPR) provider every 2 min to prevent any decrease in resuscitation quality. High quality CPR is associated with improved outcomes. Previous studies have highlighted the diffi- culties in providing high quality CPR particularly while wearing personal protective equipment (PPE). This study aimed to evaluate the impact of personal protective equipment (PPE) use on CPR quality in prehospital cardiac arrest situations. Methods: In this prospective simulation study, we compared the cardiac compression qualities and fatigue rates among prehospital health care professionals (HCPs) who were or were not using PPE. Results: A total of 76 prehospital HCPs comprising 38 compression teams participated in this study. The mean compression rate was 117.71 ± 8.27/min without PPE and 115.58 ± 9.02/min with PPE (p = 0.191). Overall compression score was 86.95 ± 4.39 without PPE and 61.89 ± 14.43 with PPE (p < 0.001). Post-cardiac compression fatigue score was 4.42 ± 0.5 among HCPs who used their standard uniform and 7.74 ± 0.92 among those who used PPE (p < 0.001). The overall compression score difference between the two conditions was 25.05 ± 11.74 and the fatigue score difference was 3.31 ± 0.98. Discussion: PPE use is associated with decreased cardiac compression quality and significantly higher fatigue rates than those associated with the use of standard uniforms. Routine use of mechanical compression devices should be considered when PPE is required for out-of-cardiac arrests. Creator An entity primarily responsible for making the resource Muhammet Hacımustafaoglu , Ahmet Çaglar, ̆ Berkant Oztürk,Ilker Kaçer, Kemal Oztürk Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.07.004 Date A point or period of time associated with an event in the lifecycle of the resource 18 July 2021 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 Cardiac compression Fatigue Mechanic compression device Prehospital cardiac arrest Prehospital healthcare professionals Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/11b258167df6adbbc937469f27386a01.pdf e8b7bae911156dec3548728436884447 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Drug and alcohol use in Tanzanian road traffic collision drivers Subject The topic of the resource Substance use disorders Trauma Injury prevention Trauma systems development Description An account of the resource Introduction: Road traffic collisions (RTCs) are an important public health problem in low and middle-income countries (LMIC), where 90% of RTC deaths occur. The World Health Organization has suggested strategies to address excess mortality from RTCs including efforts to combat driving after using alcohol or drugs. Data on the impact of drug and alcohol use on RTCs is limited in many low-resource settings including Tanzania. We sought to examine the prevalence of drug and alcohol use in Tanzanian RTC drivers. Methods: This prospective, observational study was conducted in the emergency centre (EC) of Muhimbili Na- tional Hospital (MNH) in Dar es Salaam, Tanzania. We enrolled adult drivers presenting within 24 h of an RTC. We collected a saliva test of blood alcohol content (BAC) and a urine drug screen (UDS) and administered a validated substance use disorder screening tool, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Patients were excluded from individual analyses if they could not produce saliva or urine or answer questions. Primary outcomes were rates of positive BAC, UDS and self-reported risky alcohol and drug use patterns. Results: We screened 5264 trauma patients and enrolled 418, in whom 190 had a BAC, 364 had a UDS, and 410 had a complete ASSIST. 15 of 190 patients (7.9%) had a positive BAC, and 67/361 (18.7%) had a positive UDS for at least one drug. ASSIST scores showed 75/410 (18.3%) patients were at moderate or high risk for alcohol use disorder. Few were at risk for disordered use of other non-tobacco substances. Discussion: In our population of RTC drivers, positive BAC and UDS tests were rare but many patients were at risk for an alcohol use disorder. Ideal screening for substance use in Tanzanian trauma populations may involve a combination of objective testing and a verbal screening tool. Creator An entity primarily responsible for making the resource Adeline Dozois, MD, Paulina Nkondora , Erin Noste , Juma A. Mfinanga , Hendry R. Sawe , Michael S. Runyon Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.06.004 Date A point or period of time associated with an event in the lifecycle of the resource 10 June 2021 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 Substance use disorders Trauma Injury prevention Trauma systems development https://repository.horizon.ac.id/files/original/c96f9996e1936c14b77d5117cd435c1d.pdf a44b4b939035faaf42903d8715221bba 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Survival status and predictors of mortality among traumatic brain injury patients in an Ethiopian hospital: A retrospective cohort study Subject The topic of the resource Traumatic brain injury Glasgow coma scale Survival status Bahir Dar Description An account of the resource Introduction: Traumatic brain injury is a major global public health problem causing substantial mortality among the adult population. Hence, this study aimed to determine the predictors of mortality among adult traumatic brain injury patients in Felegehiwot Comprehensive Specialized Hospital in Northwest Ethiopia during 2020. Methods: A retrospective cohort study was conducted at Felegehiwot Comprehensive Specialized Hospital using anonymized patient data obtained from chart review. Descriptive statistics were used to summarise the patient characteristics. The Kaplan–Meier survival curve and log-rank test were used to test for differences in survival status among groups. The Cox proportional hazards regression model was used at the 5% level of significance to determine the net effect of each explanatory variable on time to death. Results: In total, 338 patients aged ≥15 years and diagnosed with traumatic brain injury were included in the analysis. Among these patients, 103 (30.45%) died, giving a crude death rate of 25.53 per 1000 (95% CI: 21.05–30.98) person-days of follow-up. The overall median survival time was 44 days. The independent pre- dictors of mortality after diagnosis of traumatic brain injury were admission Glasgow coma scale score ≤ 8 (adjusted hazard ratio (AHR): 4.85; 95% confidence interval (CI): 1.73–13.62), bilateral non-reactive pupils at admission (AHR: 2.00 (95% CI: 1.10–3.71), elevated systolic blood pressure at admission (AHR: 0.31; 95% CI:0.11–0.86), elevated diastolic blood pressure at admission (AHR: 3.54; 95% CI: 1.33–9.43), and haematoma evacuation (AHR: 0.42; 95% CI: 0.16–0.90). Discussion: The Survival status of traumatic brain injury patients was relatively low in this study. Glasgow coma scale score, bilateral non-reactive pupils, and elevated blood pressure were significant predictors of mortality. Further prospective follow-up studies that include residence and occupation are recommended. Creator An entity primarily responsible for making the resource Abraham Tsedalu Amare , Tadesse Dagget Tesfaye , Awole Seid Ali , Tamiru Alene Woelile , Tekalign Amera Birlie , Worku Misganew Kebede , Sheganew Fetene Tassew , Ermias Sisay Chanie , Dejen Getaneh Feleke Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.06.003 Date A point or period of time associated with an event in the lifecycle of the resource 1 June 2021 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 Traumatic brain injury Glasgow coma scale Survival status Bahir Dar https://repository.horizon.ac.id/files/original/7fe3c66b183377d3f45c5d0dcb408506.pdf 6fa3eac26af190642eed2e0680a5b6bc 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine The prevalence, management, and thirty-day outcomes of symptomatic atrial fibrillation in a Tanzanian emergency department Subject The topic of the resource Atrial fibrillation Tanzania Emergency Centre Sub-Saharan Africa Description An account of the resource Introduction: Data describing atrial fibrillation (AF) care in emergency centres (ECs) in sub-Saharan Africa is lacking. We sought to describe the prevalence and outcomes of AF in a Tanzanian EC. Methods: In a prospective, observational study, adults presenting with chest pain or shortness of breath to a Tanzanian EC were enrolled from January through October 2019. Participants underwent electrocardiogram testing which were reviewed by two independent physician judges to determine presence of AF. Participants were asked about their medical history and medication use at enrollment, and a follow-up questionnaire was administered via telephone thirty days later to assess mortality, interim stroke, and medication use. Results: Of 681 enrolled patients, 53 (7.8%) had AF. The mean age of participants with AF was 68.1, with a standard deviation (sd) of 21.1 years, and 23 of the 53 (43.4%) being male. On presentation, none of the par- ticipants found to have AF reported a previous history of AF. The median CHADS-VASC score among participants was 4 with an interquartile range (IQR) of 2-4. No participants were taking an anticoagulant at baseline. On index presentation, 49 (92.5%) participants with AF were hospitalised with 52 (98.1%) participants completing 30-day follow-up. 18 (34%) participants died, and 5 (9.6%) suffered a stroke. Of the surviving 31 participants with AF and a CHADS-VASC score ≥ 2, none were taking other anti-coagulants at 30 days. Compared to par- ticipants without AF, participants with AF were more likely to be hospitalised (OR 5.25, 95% CI 2.10-17.95, p < 0.001), more likely to die within thirty days (OR 1.93, 95% CI 1.03-3.50, p = 0.031), and more likely to suffer a stroke within thirty days (OR 5.91, 95% CI 1.76-17.28, p < 0.001). Discussion: AF is common in a Tanzanian EC, with thirty-day mortality being high, but use of evidence-based therapies is rare. There is an opportunity to improve AF care and outcomes in Tanzania. Creator An entity primarily responsible for making the resource Isaac O. Oyediran , Sainikitha Prattipati , Francis M. Sakita , Godfrey L. Kweka , Tumsifu G. Tarimo , Timothy Peterson , Zak Loring , Alexander T. Limkakeng , Gerald S. Bloomfield , Julian T. Hertz Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.07.002 Date A point or period of time associated with an event in the lifecycle of the resource 27 July 2021 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 Atrial fibrillation Tanzania Emergency Centre Sub-Saharan Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ded33fcb4b237337c32b9e12846a9e53.pdf eac7ca900150608a91f5a7509acd69a2 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Paediatric emergency care at an academic referral hospital in Mozambique Subject The topic of the resource Paediatric Emergency care Sub-Saharan Africa Triage Description An account of the resource Background: Improved emergency care of children with acute illness or injuries is needed for countries in Africa to continue to reduce childhood mortality rates. Quality improvement efforts will depend on robust baseline data, but little has been published on the breadth and severity of paediatric illness seen in Mozambique. Methods: This was a retrospective review of routinely collected provider shift summary data from the Paediatric Emergency Department (PED) at Hospital Central de Maputo (HCM), the principal academic and referral hospital in the country. All children 0–14 years of age seen in the 12-month period from August 2018–July 2019 were included. Descriptive statistical analyses were performed. Results: Data from 346 days and 64,966 patient encounters were analyzed. The large majority of patients (96.4%) presented directly to the PED without referral from a lower level facility. An average of 188 patients was seen per day, with significant seasonal variation peaking in March (292 patients/day). The most common diagnoses were upper respiratory infections (URI), gastroenteritis, asthma, and dermatologic problems. The highest acuity di- agnoses were neurologic problems (59%), asthma (57%), and neonatal diagnoses (50%). Diagnoses with the largest proportion of admissions included neurologic problems, malaria, and neonatal diagnoses. Rapid malaria antigen tests were the most commonly ordered laboratory test across all diagnostic categories; full blood count (FBC) and chemistries were also commonly ordered. Urinalysis and HIV testing were rarely done in the PED. Conclusion: This epidemiologic profile of illness seen in the HCM PED will allow for improved resource uti- lisation. We identified opportunities for evidence-based care algorithms for common diagnoses such as respi- ratory illness to improve patient care and flow. The PED may also be able to optimize laboratory and radiology evaluation for patients and develop standardized admission criteria by diagnosis. Creator An entity primarily responsible for making the resource Hajra Ismail, Harshika Chowdhary , Breena R. Taira , Solange Moiane, Laila Faruk , Benilde Alface , Jyodi Mohole , Otília Gonçalves , Emily A. Hartford , W. Chris Buck Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.07.003 Date A point or period of time associated with an event in the lifecycle of the resource 11 July 2021 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 care Sub-Saharan Africa Triage https://repository.horizon.ac.id/files/original/22c3fc621ca07cce93a02c8916e10ac7.pdf 0157a9225e107a0c652cef135049a112 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town Subject The topic of the resource Diabetes Emergency South Africa Diabetic ketoacidosis Burden Description An account of the resource Introduction: Diabetes and its complications continue to cause a daunting and growing concern on resource- limited environments. There is a paucity of data relating to the care of diabetic emergencies in the emergency centres of entry-level hospitals in Africa. The aim of this study was to describe the burden of diabetic emergencies presenting to the emergency centre of an urban district-level hospital in Cape Town, South Africa. Methods: The Khayelitsha Hospital Emergency Centre database was retrospectively analysed for patients pre- senting with a diabetic emergency within a 24-week randomly selected period. The database was supplemented by a retrospective chart review to include additional variables for participants with diabetic ketoacidosis (DKA), uncomplicated hyperglycaemia, severe hypoglycaemia and hyperosmolar hyperglycaemic state (HHS). Summary statistics are presented of all variables. Results: The prevalence of all diabetic emergencies was 8.1% (197/2424) (DKA n = 96, 48.7%; uncomplicated hyperglycaemia n = 45, 22.8%; severe hypoglycaemia n = 44, 22.3%; HHS n = 12, 6%). The median age was 48 years, with those presenting with DKA being substantially younger (36 years). A likely precipitant was identified in 175 (88%) patients; infection was the most common precipitant (n = 79, 40.1%). Acute kidney injury occurred in 80 (40.6%) cases. The median length of stay in the resuscitation area was 13 h (IQR 7.2–24) and 101 (51.3%) participants represented with a diabetic- related emergency within six months of the study period. The overall mortality rate was 5% (n = 10). Conclusion: This study highlights the high burden of diabetic emergencies on the provision of acute care at a district-level hospital. The high prevalence of diabetic emergencies (8%) consisted of DKA (48.7%), uncompli- cated hyperglycaemia (22.8%), severe hypoglycaemia (22.3%), and HHS (6%). The high infection rate (40%) and the high percentage of patients returning with a diabetic emergency (51%) could be indicative of the need for improved community-based diabetic programmes. Creator An entity primarily responsible for making the resource N. Lotter, S. Lahri, D.J. van Hoving Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.05.004 Date A point or period of time associated with an event in the lifecycle of the resource 21 May 2021 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 Diabetes Emergency South Africa Diabetic ketoacidosis Burden Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/532e0895abfcdd8ddeb859d0b6077945.pdf d59e0f3292274df1e993e922e2258540 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Injury burdens and care delivery in relation to the COVID-19 pandemic in Kigali, Rwanda: A prospective interrupted cross-sectional study Subject The topic of the resource Rwanda Injury care COVID-19 Coronavirus Global health Lockdown Description An account of the resource Introduction: Injuries cause significant burdens in sub-Saharan Africa. In Rwanda, national regulations to reduce COVID-19 altered population mobility and resource allocations. This study evaluated epidemiological trends and care among injured patients preceding and during the COVID-19 pandemic at the Centre Hospitalier Uni- versitaire de Kigali (CHUK) in Kigali, Rwanda. Methods: This prospective interrupted cross-sectional study enrolled injured adult patients (≥15 years) presenting to the CHUK emergency department (ED) from January 27th-March 21st (pre-COVID-19 period) and June 1st- 28th (intra-COVID-19 period). Trained study personnel continuously collected standardized data on enrolled participants through the first six-hours of ED care. The Kampala Trauma Score (KTS) was calculated as a metric of injury severity. Case characteristics prior to and during the pandemic were compared, statistical differences were assessed using χ2 or Fisher's exact tests. Results: Data were collected from 409 pre-COVID-19 and 194 intra-COVID-19 cases. Median age was 32, with a male predominance (74.3%). Road traffic injuries (RTI) were the most common injury mechanism pre-COVID-19 (47.8%) and intra-COVID-19 (53.6%) (p = 0.27). There was a significant increase in the number of transfer cases during the intra-COVID-19 period (52.1%) versus pre-COVID-19 (41.3%) (p = 0.01). KTS was significantly lower among intra-COVID-19 patients (p = 0.04), indicating higher severity of presentation. In the intra-COVID-19 period, there was a significant increase in the number of surgery consultations (40.7%) versus pre-COVID-19 (26.7%) (p < 0.001). The number of hospital admissions increased from 35.5% pre-COVID-19 to 46.4% intra- COVID-19 (p = 0.01). There was no significant mortality difference pre-COVID-19 as compared to the intra- COVID-19 period among injured patients (p = 0.76). Conclusion: Emergency injury care showed increased injury burden, inpatient admission and resource re- quirements during the pandemic period. This suggests the spectrum of disease may be more severe and that greater resources for injury management may continue to be needed during the ongoing COVID-19 pandemic in Rwanda and other similar settings. Creator An entity primarily responsible for making the resource Chantal Uwamahoro , Catalina Gonzalez Marques , Aly Beeman , Zeta Mutabazi , Francois Regis Twagirumukiza , Ling Jing , Vincent Ndebwanimana , Doris Uwamahoro , Menelas Nkeshimana , Oliver Y. Tang , Sonya Naganathan , Spandana Jarmale , Andrew Stephen , Adam R. Aluisio Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.06.007 Date A point or period of time associated with an event in the lifecycle of the resource 26 June 2021 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 Rwanda Injury care COVID-19 Coronavirus Global health Lockdown https://repository.horizon.ac.id/files/original/3b7aba008b34a2a2f7fcd21164f349cb.pdf 6c34602173485c61d387649c9ce18508 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. 11 issue 4 2021 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.11 issue 4 2021 African Journal of Emergency Medicine Demographics and clinical characteristics of hospitalised patients under investigation for COVID-19 with an initial negative SARS-CoV-2 PCR test result Subject The topic of the resource COVID-19 South Africa Emergency District Negative Description An account of the resource Background: The COVID-19 pandemic is placing abnormally high and ongoing demands on healthcare systems. Little is known about the full effect of the COVID-19 pandemic on diseases other than COVID-19 in the South African setting. Objective: To describe a cohort of hospitalised patients under investigation for SARS-CoV-2 that initially tested negative. Methods: Consecutive patients hospitalised at Khayelitsha Hospital from April to June 2020, whose initial po- lymerase chain reaction test for SARS-CoV-2 was negative were included. Patient demographics, clinical char- acteristics, ICD-10 (International Statistical Classification of Diseases and Related Health Problems 10th Revision) diagnosis, referral to tertiary level facilities and ICU, and all-cause in-hospital mortality were collected. The 90-day re-test rate was determined and comparisons were made using the χ2 -test and the independent samples median test. Results: Overall, 261 patients were included: median age 39.8 years, 55.6% female (n = 145). Frequent comorbidities included HIV (41.4%), hypertension (26.4%), and previous or current tuberculosis (24.1%). Nine (3.7%) patients were admitted to ICU and 38 (15.6%) patients died. Ninety-three patients (35.6%) were re-tested and 21 (22.6%) were positive for SARS-CoV-2. The top primary diagnoses related to respiratory diseases (n = 82, 33.6%), and infectious and parasitic diseases (n = 62, 25.4%). Thirty-five (14.3%) had a COVID-19 diagnostic code assigned (26 without microbiological confirmation) and 43 (16.5%) had tuberculosis. Older age (p = 0.001), chronic renal impairment (p = 0.03) and referral to higher level of care (all p < 0.001; ICU p = 0.03) were more frequent in those that died. Conclusion: Patients with tuberculosis and other diseases are still presenting to emergency centres with symptoms that may be attributable to SARS-CoV-2 and requiring admission. Extreme vigilance will be necessary to diag- nosis and treat tuberculosis and other diseases as we emerge from the COVID-19 pandemic. Creator An entity primarily responsible for making the resource D.J. van Hoving , N. Hattingh , S.K. Pillay , T. Lockey , D.J. McAlpine , K. Nieuwenhuys , E. Erasmus Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2021.09.002 Date A point or period of time associated with an event in the lifecycle of the resource 16 September 2021 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 South Africa Emergency District Negative Jurnal Internasional Keperawatan,