1 10 33 https://repository.horizon.ac.id/files/original/2c5c1b259bb7374c1b97005ad3f049aa.pdf 7f9d23f7b3087cc0fddea40d54ff30c5 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 Access to acute stroke care: A retrospective descriptive analysis of stroke patients’ journey to a district hospital Subject The topic of the resource Ischaemic stroke Prehospital Access to care South Africa Emergency medicine Description An account of the resource Introduction: The burden of stroke in Africa has increased in the last two decades, with the population undergoing a rapid epidemiological transition, with a rise in the incidence of stroke risk factors together with the gradual aging of the population. Evidence-based guidelines for acute stroke care are often not feasible in resource challenged settings but even when resources are available, considerable delays to definitive care exists. This study aims to describe the factors that influence time from symptom onset to hospital arrival in patients that present to a district level hospital Emergency Centre with confirmed ischaemic strokes. Methods: A descriptive analysis was performed using a retrospective folder and database review. All adult patients with a confirmed ischaemic stroke, on Computed Tomography (CT) scan, presenting to Mitchells Plain Hospital Emergency Centre during the study period of 12 months (1 st of January 2019 to 31 st of December 2019), were eligible for inclusion. Data were collected from existing electronic patient databases and the time from onset of symptoms to hospital arrival was extracted from the clinical notes. Results: A total of 730 (2%) patients presented with a diagnosis of stroke, of which 381 (52%) were included (CT confirmed ischaemic strokes). Only 48 (13%) presented within 4.5 h of symptom onset and the median time from onset of symptoms to presentation to the hospital was 24 h (IQR 12-72 h). The majority of patients (31%) arrived via a primary public emergency medical service (EMS) call, while 29% presented directly to the hospital as self-referrals with private transport. Primary public EMS calls had the shortest call-to-hospital-arrival time (1 hour and 31 minutes), even though the median time from symptom onset to hospital arrival was still 16 h. Conclusion: The median time from symptom onset to hospital arrival for patients with stroke symptoms is much longer than what evidence-based guidelines suggest. The chain of survival for emergency stroke care is only as strong as its weakest link and the data from this study suggest that improvement campaigns should target stroke education and access to care. Creator An entity primarily responsible for making the resource Ryan Mark O’Meara , Ushira Ganas, Clint Hendrikse 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 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 Ischaemic stroke Prehospital Access to care South Africa Emergency medicine 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/f24d38577775b5144a4d681040029f2c.pdf e20a6cf7c8bdba41092d3ce93522457b 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 An observational simulation-based study of the accuracy of intercostal drain placement and factors influencing placement Subject The topic of the resource Chest tubes Thoracostomy Clinical competence Intercostal drain Complications Description An account of the resource Introduction: South Africa’s significant burden of trauma and respiratory disease requires the regular need for intercostal drain (ICD) insertion. ICD misplacement is associated with significant complications. The aim of this study was to assess ICD insertion site accuracy and the factors affecting accuracy by Emergency Department doctors. Methods: This was a prospective, observational simulation-based study. Prior to participant admission, pertinent thoracic structures were marked on two simulated patients using an invisible marker which could only be seen using ultraviolet light. One by one, study participants were then asked to place a sticker on each side of each patient’s chest to indicate where they would insert an ICD. Sticker placements were photographed under ultravi- olet light. Placement sites were compared according to the most appropriate and accurate position for insertion (within the area superior to the 6 th rib, posterior to pectoralis major and 1cm anterior to the mid-axillary line) as well as the British Thoracic Society’s ‘triangle of safety’. Comparisons of accuracy were made between participant rank (junior vs senior doctor), participant experience, simulated patient BMI category and placement side. Results: Insertion site was accurate in 47% of placements and within the ‘triangle of safety’ in 51% of placements. Improved accuracy was associated with greater participant experience (61% vs. 37%, p < 0.01), and left-sided chest placement (54% vs 40%, p = 0.02). No difference was found when comparing simulated patient BMI category (low vs high, 43% vs 51%, p = 0.18) or participant rank (junior vs senior, 41% vs 51%, p = 0.10). Conclusion: Overall accuracy of ICD insertion site was low, and appropriate accuracy was only associated with greater participant experience and left sided placement. Further studies to determine methods to improve ICD placement accuracy are needed. Creator An entity primarily responsible for making the resource Tessa Korda, Tammy Baillie-Stanton, LaraNicole Goldstein 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 25 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 english Type The nature or genre of the resource text Chest tubes Thoracostomy Clinical competence Intercostal drain Complications Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/fdb70c5fdbfa698353a8f019e7de49bf.pdf 7995d1016c0397ca783613c4a61586a6 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 Assessment of substance use among injured persons seeking emergency care in Nairobi, Kenya Subject The topic of the resource Injury Substance use Alcohol Kenya Trauma Social determinants of health Description An account of the resource Introduction: Trauma is a leading cause of morbidity and mortality in Kenya. In many countries, substance use is common among patients presenting with injuries to an emergency center (EC). Objective: To describe the epidemiology of self-reported substance use among adult injured patients seeking ED care in Nairobi, Kenya. Methods: This prospective cross-sectional study, assessed patients presenting with injuries to the Kenyatta Na- tional Hospital ED in Nairobi, Kenya from March through June of 2021. Data on substance use, injury character- istics and ED disposition were collected. Substances of interest were alcohol, stimulants, marijuana, and opiates. The Alcohol Use Disorders Identification Test-Concise (AUDIT-C) tool was used to characterize hazardous alcohol use. Results: A total of 1,282 patients were screened for participation, of which 646 were enrolled. Among participants, 322 (49.8%) reported substance use in the past month (AUDIT-C positive, stimulants, opiates, and/or marijuana). Hazardous alcohol use was reported by 271 (42.0%) patients who screened positive with AUDIT-C. Polysubstance use, ( ≥ 2 substances) was reported by 87 participants in the past month. Median time from injury to ED arrival was 13.1 h for all enrolees, and this number was significantly higher among substance users (median 15.4 h, IQR 5.5 - 25.5; p = 0.029). Conclusions: In the population studied, reported substance use was common with a substantial proportion of injured persons screening positive for hazardous alcohol use. Those with substance use had later presentations for injury care. These data suggest that ED programming for substance use disorder screening and care linkage could be impactful in the study setting Creator An entity primarily responsible for making the resource J. Austin Lee, Eric O. Ochola, Janet Sugut , Beatrice Ngila , Daniel K. Ojuka, Michael J. Mello , Adam R. Aluisio 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 Injury Substance use Alcohol Kenya Trauma Social determinants of health Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/90d3aa9a04bee70b354483d1bed538f5.pdf b417f6907eab1525870b93bf6c5f5211 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 Audit of emergency airway drugs and equipment at a Johannesburg hospital Subject The topic of the resource Airway Equipment Emergency Resuscitation Description An account of the resource Introduction: In-hospital advanced life support and acute airway management is critically time sensitive and requires the immediate availability of key equipment. While most acute airway emergencies present to emergency centres, clinical deterioration may occur at any point during a patient’s care process. Thus, all areas of the hospital should be equipped to provide acute airway management. The aim of this study was to audit the availability and functioning of emergency airway equipment and drugs at a large academic Johannesburg hospital. Methods: A prospective, observational, cross-sectional spot audit was conducted at nineteen patient care units at Chris Hani Baragwanath Academic Hospital (CHBAH), Johannesburg, SA from January to March 2018. Using a modified list of equipment and drugs derived from the EMSSA Practice Guideline of Rapid Sequence Intubation, each unit’s emergency trolley was spot audited by a single Investigator, assessing both availability and if the equipment was in good working order. A selection of drugs was assessed for availability and location. Results: Overall, approximately two thirds (67%) of the listed equipment were available and in working order in the audited units. Almost a third (31%) of the listed equipment was not available at all, while 2% of the equipment was available but not working. The Intensive Care Unit, Medical Emergency Unit and Trauma Unit had the highest ( ≥ 80%) of available and working equipment, with the Psychiatry Ward and the Labour Ward having the lowest percentage ( ≤ 45%). Conclusion: This audit highlights specific deficiencies in emergency airway management equipment within this institution, as well as the need for improved strategies to address equipment shortages. The causes for these shortages were not explored. Recommendations following this audit include further qualitative research to ex- plore and address the barriers to well stocked emergency trolleys, the standardization of equipment checklists and to provide regular stafftraining in resuscitation. Creator An entity primarily responsible for making the resource Shivani Pillay, Deidre Hoffman, Pano Parris 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 Airway Equipment Emergency Resuscitation 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/1b0e8939f4a9cd704ba26601eff86133.pdf f4e791171a43176d831377dc44c6297b 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 Clinical profile and outcomes of trauma patients visiting the emergency department of a trauma center Addis Ababa, Ethiopia Subject The topic of the resource Clinical profile Trauma Emergency Injury Outcome Description An account of the resource Introduction: The term traumatic injury refers to physical injuries that present quickly and with a great deal of severity. These injuries can result from blunt, penetrating, and other causes. The best patients’ outcomes are achieved when all parts of a trauma care system are in place. In low-resource settings, these facilities are scarce and their requirements high. Identifying patient profiles and evaluating these in relation to patient outcomes will help to guide interventions and monitor progress. Methods: This study aimed to examine the clinical profile and outcomes of trauma patients at ALERT Hospital, Ethiopia’s busiest national trauma center. A retrospective cross-sectional chart review of 362 patients admitted from January 2019 to December 2019 at Alert Hospital trauma and emergency department was conducted. Results: The male-to-female ratio was 2.5:1, with trauma more prevalent among those in the age group of 24–33. Comparatively more injuries 98 (27.1%) occur between 8 and 6 a.m. and 90 (24.9%) of patients were transported by ambulance to the hospital. Among patients referred to the hospital, 247 (68.2%) patients received pre-hospital treatment. Interpersonal Violence (IPV) accounts for 31.8% of all accidents, followed by Road Traffic Accidents (RTA), which account for 30.7%. The Kampala Trauma Severity score (KTS) II showed mild trauma (82.3%), moderate trauma (11%), and severe trauma account (6.6%). A total of 44.2% of the victims suffered soft tissue injuries and 24% suffered extremity fractures, with 11.3% sustaining polytrauma. The mortality rate was 3.6%, with RTA, head injury, polytrauma, the severity of the injury, and patients with CPR were statistically associated factors. Discussion: IPV and RTA were the two most frequent causes of injuries, with most trauma victims being young. A great deal of emphasis needs to be given to preventing injury and improving prehospital emergency services Creator An entity primarily responsible for making the resource Tesfaye Abebe, Yared Boru, Ermiyas Belay , Asmamaw Abebe , Merahi Kefyalew , Fitsum Kifle 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 31 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 english Type The nature or genre of the resource text Clinical profile Trauma Emergency Injury Outcome Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/6efadafdd602359f02c2b2d087e64b97.pdf f107dddf3c043610ad3266f05db0b82a 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 Clinical profile and predictors of renal failure in emergency department patients at a tertiary level hospital, a cross sectional study Subject The topic of the resource Clinical profile Renal failure Emergency department Description An account of the resource Background: Since establishment of the emergency departments (ED) in the country, there is lack of information on clinical profile of patients admitted to the ED and predictors of renal failure in these patients. Renal failure is prevalent in critical patients and a cause of significant mortality and morbidity. The aim of this study was to assess the clinical profile and predictors of renal failure in admissions to the ED. Methods: This was a cross-sectional study that was conducted at a tertiary level hospital in Zambia from January to December, 2019 among admissions to the ED after ethical approval. The primary outcome of the study was to describe the clinical profile of admissions to the ED and proportion of renal failure defined as estimated glomerular filtration rate (eGFR) < 60 mls/1.72 m 2 Results: The final analysis includes 152 patients, 7 excluded for missing key data. The median age was 43.5 years (IQR 32.5-59.5) and 94.7% of patients were medical. Nearly 70.0% of the patients were triaged as emergency (red) or very urgent (orange). The reason for admission to the ED were sepsis and/or sepsis shock in 25.0%, diabetic hyperglycaemia emergencies in 20.0%, hypertensive crisis in 10.5%, respiratory failure (9.9%), severe malaria (7.9%) and poisoning (5.0%). The prevalence of renal failure was 36.1% and proteinuria was observed in 23.0%. Oliguria and hypertension were 5.9-fold and 1.7-fold independent predictors of renal failure in the ED. Patients with renal failure were likely older, hypertensive, oliguric and anaemic compared to those without. During admission to the ED, 19.1% died. Conclusion: Sepsis and diabetic and hypertensive emergencies accounted for nearly half of ED admissions. Hy- pertension and oliguria were key predictors of renal failure. Early diagnosis, management and follow-up of hy- pertension including urine output monitoring for high-risk patients is key in surveillance and prevention of renal failure Creator An entity primarily responsible for making the resource Nancy Kasongo, Seta Siziya , Justor Banda 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 25 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 english Type The nature or genre of the resource text Clinical profile Renal failure Emergency department Jurnal Internasional Keperawatan 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/1ffab8f155e011eb2d7c6dc27b2f7ef6.pdf 860ba049892eb7cce17e4e912787322d 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 Effects of the Lubo cervical collar on airway patency in awake adults –A magnetic resonance imaging study Subject The topic of the resource Airway Jaw thrust Lubo cervical collar, Magnetic Resonance Imaging Patency Description An account of the resource Introduction: Intended for use by prehospital first responders, the Lubo TM cervical collar is an adjustable, ra- diolucent, single-use device that incorporates a mechanical jaw thrust mechanism. The combination enables non-invasive airway management in cases of trauma where cervical motion restriction is necessary. The po- tential benefits include use as an airway adjuvant maintaining upper airway patency, reducing provider task loading. The limited research on the device efficacy and safety requires further investigation. Methods: A randomized, crossover, interventional study was performed to compare mean differences in air- way patency at the level of the uvula, epiglottis, tongue and soft palate with and without the Lubo collar in awake volunteers using magnetic resonance imaging (MRI). Fourteen participants each underwent two MRI scans of the upper airway: A control scan with no Lubo collar, and an intervention scan with the Lubo collar applied and jaw thrust mechanism activated. Two independent radiologists measured anterior-posterior diameter of the airway at four anatomical levels on the resulting MRI images. Results: There was no significant difference in mean airway diameter between the control and intervention measurements at any level. Mean (SD; 95% CI: p-value) differences were 0.9 mm (-2.38; 2.3 to 0.5; p = 0.17) at the epiglottis, 0.5 mm (1.6; -0.5 to 1.4; p = 0.29) at the soft palate, 0.2 mm (2.86; -1.4 to 1.9; p = 0.78) at the tongue, 0.4 mm (4.04; -1.9 to 2.7; p = 0.72) at the uvula. Conclusion: The Lubo TM airway collar did not show a significant change in upper airway patency at four anatomical levels measured in awake adult participants. Further research is required to investigate its clinical use in patients that are unable to maintain upper airway tone. Groups of interest would include trauma, obstructive sleep apnoea, obesity and patients under general anaesthesia. Creator An entity primarily responsible for making the resource Rudhir Jaga , Dinell Behari, Anton P Doubell , Kobus Bergh , Sally Candy, 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 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 Airway Jaw thrust Lubo cervical collar, Magnetic Resonance Imaging Patency Jurnal Internasional Keperawatan