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                  <text>Jurnal Internasional Afrika vol. 12 issue 4 2022</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Variables required for the audit of quality completion of patient report forms by EMS —A scoping review</text>
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                <text>Introduction: This review aimed to compile a list of essential variables from the patient assessment, care provided out-of-hospital and the patient handover over process that should be recorded on a Patient Report Form (PRF). A scoping review was conducted to identify articles concerning the recording of medical information on the PRF in the prehospital environment. Methods: A three-step search strategy was used to systemically search published literature. A Boolean method using synonymous phrases related to patient handover variables required for PRF competition was developed based on an initial online search of key phrases. Using the Boolean phrase, a scoping review (guided by a protocol developed a priori) was conducted. The search was conducted using PubMed, CINAHL, Summon and Scopus. A PCC framework was used to guide the inclusion criteria of identified articles. Results: The database search yielded 2461 results. Duplicates ( n = 736), articles published prior to the year 2000 ( n = 260), and non-English results ( n = 30) were removed. The remaining 1435 articles underwent title and abstract screening to determine the relevance to the study topic. This resulted in articles apparently relevant to the study ( n = 47) and these underwent full-text review. Following full-text review 25 articles were included in the study. Patient related information and variables detailing the condition of the patient, including, patient demographics, vital signs, patient assessment and treatment initiated and the manner in which this information is transferred during the patient handover are factors that are important during patient hand over. Conclusion: The information on the PRF prevents potential loss of critical patient information and details of the patient’s condition and treatment from the prehospital field. The development of an appropriate checklist to quality assure PRF’s by ensuring that all vital information is captured on the PRF is proposed</text>
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                <text>McKenzie R, R Pap , TC Hardcastle</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>peri irawan</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Massive influx of victims: staffpreparedness and facility readiness of Tunisian general University Hospitals</text>
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                <text>Preparedness Tunisian university hospitals Lived experience Massive influx of victims</text>
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                <text>Introduction: Hospital preparedness for a massive influx of victims relies, to a certain extent, on actions, programs, and systems that are created and executed ahead of time, but also on the knowledge, skills, and professional competences of the hospital’s staff. Aim: This study aims to understand the factors influencing the preparedness of Tunisian University Hospital staffin facing a massive influx of victims. Methods: This is a multi-method qualitative descriptive study conducted in nine general University Hospitals in Tunisia. The first component was a phenomenological design via open-ended interviews. The second component was a qualitative observational non-participatory design via field observations. Results: 17 participants were recruited in an intentional, non-probabilistic way. Participants to this study dis- cussed issues related to the material and financial resources of their hospitals as well as the psychological impact of managing an influx of victims. They also discussed their training, their involvement in the process, and the norm versus the circumstances in the field which led to the conclusion that: "For multiple reasons, the Tunisian University Hospitals are not ready to properly manage a massive influx of victims". Conclusions: This multi-method qualitative study discussed the factors that affected the preparedness of staffand readiness of University Hospitals included, which were mainly resources (material and financial), psychological burden, lack of training, lack of involvement in the process, and issues related to evidence-based practice. These findings support the idea that more research and more practical interventions needs to be performed to increase the preparedness level of Tunisian University Hospitals and their staff</text>
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                <text>Hamdi Lamine, Naouefel Chebili, Chekib Zedini</text>
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                <text>peri irawan</text>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 4 2022</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Intubation during spinal motion restriction using the Lubo TM cervical collar - a manikin simulation study</text>
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                <text>Introduction: The Lubo TM collar is a cervical motion restriction device featuring a unique external jaw-thrust mechanism designed to provide non-invasive airway patency. In addition, tracheal intubation is facilitated by releasing an anterior chin strap; this allows better mouth opening than the previous generation of semi-rigid cervical collars. This study aimed to compare tracheal intubation using the Lubo TM collar combined with manual in-line stabilization (MILS) to intubation with MILS alone. The primary outcome was the time to successful intubation. Secondary outcomes compared intubation success rate, Cormack-Lehane grade, ease of intubation and dental trauma. Methods: A randomized, cross-over, equivalence study was performed. Eighty full-time physician anaesthesia providers were recruited. Participants performed tracheal intubation using direct laryngoscopy on a manikin under two different scenarios: with the Lubo TM collar and MILS applied, and with MILS and no cervical collar. The time to successful intubation was measured and compared using two-one-sided and paired t-tests. Results: Intubation times fell well within the a priori equivalence limits of 10 seconds, with a mean difference (95% CI) of 0.52 seconds (-1.30 to 2.56). There was no significant difference in intubation time with the Lubo TM collar (mean [SD] 19.2 [4.5] seconds) compared to the MILS alone group (19.7 [5.2] seconds). The overall success rate was 98.7% in the Lubo group and 100% in the MILS group. Adequate laryngoscopy views (Cormack-Lehane grades I to IIb) were equivalent between groups (Lubo 92.5% versus MILS alone 93.7%). Conclusion: In this manikin-based study, the time to intubation with the Lubo TM collar and MILS applied was equivalent to time to intubation with MILS alone, with similar intubating conditions. Thus, the Lubo TM collar and MILS may simplify airway management by reducing the number of steps required to perform intubation in patients requiring cervical motion restriction.</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Injury characteristics and their association with clinical complications among emergency care patients in Tanzania</text>
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                <text>Injury Trauma Emergency medicine Emergency care Tanzania LMICs</text>
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                <text>Background: Over 5 million people annually die from injuries and millions more sustain non-fatal injuries re- quiring medical care. Ninety percent of injury deaths occur in low- and middle-income countries (LMICs). This study describes the characteristics, predictors and outcomes of adult acute injury patients presenting to a tertiary referral hospital in a low-income country in sub-Saharan Africa. Methods: This secondary analysis uses an adult acute injury registry from Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania. We describe this patient sample in terms of socio-demographics, clinical indicators, injury patterns, treatments, and outcomes at hospital discharge. Outcomes include mortality, length of hospital stay, and functional independence. Associations between patient characteristics and patient outcomes are quanti- fied using Cox proportional hazards models, negative binomial regression, and multivariable logistic regression. Results: Of all injury patients (n = 1365), 39.0% were aged 30 to 49 years and 81.5% were men. Most patients had at least a primary school education (89.6%) and were employed (89.3%). A majority of injuries were road traffic (63.2%), fall (16.8%), or assault (14.0%) related. Self-reported comorbidities included hypertension (5.8%), HIV (3.1%), and diabetes (2.3%). Performed surgeries were classified as orthopedic (32.3%), general (4.1%), neu- rological (3.7%), or other (59.8%). Most patients reached the hospital at least four hours after injury occurred (53.9%). Mortality was 5.3%, median length of hospital stay was 6.1 days (IQR: 3.1, 15.0), self-care dependence was 54.2%, and locomotion dependence was 41.5%. Conclusions: Our study sample included primarily young men suffering road traffic crashes with delayed hospital presentations and prolonged hospital stays. Being older, male, and requiring non-orthopedic surgeries or having HIV portends a worse prognosis. Prevention and treatment focused interventions to reduce the burden of injury mortality and morbidity at KCMC are needed to lower injury rates and improve injury outcomes.&#13;
Introduction&#13;
Injury accounts for 9% of global deaths and 11% of all disability- adjusted life years (DALYs) making it a leading cause of death and dis- ability worldwide [ 1 , 2 ]. Every year nearly 5 million people die from injuries and hundreds of millions more sustain non-fatal injuries that require medical care [ 3 , 4 ]. Non-fatal injuries have been associated with additional behavioral and physical health consequences including vio- lence, substance abuse, and cardiovascular disease [5–9] . The greatest burden of injury occurs in low and middle-income coun- tries (LMICs) which collectively account for 90% of all injury deaths&#13;
∗ Corresponding author. E-mail address: catherine.lynch@duke.edu (C.A. Staton) .&#13;
[1] . Among LMICs, sub-Saharan Africa experiences one</text>
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                <text>Armand Zimmerman , Loren K. Barcenas , Msafiri Pesambili , Francis Sakita , Simon Mallya , Joao Ricardo Nickenig Vissoci , Lawrence Park, Blandina T. Mmbaga, Janet Prvu Bettger , Catherine A. Staton</text>
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        <name>Injury Trauma Emergency medicine Emergency care Tanzania LMICs</name>
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        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 4 2022</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
How Health Care Practitioners experience emergencies at Primary Health Care facilities –Kinks in the chain of survival</text>
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                <text>Experiences of Primary Health Care practitioners Emergency care Primary health care context System of emergency care Chain of survival</text>
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                <text>Background: The 72 nd World Health Assembly has recognised that emergency care at primary health care level is vital for reducing overall mortality and disability. The system of emergency care at this level is affected by various external factors. Little is known about these factors and how they shape the experiences of health care practitioners dealing with medical emergencies in Primary Health Care (PHC) settings. The objective of the study was to explore the experiences of health care practitioners in dealing with emergencies in PHC facilities in the Gauteng province of South Africa. Methods: A qualitative formative evaluation approach was used. Data were collected using semi structured in- terviews and analysed using qualitative content analysis to describe the experiences of health care practitioners dealing with emergencies at a primary health care level. Participants included health care practitioners from various levels of the district health system. Results: Major themes that emerged explored challenges faced by health care practitioners, the referral system and influential policy such as the ideal clinic movement.</text>
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                <text>Meghan Botes , Judith Bruce , Richard Cook</text>
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                <text>peri irawan</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Health-related reasons patients transfer from a clinic or health post to the Emergency Department in a District Hospital in Botswana</text>
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          <element elementId="49">
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                <text>Emergency centre Patient transfers Patient disposition Diagnosis</text>
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                <text>Introduction: Rural health clinics in low-resource settings worldwide are usually staffed with health care workers with limited knowledge and skills in managing acute emergencies. The Emergency Centre (EC) at the district hospital or primary hospital serves as an entry point for patients with diverse medical needs from health posts and community clinics. The study described the socio-demographic characteristics, primary diagnosis, and disposition of patients transferred from the clinics and health posts to the district hospital in the Kweneng district . Method: This study is a chart audit of the triage sheets and admitting medical records (Botswana Integrated Patient Management System, IPMS) conducted for the period June through to December 2020. Descriptive statistics were used to analyze the quantitative data. Frequencies, percentages, and measures of central tendency were calculated using the software, SPSS version 27. Results: A total of 1565 charts were reviewed; 56% ( n = 877) were females and 43.5% ( n = 681) were males. Half of the patients presenting to the EC ranged from ages 21 to 50, with a mean age of 36.49. The most frequently reported reason for referral was “trauma, ”(23.5%, n = 368) whereas the second common reason for referral was abortion-related complications (14.2%, n = 222). The highest admissions were from abortion-related complica- tions (20.2%, n = 169). Most patients’ transfers were from clinics and health posts outside Molepolole (59.4%, n = 930). More than half of the patients (64.2%, n = 537) transferred from outside Molepolole were admitted than discharged from the EC. Discussion: Our study has shown significant transfers to a higher facility for emergency care. The higher number of transfers are trauma-related cases, whereas most patients were admitted for abortion-related complications indicating the need for skill-building in trauma care and management of abortions</text>
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              <elementText elementTextId="21167">
                <text>peri irawan</text>
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        <name>Emergency centre Patient transfers Patient disposition Diagnosis</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Global Health Abstracts</text>
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                <text>Background : Non-fatal strangulation is a dangerous mechanism of&#13;
injury among survivors of intimate partner violence and sexual assault,&#13;
with inadequate evidence to guide investigation in the emergency department&#13;
(ED). The primary objective is to identify the proportion of&#13;
intimate partner violence and sexual assault where non-fatal strangulation&#13;
occurs, and to describe the sequelae of injuries.&#13;
Methods Health records review of patients treated at the Sexual&#13;
Assault and Partner Abuse Care Program (SAPACP) and/ or Trauma&#13;
Program at a tertiary level hospital between January 2015 and December&#13;
2018. Eligible patients were greater than 16 years old, seen by the&#13;
SAPACP or trauma team for intimate partner violence and sexual assault,&#13;
and had a non-fatal strangulation injury. Data were abstracted&#13;
from the standardized assessment completed by the SAPACP nurse. Descriptive&#13;
statistics were used.&#13;
Results : We identified 209 eligible cases of non-fatal strangulation,&#13;
among 1791 patient presentations to the SAPACP. Median patient age&#13;
was 27 years, and 97.6% were female. Computed tomography (CT) of&#13;
the head was obtained in 22.5%, and CT angiography (CTA) of the head&#13;
and neck in 6.2% of cases. Eleven significant injuries were identified.&#13;
Two cases of vascular abnormalities: internal carotid artery indentation</text>
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                <text>Jonathan Kajjimu</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="21155">
                <text>www.elsevier.com/locate/afjem</text>
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                <text>11 November 2022</text>
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              <elementText elementTextId="21157">
                <text>peri irawan</text>
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="21159">
                <text>english</text>
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        <name>Global Health Abstracts</name>
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        <name>Jurnal Internasional Keperawatan</name>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Feasibility of project ECHO telementoring to build capacity among non-specialist emergency care providers </text>
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              <elementText elementTextId="21112">
                <text>Project ECHO&#13;
Telementoring&#13;
Emergency care</text>
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            <description>An account of the resource</description>
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              <elementText elementTextId="21113">
                <text>The COVID-19 pandemic has led to global disruptions in emergency medicine (EM) teaching and training and&#13;
highlighted the need to strengthen virtual learning platforms. This disruption coincides with essential efforts to&#13;
scale up training of the emergency healthcare workforce, particularly in low-resource settings where the specialty&#13;
is not well developed. Thus, there is growing interest in strengthening virtual platforms that can be used to&#13;
support emergency medicine educational initiatives globally. These platforms must be robust, context specific and&#13;
sustainable in low-resource environments. This report describes the implementation of Project ECHO (Extension&#13;
for Community Healthcare Outcomes), a telementoring platform originally designed to extend specialist support&#13;
to health care workers in rural and underserved areas in New Mexico. This platform has now been implemented&#13;
successfully across the globe. We describe the challenges and benefits of the Project ECHO model to support a&#13;
Point-of-Care Ultrasound (POCUS) training program for health care providers in Kenya who do not have specialty&#13;
training in emergency medicine. Our experience using this platform suggests it is amenable to capacity building&#13;
for non-specialist emergency care providers in low-resource settings, but key challenges to implementation exist.&#13;
These include unreliable and costly internet access and lack of institutional buy-in.</text>
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              <elementText elementTextId="21114">
                <text>Grace Wanjiku , Lindsay Dreizler , Gregory Bell  , Benjamin Wachira </text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="21115">
                <text>www.elsevier.com/locate/afjem</text>
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                <text>24 July 2022</text>
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            <elementTextContainer>
              <elementText elementTextId="21117">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="21119">
                <text>english</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Project ECHO Telementoring Emergency care</name>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Factors which affect the application and implementation of a spinal motion restriction protocol by prehospital providers in a low resource setting: A scoping review</text>
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                <text>Spinal immobilisation Spinal motion restriction Spinal cord injuries Cervical spine clearance Decision-making tools</text>
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                <text>Introduction: The safety and effectiveness of prehospital clinical c-spine clearance or spinal motion restriction (SMR) decision support tools are unclear. The present study aimed to examine the available literature on clinical cervical spine clearance and selective SMR decision support tools to identify possible barriers to implementation, safety, and effectiveness when used by emergency medical service (EMS) practitioners. Method: We performed a focused scoping review of published literature on the prehospital use of clinical c- spine clearance and SMR decision tools in adult blunt trauma patients. The Medline, Embase, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature, Web of Science, Turning Research into Practice and EBSCOhost online databases were searched (February 2021). The type of decision support tool and facilitators and barriers to its use were extracted from each included publication in accordance with a modified descriptive- analytical framework. Extracted data were subjected to thematic analysis. Results: Following screening, forty-two articles were included in this scoping review. No studies conducted specif- ically in low resource settings were found. The majority of articles (57%) evaluated the use of specific SMR deci- sion support tools, such as the National Emergency X-Radiography Utilization Study (NEXUS) and the Canadian C-spine Rule (CCR). Potential facilitators of safe and effective use were identified in 60%, and potential barri- ers to safe and effective use in 55% of included articles. Only one study evaluated the CCR when used by EMS practitioners, making it difficult to determine its appropriateness for implementation in the prehospital setting. Conclusion: This is the first scoping review, to our knowledge, that has attempted to identify the possible bar- riers and facilitators to their implementation, safety, and effectiveness when used by EMS practitioners. Key issues identified included terminology, guideline compliance and implementation, and a lack of context-specific evidence. These may provide important considerations for future guideline development</text>
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                <text>Charlene Geduld, Henra Muller, Colleen J. Saunders</text>
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              <elementText elementTextId="21105">
                <text>www.elsevier.com/locate/afjem</text>
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                <text>22 August 2022</text>
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              <elementText elementTextId="21107">
                <text>peri irawan</text>
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                <text>english</text>
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        <name>Jurnal Internasional Keperawatan</name>
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      <tag tagId="3683">
        <name>spine clearance Decision-making tools</name>
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                  <text>Jurnal Internasional Afrika vol. 12 issue 4 2022</text>
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                <text>Jurnal Internasional Afrika vol.12 issue 4 2022&#13;
African Journal of Emergency Medicine&#13;
Factors influencing willingness to intervene as bystanders among adult residents living in crash-prone areas in the Ashanti region of Ghana</text>
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                <text>Injury Prehospital care Trauma care Emergency care</text>
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                <text>Introduction: Formal prehospital emergency medical services cover only a small percent of the population in most low- and middle-income countries. Increasing the involvement of laypersons in prehospital first aid can be an important part of the response to injuries and other medical emergencies. We sought to understand factors associated with the willingness of laypersons in Ghana to provide first aid to road traffic crash victims. Method: This cross-sectional study purposively sampled four crash-prone areas in the Ashanti Region and 385 participants were interviewed. A structured questionnaire was used to ask about their demographic characteris- tics, first aid knowledge, and perceptions about first aid. Factors affecting willingness to provide first aid were assessed using multivariable logistic regression. Results: Most participants were male (57.7%) and young (median age 28 years). A large majority (82.9%) were willing to provide first aid to crash victims. However, only 43.1% had been trained in first aid and only 40.4% had adequate knowledge of first aid ( ≥ 70% correct). Factors associated with willingness to provide first aid included first aid knowledge (aOR 17.27 for moderate knowledge vs. low knowledge, p = 0.018; aOR 13.63 for adequate knowledge vs. low knowledge, p = 0.030) and positive attitudes towards first aid, including the feeling that: every person should be trained in first aid (aOR 2.98, p = 0.025), first aid increases survival (aOR 2.79, p = 0.046), it is important to learn first aid (aOR 2.40, p = 0.005), and bystanders have the responsibility to give first aid (aOR 4.34, p &lt; 0.001). Conclusion: A high percentage of people in these crash-prone areas of Ashanti Region, Ghana were willing to provide first aid. However, under half had been trained in first aid or had adequate knowledge of first aid. A major implication of these findings is the need to increase the availability of quality training in first aid in these areas.</text>
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                <text>Miilon Sommik Duut, Paul Okyere, Ahmed Nuhu Zakariah , Peter Donkor, Charles Mock</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="21095">
                <text>www.elsevier.com/locate/afjem</text>
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                <text>24 June 2022</text>
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              <elementText elementTextId="21097">
                <text>peri irawan</text>
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            <name>Format</name>
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                <text>english</text>
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        <name>Injury Prehospital care Trauma care Emergency care</name>
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        <name>Jurnal Internasional Keperawatan</name>
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