1 10 33 https://repository.horizon.ac.id/files/original/2580d84f2e2fe8f95cf271845835bc52.pdf fd0c2a0c3084625bef00de489f14facb 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Evaluation des connaissances théoriques des étudiants en médecine sur les gestes de premiers secours en République Démocratique du Congo Theoretical knowledge assessment of medical students on first aid in the Democratic Republic of Congo Subject The topic of the resource Connaissance Evaluation Premiers secours Médecine Description An account of the resource éIntroduction: La République Démocratique du Congo fait régulièrement face àplusieurs urgences sanitaires. La présence des médecins en première ligne dans la riposte y est un phénomène spontané. Des lacunes ont étéidentifiées dans la connaissance des premiers secours au sein de la population; d’oùla nécessitéde formation. Les étudiants en médecine y joueraient un rôle crucial. Cette étude évalue les connaissances théoriques en premiers secours chez ceux-ci. Méthodologie: Notre étude est de type descriptif et transversal. Elle a étéconduite du 01 Juin au 30 Août 2021 àla Facultéde médecine de l’UniversitéCatholique du Graben. Notre échantillon était constituéde 279 étudiants. La collecte des données a étéfaite par un questionnaire d’enquête couvrant divers aspects des premiers secours. Les données ont ététraitées par le logiciel Epi Info version 3.4.5. Résultats: Aucun participant n’a démontréun niveau satisfaisant de connaissances théoriques en premiers secours tandis que 38,7% et 61,3 % ont démontréun niveau intermédiaire et bas respectivement. Une corrélation positive a éténotée entre la promotion d’étude, une formation antérieure en premiers secours et le niveau de connaissance. Le média est la principale source d’information. Près de la moitiédes étudiants ont affirmén’avoir jamais poséun geste de premier secours àcause du manque de connaissance (47,7%). La quasi-totalitéa montréune attitude positive en rapport avec l’introduction d’une formation en premiers secours en milieu universitaire. Conclusion: Cette étude a démontréun faible niveau de connaissances des gestes de premiers secours parmi les étudiants en médicine, mais une volontéd’apprendre. Il y a nécessitéd’intégrer la formation en gestes de premiers secours dans tous les curriculums de l’enseignement en RDC. Creator An entity primarily responsible for making the resource Agnes Kavira Katsioto, Franck Katembo Sikakulya, Shaffi Mumbere Mustafa, Amos Kaghoma Sivulyamwenge , Claude Kasereka Masumbuko 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 8 October 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 French Type The nature or genre of the resource text Connaissance Evaluation Premiers secours Médecine Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/385d022ce6f056d4f2712e2abe644597.pdf 7b346f84356ac0f599c60ccc27474840 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine The clinical characteristics and outcomes of appendicitis in a population with a high HIV-infection prevalence Subject The topic of the resource Appendicitis Clinical characteristics HIV-infection Histopathology Outcomes Creator An entity primarily responsible for making the resource Alemayehu Ginbo Bedada, Alemayehu Bekele Eshetu Appendicitis Clinical characteristics HIV-infection Histopathology Outcomes Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/939df74290612c07adcd65dd3d3b9d71.pdf 98c0f89e3dc0c0b21f8b77ff4a4f2910 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Injury characteristics and their association with clinical complications among emergency care patients in Tanzania Subject The topic of the resource Injury Trauma Emergency medicine Emergency care Tanzania LMICs Description An account of the resource 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. Introduction 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 ∗ Corresponding author. E-mail address: catherine.lynch@duke.edu (C.A. Staton) . [1] . Among LMICs, sub-Saharan Africa experiences one Creator An entity primarily responsible for making the resource 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 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 14 August 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 Injury Trauma Emergency medicine Emergency care Tanzania LMICs Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/3b8f6a8714edd35fdaeb53c38225b3cb.pdf 522ce06135a1d13b69c493c7f39c05dd 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Chest trauma epidemiology and emergency department management in a tertiary teaching hospital in Kigali, Rwanda Subject The topic of the resource Thoracic trauma Chest trauma Injuries Rwanda Emergency department Description An account of the resource Introduction: Chest trauma is a major contributor to injury morbidity and mortality, and understanding trends is a crucial part of addressing this burden in low- and middle-income countries. This study reports the characteristics and emergency department (ED) management of chest trauma patients presenting to Rwanda’s national teaching hospital in Kigali. Methods: This descriptive analysis included a convenience sample of patients presenting to a single tertiary hospital ED with chest trauma from June to December 2017. Demographic data were collected as well as injury mechanism, thoracic and associated injuries, types of imaging obtained, and treatments performed. Chart review was conducted seven days post-admission to follow up on outcomes and additional diagnoses and interventions. Incidences were calculated with Microsoft Excel. Results: Among the 62 patients included in this study, 74% were male, and mean age was 35 years. Most patients were injured in road traffic crashes (RTCs) (68%). Common chest injuries included lung contusions (79% of cases), rib fractures (44%), and pneumothoraces (37%). Head trauma was a frequent concurrent extra-thoracic injury (61%). Diagnostic imaging primarily included E-FAST ultrasound (92%) and chest x-ray (98%). The most common therapies included painkillers (100%), intravenous fluids (89%), and non-invasive oxygen (63%), while 29% underwent invasive intervention in the form of thoracostomy. The majority of patients were admitted (81%). Pneumonia was the most common complication to occur in the first seven days (32% of admitted patients). Ultimately, 40% of patients were discharged home within seven days of presentation, 50% remained hospitalized, and 5% died. Conclusion: This study on the epidemiology of chest trauma in Rwanda can guide injury prevention and medical training priorities. Efforts should target prevention in young males and those involved in RTCs. ED physicians in Rwanda need to be prepared to diagnose and treat a variety of chest injuries with invasive and noninvasive means. Creator An entity primarily responsible for making the resource Bernard Nsengiyumva, Michael B. Henry, Heather M. Kuntz , Molly K. Estes, Melanie M. Randall, Mindi Guptill 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 27 September 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 Thoracic trauma Chest trauma Injuries Rwanda Emergency department https://repository.horizon.ac.id/files/original/64040d95e33f26c9d21398212f92667c.pdf 3c8e6db865a3d365a2fa30c4307af9b7 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Factors which affect the application and implementation of a spinal motion restriction protocol by prehospital providers in a low resource setting: A scoping review Subject The topic of the resource Spinal immobilisation Spinal motion restriction Spinal cord injuries Cervical spine clearance Decision-making tools Description An account of the resource 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 Creator An entity primarily responsible for making the resource Charlene Geduld, Henra Muller, Colleen J. Saunders 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 22 August 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 spine clearance Decision-making tools https://repository.horizon.ac.id/files/original/7bd32373ea5ef011e3f9ff02688d5808.pdf 88cfdb4a762e98a1dcada61d9b6a0449 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Patients requiring palliative care attending a regional hospital emergency centre in South Africa: A descriptive study Subject The topic of the resource Emergency centers Palliative care Attendance Reasons Diagnoses Disposition Description An account of the resource Background: : Globally, emergency centers (ECs) face increasing patients with palliative care (PC) needs. This is also true for South Africa. Factors include an increasingly older population, rising rates of non-communicable and infectious diseases. A paucity of data exists on local rates and reasons for patients with life limiting conditions presenting to ECs. PC and emergency medicine are established specialties, but little is known how they interface in clinical practice. This study describes the contribution of patients with life limiting conditions to the case load of an EC in a regional hospital in the Western Cape. Methods: : This was a prospective, descriptive study. All patients entering the EC over 3 months were assessed using a validated PC identification tool, developed for low-and-middle-income countries. All patients entering the EC were captured in an electronic database. Those identified to have life limiting illnesses and potential PC needs received a secondary ICD-10 code. These files were extracted and statistically analysed. Variables included diagnosis, demographics, reason for visit, and disposition. Results: : A total of 426 patient visits (4.24%) were identified. Cancer (25.8%), neurological (19.7%) and HIV (17.4%) were the most frequent diagnoses. Patients with HIV and TB were significantly younger. Physical symp- toms were the most common reasons for attendance (87%), followed by social (11%) and system issues (10%). Most patients were discharged home (55%), 26% were admitted, and 13% died in the EC. Discussion: : ECs in Africa are under-resourced and uncomfortable places for patients with life limiting illnesses. System-related visits could be avoidable, as most were due to patients running out of medication or requiring procedures such as urinary catheter changes, which could be done at the local clinic. Some attended EC due to social reasons, usually due to caregivers feeling overwhelmed. Patients requiring PC make up a significant percentage of EC visits. Optimizing health systems and community home-based care could alleviate EC pressures and improve the illness experience of patients with life limiting conditions. Background According to the World Health Organization (WHO), palliative care (PC) aims to improve the quality of life for patients and their relatives that are facing a life limiting illness [1] . Globally, emergency centers (ECs) are facing an increasing population of patients requiring pallia- tive and end of life care [2] . With an increasing world population and increasing life expectancy, the WHO has recognized the lack of PC re- sources, particularly in developing countries [3] .According to the WHO, 78% of patients requiring PC live in low- and middle income countries and that globally only 14% of patients that require PC receive it [1] . In South Africa, rising rates of non-communicable diseases such as hyper- tension, diabetes, malignancies and infectious diseases like human im- munodeficiency virus (HIV) and Tuberculosis (TB) [4] are contributing ∗ Corresponding author. E-mail address: Chrisstraeuli@yahoo.com (C. Straeuli) . to the amount of patients that require Creator An entity primarily responsible for making the resource Christopher Straeuli,Louis Jenkins, Nardus Droomer 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 22 August 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 centers Palliative care Attendance Reasons Diagnoses Disposition Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/be19cf2b71bf968cb52561d027e7671f.pdf 704c9b67b3e861a44ccd1f633fbbc4b0 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Adopting a ‘System of Caring’ as a leadership strategy toward professionalisation within South African emergency medical services: A grounded theory Subject The topic of the resource South Africa prehospital Paramedics Professionalism Description An account of the resource Introduction: Professionalization is a key agenda within South African prehospital care. Emergency Medical Ser- vices (EMS) agencies continue to grapple with operationalising the process of professionalising, with a number approaches described in literature. This research presents a System of Caring developed within the context of EMS as an approach to achieving professionalization. Methods : A qualitative research design in the form of construc- tivist grounded theory design was used. Participants were enrolled using purposive and theoretical sampling. Data were analysed using coding procedures in a constant comparative analysis approach supported by theoreti- cal sensitivity. Analytical diagrams consistent with grounded theory methodology were also employed, primarily in the form of inter-relational diagraphs. Results : Six main categories were established with associated coding lists. Coding lists were used to develop groups of propositions that were then abstracted to construct final ana- lytical labels that captured the elements of the System of Caring . These elements include caring for the leaders, caring for the team, caring for the patient, caring for each other (collegial) and caring for self. The components of each element were also abstracted, and the System of Caring developed. Conclusion: While there are various well-established definitions for the term care, within the context of the perceptions of the participants of this study, care (and caring) means a combination of constructed environmental conditions and people-process prac- tices that recognises the well-being of the people within the processes. This ‘ System of Caring’ offers a practicable way to operationalise caring into the workforce and move toward exploring how to promote professionalism within the workforce, through a ‘System of Caring’ . While this may have been reasonably extrapolated before, this research allows for a poignant insight into how EMS agencies can promote professionalization within EMS systems within South Africa, through the ‘ System of Caring’ . Creator An entity primarily responsible for making the resource Colin Giovanni Mosca , Jaco P Kruger 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 23 November 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 South Africa prehospital Paramedics Professionalism https://repository.horizon.ac.id/files/original/6a2610fd69f13242b1e28ef0cab9265e.pdf a0fdabf74b8dead10c9397b6ebc334c5 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners Subject The topic of the resource Ultrasound Training Accreditation Credentialing Africa Description An account of the resource Introduction: The African Federation of Emergency Medicine (AFEM) recommends the use of emergency point- of-care ultrasound (ePOCUS) as a core skill for health care practitioners in Africa. The study explored the use of ePOCUS by health care practitioners among AFEM members who work across Africa. Methods: An anonymous online survey was distributed to individual members of AFEM and affiliated organisa- tions. The questionnaire was tested by the AFEM Scientific Committee for potential content modifications prior to distribution. Summary statistics are presented. Results: Of the 220 participants that were analysed, 148 (67.3%) were using ePOCUS. The mean age was 36 years; 146 (66%) were male; and 198 (90%) obtained their primary medical qualification in Africa. In total, 168 (76%) were doctors, and most participants ( n = 204, 93%) have worked in Africa during the last 5 years. Reasons for not using ePOCUS mainly related to lack of training and problems with ultrasound machines or consumables. Most ePOCUS users (116/148, 78%) attended courses with hands-on training, but only 65 (44%) participants were credentialed (by 18 different organizations). The median score for self-perceived level of ePOCUS skills was 75 in credentialed users versus 50 in those that were not credentialed. Ultrasound in trauma was the most frequently used module ( n = 141, 99%), followed by focused cardiac assessment ( n = 128, 90%) and thoracic (including lung) assessment ( n = 128, 90.1%). The FASH-module (Focused Assessment with Sonography for HIV/TB) was the least used ( n = 69, 49%). Conclusion: Access barriers to ePOCUS training, mentorship, equipment and consumables are still relevant in Africa. The low credentialing rate and the potential discordance between local burden of disease and ePOCUS training requires further investigation Creator An entity primarily responsible for making the resource Daniël Jacobus van Hoving, Annet Ngabirano Alenyo , Faith Komagum , Hein Lamprecht 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 24 July 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 Ultrasound Training Accreditation Credentialing Africa https://repository.horizon.ac.id/files/original/3c2a7123e83fbda2b8a5457b9a83a582.pdf 16fa8905b9238867475c6fed9fbf4332 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine Intubation during spinal motion restriction using the Lubo TM cervical collar - a manikin simulation study Subject The topic of the resource Airway management Intubation Cervical collar Spinal motion restriction Lubo Description An account of the resource 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. Creator An entity primarily responsible for making the resource Dinell Behari , Rudhir Jaga , Kobus Bergh , Ross Hofmeyr 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 24 June 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 Airway management Intubation Cervical collar Spinal motion restriction Lubo Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/addff5362d546030e2c64bf05d941f98.pdf 625ae11b8372306ddfcc50870715c838 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 4 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 Afrika vol.12 issue 4 2022 African Journal of Emergency Medicine The lived experiences of emergency care personnel in the Western Cape, South Africa during the COVID-19 pandemic: A longitudinal hermeneutic phenomenological study Subject The topic of the resource COVID-19 Emergency care provider lived experiences South Africa Description An account of the resource In March 2020, the World Health Organisation declared COVID-19 a global pandemic. Shortly after the first case of COVID-19 was reported in South Africa, the Western Cape province experienced a rapid growth in the number of cases, establishing it as the epicentre of the disease in South Africa. The aim of this study was to explore emergency care personnel’s lived experiences and their perceptions thereof within the context of the COVID- 19 pandemic in the Western Cape province. This study followed a longitudinal hermeneutic phenomenological approach. The convenience sample included prehospital and emergency centre medical personnel. Data were collected over a 4-month period using both one-on-one interviews and participant recorded voice recordings. Data were analysed following Ricoeur’s theory of interpretation. Four themes were generated during the data analysis: 1) In the beginning, waiting for the unknown; 2) Next, change and adaptation in the workplace; 3) My COVID-19 feelings; 4) Support and connection. Participants discussed the uncertainty associated with responding to an unknown threat and a need to keep up with constant change in an overburdened work environment. Results showed high levels of uncertainty, restriction, fear, anxiety, and exhaustion. Despite these difficulties, participants demonstrated resilience and commitment to caring for patients. A need for support was also highlighted. Results indicated that change, over time, resulted in adaptation to a new way of practising and keeping safe. Healthcare workers experienced intersecting consequences as frontline healthcare workers and members of the public, all of which impacted their well-being. The importance of compassion and encouragement as forms of support was highlighted in the study. Robust and sustained support structures in a time of change, low mood, and exhaustion are essential. Creator An entity primarily responsible for making the resource E. Theron, H.C. Erasmus, C Wylie , W. Khan , H Geduld , W. Stassen 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 elsavier Date A point or period of time associated with an event in the lifecycle of the resource 22 August 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 COVID-19 Emergency care provider lived experiences South Africa Jurnal Internasional Keperawatan