3 10 23 https://repository.horizon.ac.id/files/original/9c5bfbbd04fa5d76598f9cc27bf61584.pdf 263e8f6bf358ed61c699e4e878399e9d 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. 12 issue 3 2022 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 Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine A descriptive study of trauma patients transported by helicopter emergency medical services to a level one trauma centre Subject The topic of the resource HEMS Trauma Outcome Pre-hospital care South Africa Description An account of the resource Background: KwaZulu-Natal, the largest land mass province that is densely populated in SA has vast distances to referral centres and time to definitive treatment is key in trauma care. Helicopter Emergency Medical Service (HEMS) is still an invaluable prehospital asset for the transport of time sensitive trauma. This study reviews the impact of HEMS in the management of trauma at Inkosi Albert Luthuli hospital (IALCH) which is the only public accredited level one trauma centre in the province. Methods: A retrospective descriptive study of polytrauma patients transported by HEMS in KZN to IALCH over a three-year period from 01 January 2014 to 31 December 2016. Data was collected around patient demographics, transfer details and patient outcomes. Results: Over the three-year period, 117 HEMS transfers were reviewed, with the majority being male (90.6%). Just 26% of HEMS transfers were direct from the scene, with the balance being interhospital transfers largely from distant regional hospitals around the province. Some 60% of injuries were caused by vehicle crashes, and 31% by intentional injury. Mortality was 30% which is reflective of the high severity of injury of the cohort. The injury severity scores (ISS) (median 26 overall) of those who died was higher (median 38) ( P - = .0002), and there were more interventions before and during transfer such as thoracostomy, ventilation and immobilization. Overall, 88% required admission to ICU at IACLH. Conclusions: HEMS in the KwaZulu Natal province was mainly used for long-distance transfer of major trauma patients which is an appropriate use of this essential service, given the single major trauma centre in the province. The majority of patients that were transported by HEMS had severe injury, which was also associated with increased mortality outcomes. Rational use of this essential but expensive resource will require clear policy around the role of HEMS and call out criteria in each setting. Creator An entity primarily responsible for making the resource Marwala Simon Pule , Peter Hodkinson , Timothy Hardcastle Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available elsevier Date A point or period of time associated with an event in the lifecycle of the resource 24 March 2022 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 HEMS Trauma Outcome Pre-hospital care South Africa Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/83e3706fe776096539167669717b4e4b.pdf 407a8225c2819aea1eee4dcf51e09abf 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. 12 issue 3 2022 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 Aprika vol.12 issue 3 2022 African Journal of Emergency Medicine A descriptive analysis of the casemix presenting to a tertiary hospital emergency centre in East London, South Africa Subject The topic of the resource Emergency centre Casemix South Africa East London Eastern Cape Description An account of the resource Introduction: Emergency centres are most often the point of entry to the healthcare system for patients presenting with emergencies. Even though emergency medicine has developed rapidly in certain regions of South Africa, it is yet to flourish in the Eastern Cape. A paucity of data exists with regards to the demographic and disease profile of patients presenting to Eastern Cape emergency centres. This study describes the casemix presenting to a tertiary hospital emergency centre in East London in the Eastern Cape. Methods: A retrospective descriptive study was conducted of all patients presenting to Frere Hospital emergency centre from 1st of August 2019 to 31 st of October 2019. Data were manually collected from the emergency centre paper-based register for the study period and included: patient demographics, geographical location, triage category, presenting complaint, disposition, and process times. Descriptive statistics were used to describe all variables. Results: A total of 6 204 patients presented during the study period. The median age was 31 years, with a male predominance of 56%. Lower acuity triage categories (green and yellow) represented 67% of all cases. Trauma comprised 56% of all presentations, with assault being the most prevalent mechanism of injury in the adult population (n = 1 460, 48%). Sundays (18%) and Mondays (20%) had the highest patient caseload. The majority of patients were discharged home (n = 4 257, 69%) of which 79% had lower acuity triage categories. The majority of patients lived within a 20 km radius of Frere Hospital (n = 4 689, 77%). Conclusion: This descriptive study provides essential data that could guide further development of emergency care systems within the Eastern Cape. A high trauma burden, comprising predominantly of lower acuity presentations are described. Social and economic determinants of violence must be addressed and multisectoral interventions are required to reduce the high burden of trauma Creator An entity primarily responsible for making the resource Luan Taljaard, Roshen Maharaj , Clint Hendrikse Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Date A point or period of time associated with an event in the lifecycle of the resource 26 May 2022 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 Emergency centre Casemix South Africa East London Eastern Cape Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/2f43d7916f4a4e2f5078ca56eac0ebcc.pdf 2087b866622ba6d76dc6f77e34e35f10 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. 12 issue 3 2022 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 aprika vol.12 issue 3 2022 African Journal of Emergency Medicine A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania Subject The topic of the resource Pediatric injuries Sub-Saharan Africa Trauma registry Global health Description An account of the resource Introduction: Pediatric injuries in low- and middle-income countries are a leading cause of morbidity and mortality worldwide. Implementing hospital-based trauma registries can reduce the knowledge gap in both hospital care and patient outcomes and lead to quality improvement initiatives. The goal of this study was to create a pediatric trauma registry to provide insight into the epidemiology, outcomes, and factors associated with poor outcomes in injured children. Methods: This was a prospective observational study in which a pediatric trauma registry was implemented at a large zonal referral hospital in Northern Tanzania. Data included demographics, hospital-based care, and out- comes including morbidity and mortality. Data were input into REDCap©and analyzed using ANOVA and Chi- squared tests in SAS(Version 9.4)©. Results: 365 patients were enrolled in the registry from November 2020 to October 2021. The majority were males (n = 240, 65.8%). Most were children 0–5 years (41.7%, n = 152), 34.5% (n = 126) were 6–11 years, and 23.8% (n = 87) were 12–17 years. The leading causes of pediatric injuries were falls (n = 137, 37.5%) and road traffic injuries (n = 125, 34.5%). The mortality rate was 8.2% ( n = 30 ). Of the in-hospital deaths, 43.3% were children with burn injuries who also had a higher odds of mortality than children with other injuries (OR 8.72, p < 0.001). The factors associated with in-hospital mortality and morbidity were vital sign abnormalities, burn severity, abnormal Glasgow Coma Score, and ICU admission. Conclusion: The mortality rate of injured children in our cohort was high, especially in children with burn injuries. In order to reduce morbidity and mortality, interventions should be prioritized that focus on pediatric injured pa- tients that present with abnormal vital signs, altered mental status, and severe burns. These findings highlight the need for health system capacity building to improve outcomes of pediatric injury patients in Northern Tanzania Creator An entity primarily responsible for making the resource Elizabeth M. Keating , Francis Sakita , Blandina T. Mmbaga , Getrude Nkini , Ismail Amiri , Chermiqua Tsosie , Nora Fino , Melissa H. Watt , Catherine A. Staton Source A related resource from which the described resource is derived www.elsevier.com/locate/afjem Publisher An entity responsible for making the resource available elsevier Date A point or period of time associated with an event in the lifecycle of the resource 18 April 2022 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 Pediatric injuries Sub-Saharan Africa Trauma registry Global health