1 10 39 https://repository.horizon.ac.id/files/original/220cfa9ba110c62fa8987ccb418e08c8.pdf d9b2d190c8e2b8e30c5d89b4e45f5c03 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Two simple replacements for the Triage Early Warning Score to acilitate the South African Triage Scale in low resource settings Subject The topic of the resource Low resource setting Predictive scores Emergency department Description An account of the resource Background: The South African Triage Scale (SATS) requires the calculation of the Triage Early Warning Score (TEWS), which takes time and is prone to error. Aim: to derive and validate triage scores from a clinical database collected in a low-resource hospital in sub- Saharan Africa over four years and compare them with the ability of TEWS to triage patients. Methods: A retrospective observational study carried out in Kitovu Hospital, Masaka, Uganda as part of an ongoing quality improvement project. Data collected on 4482 patients was divided into two equal cohorts: one for the derivation of scores by logistic regression and the other for their validation. Results: Two scores identified the largest number of patients with the lowest in-hospital mortality. A score based on oxygen saturation, mental status and mobility had a c statistic for discrimination of 0.83 (95% CI 0.079–0.87) in the derivation, and 0.81 (95% CI 0.77–0.86) in the validation cohort. Another score based on respiratory rate, mental status and mobility had a c statistic of 0.82 (95% CI 0.078–0.87) in the derivation, and 0.81 (95% CI 0.77–0.86) in the validation cohort. The oxygen saturation-based score of zero points identified 51% of patients in the derivation cohort who had in-hospital mortality rate of 0.5%, and 49% of patients in the validation cohort who had in-hospital mortality of 1.0%. A respiratory rate-based score of zero points identified 45% in the derivation cohort who had in-hospital mortality rate of 0.5%, and 44% of patients in the validation cohort who had in-hospital mortality of 0.8%. Both scores had comparable performance to TEWS. Conclusion: Two easy to calculate scores have comparable performance to TEWS and, therefore, could replace it to facilitate the adoption of SATS in low-resource settings. Creator An entity primarily responsible for making the resource Lucien Wasingya-Kasereka , Pauline Nabatanzi , Immaculate Nakitende , Joan Nabiryo , Teopista Namujwiga , John Kellett , on behalf of the Kitovu Hospital Study Group 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 30 November 2020 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 Low resource setting Predictive scores Emergency department https://repository.horizon.ac.id/files/original/ab73dc9795e0567bb5b4f3183b644806.pdf 9f06e0ee49ebbd6c3f811198fe20a684 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Evaluation of the clinical outcome of captopril use for hypertensive urgency in Khartoum State’s emergency centres Subject The topic of the resource Captopril Hypertensive urgency Sudan Blood pressure Clinical outcome Description An account of the resource Background: Captopril is an important drug and is used to control hypertensive urgency world-wide. But there is very little data available regarding the evaluation of its outcomes in hypertensive urgency among African patients. This study aimed to evaluate the clinical outcomes of captopril use for hypertensive urgency at a selection of Sudanese emergency centres. Methods: This was a cross-sectional study, conducted between 15 to 30 November 2015. A total of 50 patients, attending a selection of Khartoum State hospital emergency centres, with a clinical diagnosis of hypertensive urgency were approached by investigators for the study. Dose regimen, prognosis, and reduction in systolic and diastolic blood pressure were collected alongside a questionaire to patients regarding their care (compliance, etc.). Data were analysed using the Chi-square Test to compare the mean differences for various results. Differences were considered to be significant at P < 0.05. Results: Around two-thirds (60%) of participants were female, and 28% were non-compliant with treatment. A 25mg dose of captopril was the most frequently used dose. Most of the patients (66%) did not have pre-existing disease. The majority of patients showed an improved blood pressure: both systolic and diastolic blood pressures were reduced by 16-25% and 5-15%, respectively. Conclusion: The study concluded that the dose of 25 mg of captopril is effective in managing hypertensive urgency and controlling the blood pressure. We also recommend that patients receiving captopril must be observed in the emergency centre for further evaluation. Creator An entity primarily responsible for making the resource Amgad H.H. Obied , Aimun A.E. Ahmed 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 11 October 2020 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 Captopril Hypertensive urgency Sudan Blood pressure Clinical outcome Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/4deb2d76a17f052d03d5a77e9935d1fc.pdf adc770698bee1bab78aa74b511440b52 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis Subject The topic of the resource Ethylene glycol poisoning Toxic alcohols High anion gap metabolic acidosis Status epilepticus Case report Description An account of the resource South Africa, several cases of toxic alcohol ingestion presented to our emergency unit. Many of these patients admitted to making home brews of alcohol while others simply use industrial toxic alcohols. The diagnosis of these poisonings is challenging as direct assays are not available in our setting. Case report: We present a case of presumed ethylene glycol poisoning that presented with persistent seizures and a high anion gap metabolic acidosis (HAGMA). Discussion: A high index of suspicion for toxic alcohol poisoning should be maintained in patients presenting with an altered mental status, seizures and a HAGMA. Indirect markers such as clinical features and laboratory results can lead to the diagnosis when direct assays are unavailable. Creator An entity primarily responsible for making the resource Almien Smit , Vidya Lalloo, Andreas Engelbrecht 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 October 2020 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 Ethylene glycol poisoning Toxic alcohols High anion gap metabolic acidosis Status epilepticus Case report Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/2764836dbd074c409635877dc242484c.pdf c62b41546d0ccbc570c0877351f23757 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Effect of family presence on pain and anxiety levels among patients duringinvasive nursing procedures in an emergency department at a public hospital in Western Iran Subject The topic of the resource Family presence Pain Anxiety Invasive nursing procedure Emergency centre Description An account of the resource Introduction: It is widely accepted that pain is the most common complaint during invasive nursing procedures, which causes anxiety in patients. The purpose of this study was to determine the effect of family presence on the level of pain and anxiety of patients during invasive nursing procedures in an emergency centre in 2019. Methods: The present non-randomized controlled clinical trial was conducted on 70 patients referred to emergency centre at selected hospital affiliated to Kermanshah University of Medical Sciences, Iran, in 2018, who were selected by convenience sampling method and then randomly assigned into two groups of intervention (even days) and control (odd days). The invasive nursing procedure was performed for the intervention group in the family presence for physical and psychological support and for the control group without the family presence. Data collection tools were the Spielberger State-Trait Anxiety Inventory (STAI) and the Visual Analogue Scale (VAS). SPSS version 23 software was used to compare the mean scores of pain and anxiety using independent ttest. Results: The mean pain score after the invasive procedure had no significant difference between the intervention group (3.9 ± 1.5) and the control group (4.7 ± 1.9) (P = 0.073). In the intervention group, the mean score of anxiety after invasive procedure was significantly lower than before the invasive procedure (P = 0.028), whereas the control group showed no change (P = 0.556). Conclusion: The family presence during the invasive nursing procedures reduced the anxiety of patients but had no effect on their pain. Emergency nurses can take advantage of family presence during invasive procedures as a non-pharmacological intervention to reduce patients’ anxiety. Creator An entity primarily responsible for making the resource Parvin Abdi Gheshlaghi , Ziba Borzabadi Farahani , Sima Zohari Anboohi , Malihe Nasiri , Arash Ziapour , Vahid Hatami Garosi 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 15 November 2020 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 Family presence Pain Anxiety Invasive nursing procedure Emergency centre Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/b507fe37c434384459b6d6d5adb7ced0.pdf 65520b3602b3c303dd01dde89f2fef74 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Drop for drop: A descriptive analysis of blood product usage in a South African tertiary care setting during the Covid-19 pandemic Subject The topic of the resource Covid-19 Corona Blood Transfusion Trauma Description An account of the resource Background: The Covid-19 pandemic has had a drastic effect on the global community. Blood products are precious resources especially in the African context and this has been especially compounded during the Covid- 19 pandemic. Concurrent to this during the Covid-19 level 5 lockdown in South Africa from 26 March – 30 April 2020, a decrease in trauma admissions to state hospitals was noted. The aim of this data collection was to assess whether lowered blood product issuance was seen during the Covid-19 pandemic lockdown. Method: Areas at Tygerberg Hospital with trauma patients were identified, namely: the A1W intensive care unit (Surgical ICU), Trauma Front Room (Trauma Admissions), Trauma Resuscitation unit (Trauma Resus Area) and J7(Trauma Ward). Data of blood product issuance (red blood cells and fresh frozen plasma) for these 4 areas was provided by the Western Cape Blood Service for the period 26 March-30 April 2018, 2019 and 2020. This included the stage 5 Covid-19 South African lockdown, as well as Easter for all three years which is traditionally associated with raised trauma admissions. This data was quantitative. Results: 201 products were issued in 2018 versus 103 for the same period in 2020 for the 4 trauma areas in Tygerberg Hospital. The surgical ICU received the most products over 3 years with 183 of the product issuances. Discussion: As expected there was a significant decrease in blood product (red blood cell and fresh frozen plasma) issuance during the 2020 period which paralleled the lowered trauma numbers. This represented a significant cost saving of over R150 000 despite increased yearly costs for blood products over the same period. This data collection did not consider the reasoning for these blood transfusions or the clinical appropriateness thereof. The author acknowledges the wide variability of transfusion thresholds and protocols within various centres around the world, including Tygerberg and was not seeking to prove commentary on the appropriateness thereof in this research. Creator An entity primarily responsible for making the resource Danielle C. Shead 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 30 September 2020 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 Corona Blood Transfusion Trauma Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/0213bc27c7dbe497229768bff7a0e59a.pdf 2786c39004dd871e8b8dc13f6d6cb8e3 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Design and construction of a simplified, gas-driven, pressure-controlled emergency ventilator Subject The topic of the resource Emergency ventilation Pressure control Automatic gas-powered ventilator Description An account of the resource Introduction: Due to the COVID-19 crisis or any other mass casualty situation it might be necessary to give artificial ventilation to many affected patients. Contrarily, the worldwide availability of emergency ventilators is still a shortage, especially in developing countries. Methods: Modes of artificial ventilation were compared and the most safe, easy to use, and lung protecting principle was optimized to fit all requirements of both emergency ventilation and cost-effective mass production. Results: The presented research results describe a simplified device for a pressure-controlled ventilation which works without electricity according to a known principle. Just pressurized gas and a patient connection is required. The device enables the control of basic ventilator parameters such as peak inspiratory pressure, positive end-expiratory pressure and the ventilation frequency. Further, the device is semiadaptive to the patient’s lung stiffness and automatically maintains minute volume through frequency adjustment. The machine can be manufactured by turning, milling and drilling and needs purchased components with costs less than 100 USD. A sterilization and thus a reuse is possible. Discussion: The presented development does not describe a ready-to-purchase ventilator, it rather outlines a refined working principle for emergency ventilation and its easiest methods of production with a minimum of requirements. The presented research aims on providing an open-source guideline for production of an emergency ventilator using worldwide available methods and thus should inspire local researchers to do a reverse engineering and eventually to put it into operation following country-specific regulations. For long-term ventilation exceeding emergency purposes, a monitoring of alarms for disconnection and violation of desired ventilator parameters should be established. The ventilator is limited to a fixed ratio between PIP and PEEP. Moreover, the ventilation frequency depends on two parameters, which needs some training. Nevertheless, the ventilator provides basic features to enable an emergency ventilation with minimal prerequisites. Creator An entity primarily responsible for making the resource R. Szlosarek , R. Teichert , A. Wetzel , A. Fichtner , F. Reuter , M. Kr¨oger 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 September 2020 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 ventilation Pressure control Automatic gas-powered ventilator Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/cda935db16aede1f3801ee5ee7e0235c.pdf d48aa39c6051d7692bfc79d805e9a2f6 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Combat injuries sustained by troops on counter terrorism and counter-insurgency operations in North east Nigeria: Implications for intervention Subject The topic of the resource Combat injuries Troops Counter terrorism Nigeria Intervention Description An account of the resource Background: Understanding the epidemiology of battlefield casualties is required for plans and coordinated efforts towards improved combat trauma care (CTC) performance and outcome. The engagement of the Armed Forces of Nigeria (AFN) in containing Boko Haram Terrorism (BHT) and insurgency in Northeast Nigeria has increased the risk of combat injuries to the troops. This study determined the characteristics of combat injuries sustained by soldiers on counter terrorism and counter-insurgency operations to contain BHT. Methods: A retrospective cross-sectional study of combat casualties managed in 7 Division (Field) Hospital, [an equivalent of UN Level 2 facility] Maiduguri, Northeast Nigeria between November 2013 and October 2014. Using data obtained from a designed Operational Casualty Card that contains their sociodemographic characteristics, categorization (as Combat Arm, Combat Support Service, Civ-JTF), nature, mechanism and sites of injury as well as inpatients records. The data were collated and analysed using SPSS version 20. Results: A total of 209 casualties were treated. The age of the casualties ranged from 18 to 57 years with a mean of 30.6 ± 7.7 years and males constituting 99%. Over two-third (71.3%) casualties had gunshot injuries while 14.3% and 8.1% sustained improvised explosive device (IED) and fragments injuries respectively. Over threequarter (77.5%) sustained injuries on the upper and lower extremities while 17 (7.7%) and 12 (5.7%) had injuries on thorax/abdomen and head/neck respectively. Nineteen (9.1%) casualties resulted from friendly forces/ colleagues. Conclusion: The study revealed that gunshot and IED/blasts on the extremities were the most frequent mechanism and pattern of injuries sustained with less than a tenth of the casualties resulting from friendly forces. Training health personnel on CTC, deployment of combat lifesavers to improve pre-hospital CTC, employment of skilled Orthopaedic Surgeon and other relevant surgical subspecialties and timely air evacuation of critical cases from the Field Hospital to the Base Hospital are recommended. Creator An entity primarily responsible for making the resource Nurudeen Hussain , I.B.J. Okeke , A.E. Oyebanji , J.I. Akunne , O.J. Omoruyi 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 2 October 2020 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 Combat injuries Troops Counter terrorism Nigeria Intervention Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/add938c5d165e97b2790972955a788a2.pdf dd1c488607c267aeaf96af5cda97ebc1 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Awareness and attitude of final year students towards the learning and practice of cardiopulmonary resuscitation at the University of Ibadan in Nigeria Subject The topic of the resource Awareness Attitude Cardiopulmonary resuscitation (CPR) Basic life support (BLS) Students Description An account of the resource Introduction: Out-of-hospital cardiac arrest (OHCA) is a major cause of sudden cardiac death which can be prevented by early cardiopulmonary resuscitation (CPR). International bodies recommend that basic life support (BLS) skills be taught in schools in order to increase the rate of bystander CPR and reduce mortality from OHCA. We are not aware of any BLS education program for non-healthcare students in Nigeria. This study was to assess the awareness and attitude to acquiring BLS skills among university students. Methods: We conducted a cross-sectional study among final year university undergraduates using a questionnaire that assessed students’ sociodemographic characteristics, awareness of CPR, previous experiences, and attitude to basic life support (BLS). Counts and proportions were compared for the demographic characteristics using Chisquared and Fisher’s exact tests. Results: Four hundred and seventy-five students from 15 faculties participated in this study, median age was 22.8 years (interquartile range: 21.2–24.5 years). Majority (82.5%) have heard of CPR, 29.7% have undergone CPR training; 77.3% of those who had been trained were confident that they could perform CPR. Previous CPR training was significantly associated with faculty, year of study and age. Eighty-nine (18.7%) students have witnessed someone die from a trauma. Four hundred and fifty (94.7%) respondents would like to get BLS training, 440 (92.6%) think that CPR training should be included in the school curriculum. Conclusion: There is good awareness and positive attitude to the acquisition and practice of cardiopulmonary resuscitation among university students in Nigeria. Few students however, have been trained to administer bystander cardiopulmonary resuscitation. Therefore, there is a need to implement university wide BLS education in Nigeria. Creator An entity primarily responsible for making the resource Boluwatife Adeleye Adewale , Daniel Ehis Aigbonoga , Abiodun David Akintayo , Peter Seyi Aremu , Oluwaseun Akinola Azeez , Suliyat Dolapo Olawuwo , Joshua Damilare Adeleke , Oluwatobi Simeon Kazeem , Eghonghon Okojie ,Richard Ayobami Oguntoye 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 September 2020 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 Awareness Attitude Cardiopulmonary resuscitation (CPR) Basic life support (BLS) Students Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/df5d69a8f52cb3f1aaa4533241a77b14.pdf 97826a2013b700c016e8ddc39b61e4cf 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Association between volume resuscitation & mortality among injured patients at a tertiary care hospital in Kigali, Rwanda Subject The topic of the resource Injury care Resuscitation Global health Low- & middle-income countries Description An account of the resource Background: Injuries cause significant morbidity and mortality in sub-Saharan African countries such as Rwanda. These burdens may be compounded by limited access to intravenous (IV) resuscitation fluids such as crystalloids and blood products. This study evaluates the association between emergency department (ED) intravenous volume resuscitation and mortality outcomes in adult trauma patients treated at the University Teaching Hospital-Kigali (UTH- K). Methods: Data were abstracted using a structured protocol for a random sample of ED patients treated during periods from 2012 to 2016. Patients under 15 years of age were excluded. Data collected included demographics, clinical aspects, types of IV fluid resuscitation provided and outcomes. The primary outcome was facility-based mortality. Descriptive statistics were used to explore characteristics of the population. Kampala Trauma Scores (KTS) were used to control for injury severity. Magnitudes of effects were quantified using multivariable regression models adjusted for gender, KTS, time period, clinical interventions, presence of head injury and transfer to a tertiary care centre to yield adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results: From the random sample of 3609 cases, 991 trauma patients were analysed. The median age was 32 [IQR 26, 46] years and 74.3% were male. ED volume resuscitation was given to 50.1% of patients with 43.5% receiving crystalloid and 6.4% receiving crystalloid and packed red blood cell (PRBC) transfusions. The median KTS score was 13 [IQR 12, 13]. In multivariable regression, mortality likelihood was increased in those who received crystalloid (aOR = 4.31, 95%CI 1.24, 15.05, p = 0.022) and PRBC plus crystalloid (aOR = 9.97, 95%CI 2.15,46.17, p = 0.003) as compared to trauma patients not treated with IV resuscitation fluids. Conclusions: Injured ED patients treated with volume resuscitation had higher mortality, which may be due to unmeasured confounding or therapies provided. Further studies on fluid resuscitation in trauma populations in resource-limited settings are needed. Creator An entity primarily responsible for making the resource Catalina Gonz´alez Marqu´es , Katelyn Moretti , Siraj Amanullah , Chantal Uwamahoro , Vincent Ndebwanimana , Stephanie Garbern , Sonya Naganathan , Kyle Martin , Joseph Niyomiza , Annie Gjesvik , Menelas Nkeshimana , Adam C. Levine , Adam R. Aluisio 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 21 September 2020 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 care Resuscitation Global health Low- & middle-income countries Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/95f314637b97ed414f9fe1b3a6cabfce.pdf ff0f379d5ec326de3b88c9e8b055d3b3 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. 11 issue 1 2021 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. 11 issue 1 2021 African Journal of Emergency Medicine Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa Subject The topic of the resource Paediatric emergency medicine Paediatrics Resource-limited setting Child health Quality care Description An account of the resource Introduction: The provision of high-quality care is vital to improve child health and survival rates. A simple, practice-based tool was recently developed to evaluate the quality of paediatric emergency care in resourcelimited settings in Africa. This study used the practice-based tool to describe the documented adherence to critical actions in paediatric emergency care at an urban district-level hospital in South Africa and assess its relation to clinical outcomes. Methods: This study is a retrospective observational study covering a 19-month period (September 2017 to March 2019). Patients <13 years old, presenting to the emergency centre with one of six sentinel presentations (seizure, altered mental status, diarrhoea, fever, respiratory distress and polytrauma) were eligible for inclusion. In the patients’ files, critical actions specific for each presentation were checked for completion. Post-hoc, a seventh group ‘multiple diagnoses’ was created for patients with more than one sentinel disease. The action completion rate was tested for association with clinical outcomes. Results: In total, 388 patients were included (median age 1.1 years, IQR 0.3–3.6). The action completion rate varied from 63% (polytrauma) to 90% (respiratory distress). Participants with ≥75% action completion rate were younger (p < 0.001), presented with high acuity (p < 0.001), were more likely to be admitted (adjusted OR 2.2, 95%CI: 1.2–4.1), and had a hospital stay ≥4 days (adjusted OR 3.4, 95%CI: 1.5–7.9). Conclusion: A high completion rate was associated with young age, a high patient acuity, hospital admission, length of hospital stay ≥4 days, and the specific sentinel presentation. Future research should determine whether or not documented care corresponds with the quality of delivered care and the predictive value regarding clinical outcome. Creator An entity primarily responsible for making the resource Esm´ee A. Berends , Elaine Erasmus , Nicole R. van Veenendaal , Suzan N. Mukonkole , Sa’ad Lahri , Dani¨el J. Van Hoving 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 4 September 2020 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 Paediatric emergency medicine Paediatrics Resource-limited setting Child health Quality care