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                  <text>Jurnal Internasional Afrika vol. 13 issue 3 2023</text>
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                <text>Jurnal Internasional Afrika vol. 13 issue 3 2023&#13;
African Journal of Emergency Medicine&#13;
The role of emergency medicine interest groups in the development of emergency medicine: A case of Mbarara University of Science and Technology—Emergency Medicine Interest Group (MUST-EMIG) in Uganda </text>
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                <text>Emergency medicine&#13;
Emergency Medicine Interest Group (EMIG)&#13;
Medical students&#13;
Uganda</text>
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                <text>Introduction: Emergency medicine (EM) is a new specialty in Uganda. There is no current formal EM undergraduate&#13;
curriculum. The Mbarara University of Science and Technology Emergency Medicine Interest Group&#13;
(MUST-EMIG) was established to bridge this gap. This survey was done to assess the contributions of MUSTEMIG.&#13;
Objectives of the study were to: discover students’ reasons for joining the MUST-EMIG; assess whether&#13;
interest in learning emergency medicine was affected by participation in MUST-EMIG; evaluate plans to pursue&#13;
emergency medicine as a specialty before and after joining MUST-EMIG; determine whether MUST-EMIG&#13;
affected students’ perception of emergency medicine’s importance in Uganda’s health care system; and elicit&#13;
feedback from students on their experience as members of MUST-EMIG.&#13;
Methods: The MUST-EMIG executive developed a membership survey which was reviewed by MUST-EMIG’s&#13;
faculty advisor for suitability. Members of MUST-EMIG were voluntarily asked to participate in the online&#13;
survey. Results of the survey were summarized using descriptive statistics and thematic analysis.&#13;
Results: 49 responses (46.7% response rate) were collected and analyzed. Participants included 29 (59.2%) male&#13;
and 20 (40.8%) female medical students. The majority of participants were fourth year students 22 (44.9%). 44&#13;
(89.8%) students joined MUST-EMIG to learn how to handle medical emergencies, and expressed a desire of at&#13;
least 6/10 to learn more about emergency medicine after utilizing opportunities provided by MUST-EMIG.&#13;
Overall, students had a good experience with MUST-EMIG. They reported that our interest group had provided&#13;
them networking, unique learning, and leadership opportunities. Having an EMIG significantly affects&#13;
students’ desire to pursue a career in emergency medicine and their perception of the relevance of emergency&#13;
medicine.&#13;
Discussion: An EMIG helps develop interest of medical students in emergency medicine. Students passionate&#13;
about emergency medicine need to be supported to help them preserve and further develop this passion</text>
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                <text>Janat Nakachwa , Annet Karungi , Frank Lubega , Jespa Tukamuwebwa , Reagan Kakande , Mary Ellen Lyon , Andrew Tagg</text>
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                <text>www.elsevier.com/locate/afjem</text>
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                <text>16 July 2023</text>
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              <elementText elementTextId="22022">
                <text>peri irawan</text>
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        <name>Emergency medicine Emergency Medicine Interest Group (EMIG) Medical students Uganda</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 13 issue 3 2023</text>
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                <text>Jurnal Internasional Afrika vol. 13 issue 3 2023&#13;
African Journal of Emergency Medicine&#13;
Systemic emergency department performance in a low resource tertiary health facility in central Kenya: Micro level emergency care system evaluation</text>
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                <text>Emergency department performance Emergency care system</text>
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                <text>Emergency care system (ECS) performance is a proxy indicator of emergency care (EC) response and health systems resilience. The Emergency Care and System Assessment tool (ECSA) provides a structure for measuring emergency department (ED) systemic performance, using high quality ECS metrics. These metrics aligned with WHO targeted priority action areas facilitate synergies in supporting ECS evaluation at the micro level. Retrospective file reviews and anecdotal evidence from a low resource tertiary health facility between 1st Jan- uary 2020 –31st May 2021 showed that: - the governance structure had administrative and financial autonomy from the public healthcare system, healthcare financing was mostly out of pocket (OPP) and the human resource ecosystem was structured in operations, enforcement and training to drive EC quality improvement. More than two thirds of the patients were high acuity but only 2% of the patients died. Most sentinel ED functions were available at the facility however the facility does not have a developed prehospital care, neurosurgical nor a burns unit. Micro ECS framework derived from ECSA objectively interrogates performance of the healthcare system that supports EC in a tertiary facility.</text>
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                <text>Miriam Miima, Emmanuel Marsuk</text>
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              <elementText elementTextId="22010">
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                <text>14 May 2023</text>
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            <elementTextContainer>
              <elementText elementTextId="22012">
                <text>peri irawan</text>
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        <name>Emergency department performance Emergency care system</name>
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        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Jurnal Internasional Afrika vol. 13 issue 3 2023</text>
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                <text>Jurnal Internasional Afrika vol. 13 issue 3 2023&#13;
African Journal of Emergency Medicine&#13;
Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review</text>
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                <text>Prehospital restraint Aggressive patient Aggressive patient risk mitigation</text>
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                <text>Background: Psychomotor agitation and aggressive behaviour (AAB) have the potential to occur in any health- care setting, including those in which Emergency Medical Services (EMS) operate. This scoping review aimed to examine the available literature on physical restraint of patients within the prehospital setting and to iden- tify guidelines and their effectiveness, safety to patients and health care practitioners and strategies relating to physical restraint when used by EMS. Methods: We performed our scoping review using the methodological framework described by Arksey and O’Malley augmented by that of Sucharew and Macaluso. Several steps guided the review process: identifica- tion of the research question, eligibility criteria, information sources (CINAHL, Medline, Cochrane and Scopus), search, selection and data collection, ethical approval, collation, summarizing and reporting on the results. Results: The population of interest, in this scoping review was prehospital physically restrained patients, however, there was a reduced research focus on this population in comparison to the larger emergency department. Conclusion: The limitation of informed consent from incapacitated patients may relate to the lack of prospective real-world research from previous and future studies. Future research should focus on patient management, adverse events, practitioner risk, policy, and education within the prehospital setting.</text>
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              <elementText elementTextId="21999">
                <text>Jared MCDOWALL , Andrew William MAKKINK , Kelton JARMAN</text>
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              <elementText elementTextId="22000">
                <text>www.elsevier.com/locate/afjem</text>
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                <text>30 March 2023</text>
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                <text>peri irawan</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Prehospital restraint Aggressive patient Aggressive patient risk mitigation</name>
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                  <text>Jurnal Internasional Afrika vol. 13 issue 3 2023</text>
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                <text>Jurnal Internasional Afrika vol. 13 issue 3 2023&#13;
African Journal of Emergency Medicine&#13;
Pediatric procedural sedation in African clinical settings: A mixed methods study of African providers’ sedation practices</text>
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                <text>Background: Little is known about the practice of pediatric procedural sedation in Africa, despite being incred- ibly useful to the emergency care of children. This study describes the clinical experiences of African medical providers who use pediatric procedural sedation, including clinical indications, medications, adverse events, train- ing, clinical guideline use, and comfort level. The goals of this study are to describe pediatric sedation practices in resource-limited settings in Africa and identify potential barriers to the provision of safe pediatric sedation. Methods: This mixed methods study describes the pediatric procedural sedation practices of African providers using semi-structured interviews. Purposive sampling was used to identify key informants working in African resource-limited settings across a broad geographic, economic, and professional range. Quantitative data about provider background and sedation practices were collected concurrently with qualitative data about perceived barriers to pediatric procedural sedation and suggestions to improve the practice of pediatric sedation in their settings. All interviews were transcribed, coded, and analyzed for major themes. Results: Thirty-eight key informants participated, representing 19 countries and the specialties of Anesthesia, Surgery, Pediatrics, Critical Care, Emergency Medicine, and General Practice. The most common indication for pediatric sedation was imaging (42%), the most common medication used was ketamine (92%), and hypoxia was the most common adverse event (61%). Despite 92% of key informants stating that pediatric procedural sedation was critical to their practice, only half reported feeling adequately trained. The three major qualitative themes regarding barriers to safe pediatric sedation in their settings were: lack of resources, lack of education, and lack of standardization across sites and providers. Conclusions: The results of this study suggest that training specialized pediatric sedation teams, creating portable “pediatric sedation kits, ”and producing locally relevant pediatric sedation guidelines may help reduce current barriers to the provision of safe pediatric sedation in resource-limited African settings.</text>
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                <text>Megan L. Schultz , Andrew Melby , Rebecca Gray , Faye M. Evans , Sarah Benett , Michelle L. Niescierenko</text>
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        <name>Pediatric Procedural sedation Anesthesia Resource-limited</name>
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African Journal of Emergency Medicine&#13;
Global health research abstracts: April ‘23</text>
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                <text>Global health research abstracts: April ‘23</text>
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                <text>Dr. Jonathan Kajjimu</text>
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