2 10 39 https://repository.horizon.ac.id/files/original/39a367368a0260cb3a16d096762fb75f.pdf 553ce15905e1dab81632bd5d2373d56a 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 A retrospective comparison of the burden of organophosphate poisoning to an Intensive Care Unit in Soweto over two separate periods Subject The topic of the resource Organophosphorus Poisoning Toxicology Africa Intensive care Jurnal Internasional Keperawatan Organophosphorus Poisoning Toxicology Africa Intensive care https://repository.horizon.ac.id/files/original/6c7e52f74f853ce025b69d482acd2781.pdf 2c0a04f0b9900443f20aa6c3765275d3 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 Application of the World Health Organization’s Basic Emergency Care course in Zambia Subject The topic of the resource Emergency care Emergency care systems Zambia Education Basic Emergency Care Description An account of the resource Background: In 2013, the Zambian Ministry of Health identified action priorities for strengthening their emergency care system; one of these priorities was emergency care training for healthcare providers. To rapidly train the existing cadre of frontline providers, trainings were implemented in multiple provinces using the World Health Organization’s Basic Emergency Care (BEC) course. The BEC course is open-access and emphasizes a practical syndrome-based approach to critical emergency conditions. This paper describes the first reported larger scale educational intervention of the BEC course in 7 provinces of Zambia. Methods: Course delivery occurred at seven Zambian hospitals selected by the Ministry of Health over a 1 year period. Participant emergency care knowledge was assessed pre- and post-course with a 25-question multiple choice exam. Participant confidence levels related to emergency care provision and emergency care skills were assessed pre- and post-course using a Likert scale survey. Results: Overall, 210 participants were trained at 7 sites. Participants demonstrated significant improvements in their multiple-choice exam scores; the overall pre-course mean was 61.47, and the post-course mean was 79.87 (p < 0.0001). Self-reported confidence in the care of ill and injured adults and children increased after taking the course, and participants generally agreed that the BEC course was highly valuable and applicable to local needs. Conclusion: Implementation of the WHO’s BEC course at seven hospitals throughout Zambia led to improvement in the participants’ emergency care knowledge and confidence levels at all sites. The BEC course has the potential to be implemented in a nationwide initiative but would require allocation of significant human and physical resources. Additional work evaluating patient outcomes and long-term participant educational outcomes is needed. Creator An entity primarily responsible for making the resource Morgan C. Broccoli , Julia Dixon , Branden Skarpiak , Godfrey Phiri , Andrew E. Muck , Emilie J. Calvello Hynes 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 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 care Emergency care systems Zambia Education Basic Emergency Care Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/52bc7006206ce4a9b04c725b05bf163e.pdf 1044b16860069ff87209e19999d57880 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 An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities Subject The topic of the resource Emergency medicine Online education Podcasts FOAMed Asynchronous online learning Description An account of the resource Introduction: Global usage of educational Emergency Medicine (EM) podcasts is popular and ever-increasing. This study aims to explore the desired content, format and delivery characteristics of a potential educational, contextspecific Southern African EM podcast, by investigating current podcast usages, trends and preferences among Southern African EM registrars of varying seniority. Methods: We developed an electronic survey - using a combination of existing literature, context-specific specialist-training guidance, and input from local experts – exploring preferred podcast characteristics among EM registrars from four Southern African universities. Results: The study’s response rate was 75%, with 24 of the 39 respondents being junior registrars. Ninety-four percent (94%) of respondents used EM podcasts as an educational medium: 64% predominantly using podcasts to supplement a personal EM study program. The primary mode of accessing podcasts was via personal mobile devices (84%). Additionally, respondents preferred a shorter podcast duration (5–15 min), favoured multimedia podcasts (56%) and showed an apparent aversion toward recorded faculty lectures (5%). Eighty-two percent (82%) of respondents preferred context-specific podcast content, with popular topics including toxicology (95%), cardiovascular emergencies (79%) and medico-legal matters (74%). Just-in-Time learning proved an unpopular learning strategy in our study population, despite its substantial educational value. Conclusion: Podcast-usage proved to be near-ubiquitous among the studied Southern African EM registrars. Quintessentially, future context-specific podcast design should cater for mobile device-use, shorter duration podcasts, more video content, context-specific topics, and content optimised for both Just-in-Time learning. Creator An entity primarily responsible for making the resource K. Ekambaram , H. Lamprecht , V. Lalloo , N. Caruso , A. Engelbrecht , W. Jooste 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 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 Emergency medicine Online education Podcasts FOAMed Asynchronous online learning Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/697144ca3cd3e37799a75ed704e87432.pdf 50b28aa8f2415db004ea05a6416055a8 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 A mandatory Emergency Medicine clerkship influences students’ career choices in a developing system Subject The topic of the resource Medical student Emergency medicine Career Perception Description An account of the resource Background: Attracting medical students for a front-line specialty, Emergency Medicine, is challenging in many countries. The available literature is scarce and bounded to the mature emergency care and education systems. In the countries where emergency medicine is a new specialty and has different contextual needs, the perception of the students and their career interest in emergency medicine specialty is an unanswered question. Objective: We aimed to study the effects of a mandatory Emergency Medicine (EM) clerkship on students’ perceptions and their future career choice to be emergency physicians. Methods: A voluntary de-identified survey was prospectively collected before and after the EM clerkship to capture students’ perceptions in four domains (EM clerkship, EM physicians, EM patients, and EM specialty as a career choice). The survey included 24 statements having five-point Likert scale for each statement. Nonparametric Wilcoxon signed rank test was used for statistical analysis. Results: Sixty-seven students responded to both surveys (response rate of 85%). Students’ perceptions have significantly improved on the EM physicians, and their job after attending the clerkship (p < 0.001). They found EM a respected (p = 0.038), flexible (p < 0.001), secure (p < 0.001), satisfying, and prestigious (p = 0.006) job. They found EM physicians compassionate (p < 0.011), have adequate patient contact (p < 0.045) and control on their time (0.004). Choosing EM as a future career has significantly increased after clerkship (p < 0.001). Conclusions: Our mandatory EM clerkship significantly improved students’ perceptions on EM specialty as a future career choice. A well-structured and mandatory EM clerkship can attract more students to be trained in the EM Creator An entity primarily responsible for making the resource Arif Alper Cevik , Elif Dilek Cakal , Sami Shaban ,Margret El Zubeir , Fikri M. Abu-Zidan 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 9 August 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 Medical student Emergency medicine Career Perception https://repository.horizon.ac.id/files/original/47cc06f9937c17898be35c27c6b26843.pdf f8295dbd94b75ce918bc28edb277e5a5 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 Adult medical emergency unit presentations due to adverse drug reactions in a setting of high HIV prevalence Subject The topic of the resource Emergency department Adverse drug reaction Prevalence HIV Description An account of the resource Introduction: South Africa has the world’s largest antiretroviral treatment programme, which may contribute to the adverse drug reaction (ADR) burden. We aimed to determine the proportion of adult non-trauma emergency unit (EU) presentations attributable to ADRs and to characterise ADR-related EU presentations, stratified according to HIV status, to determine the contribution of drugs used in management of HIV and its complications to ADR-related EU presentations, and identify factors associated with ADR-related EU presentation. Methods: We conducted a retrospective folder review on a random 1.7% sample of presentations over a 12-month period in 2014/2015 to the EUs of two hospitals in Cape Town, South Africa. We identified potential ADRs with the help of a trigger tool. A multidisciplinary panel assessed potential ADRs for causality, severity, and preventability. Results: We included 1010 EU presentations and assessed 80/1010 (7.9%) as ADR-related, including 20/239 (8.4%) presentations among HIV-positive attendees. Among HIV-positive EU attendees with ADRs 17/20 (85%) were admitted, versus 22/60 (37%) of HIV-negative/unknown EU attendees. Only 5/21 (24%) ADRs in HIVpositive EU attendees were preventable, versus 24/63 (38%) in HIV-negative/unknown EU attendees. On multivariate analysis, only increasing drug count was associated with ADR-related EU presentation (adjusted odds ratio 1.10 per additional drug, 95% confidence interval 1.03 to 1.18), adjusted for age, sex, HIV status, comorbidity, and hospital. Conclusions: ADRs caused a significant proportion of EU presentations, similar to findings from other resourcelimited settings. The spectrum of ADR manifestations in our EUs reflects South Africa’s colliding epidemics of infectious and non-communicable diseases. ADRs among HIV-positive EU attendees were more severe and less likely to be preventable. Creator An entity primarily responsible for making the resource Johannes P. Mouton, Nicole Jobanputra , Christine Njuguna , Hannah Gunter , Annemie Stewart , Ushma Mehta , Sa’ad Lahri , Richard Court , Ehimario Igumbor , Gary Maartens , Karen Cohen 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 19 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 Emergency department Adverse drug reaction Prevalence HIV Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/8df8790a22fc3bac1950ad0df58dfe8d.pdf 0dfb5737f1701daff66694948d9af57c 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 Triage guideline for immunocompromised children with fever in an emergency centre in Ethiopia Subject The topic of the resource International Pediatrics Sepsis Description An account of the resource Fever in children with neutropenia often portends life-threatening bacteremia that may be ameliorated with early recognition and the rapid administration of antimicrobial therapy. Studies demonstrating this effect have been done in resource-endowed countries, but not in resource-limited settings. We attempted to decrease the time to antibiotics in patients with fever and neutropenia presenting to a paediatric emergency centre at a tertiary care referral hospital in Ethiopia. In 3 phases we performed baseline data collection, instituted triaging and treatment guidelines, and provided antibiotics. We tracked a variety of outcomes, most importantly time from arrival to initiation of antibiotics. While this time was reduced during the guideline institution phase of our intervention, time reductions were inconsistent and not sustained. This was likely due to competing clinical priorities among providers caring for a high volume of ill children. While in the U.S., fever and neutropenia is easy to prioritise within the paediatric emergency centre, future quality improvement measures in this setting may have a greater benefit on critical presentations such as shock or respiratory failure. Alternative strategies geared towards general efficiency improvement and teamwork, rather than focusing on one patient group may be a higher yield approach for improving care in this paediatric emergency centre. Creator An entity primarily responsible for making the resource Workeabeba Abebe , Tigist Bacha , Andi L. Shane , Tal Berkowitz 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 International Pediatrics Sepsis Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/0b83f3b2a17bb052c12e87c7db7f41b6.pdf 16873ba5124767b764a3f539be75b0e5 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 The views and experiences of Zambia’s emergency medicine registrars in South Africa: Lessons for the development of emergency care in Zambia Subject The topic of the resource Emergency medicine Residency Training Low- and middle-income countries Description An account of the resource Introduction: Although low- and middle-income countries (LMICs) are beginning to integrate emergency medicine (EM) specialist physicians into their healthcare systems, they must often send these trainees to other countries with established registrar programmes. Given that retention of foreign-trained EM specialist physicians is low following repatriation, there is interest in understanding their expectations and intentions when they return. This study aimed to describe the expectations of Zambia’s EM registrars regarding the development of various aspects of emergency care in Zambia. Methods: In this qualitative, descriptive study, individual telephonic interviews were conducted with current Zambian EM registrars using a semi-structured interview schedule. Recorded interviews were transcribed verbatim, validated by participants, and subjected to inductive content analysis. Results: Four interviews were completed, representing the entire population of interest. Two key categories emerged from these discussions: that the state of emergency care in Zambia was inadequate, and that there were numerous priority areas for further developing the emergency care system. A lack of recognition of EM as a specialty, resource and training constraints in emergency units, and the lack of a formal prehospital emergency care system were prominently identified as challenges. Priority aspects that registrars hoped to focus on when developing emergency care included expanding local training and knowledge, improving the supply chain for essential medications and equipment, increasing interprofessional collaborative practice, and advocating for emergency care. Conclusion: Zambian EM registrars characterised the nascent emergency care system by challenges that are common in many LMICs and align with previous in-country assessments of emergency care. In order to ensure that registrars’ strategies are ultimately implemented upon their return to Zambia, it is imperative they are communicated with stakeholders in-country. From there, mutual planning can occur between future EM specialists and government stakeholders, to ensure that there are mechanisms in place to facilitate dissemination. Creator An entity primarily responsible for making the resource Kephas E. Mwanza , Willem Stassen , Jennifer L. Pigoga , Lee A. Wallis 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 August 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 medicine Residency Training Low- and middle-income countries Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/0d669fa3ecaf0323d9d951240d03e43c.pdf 2eee60723a9984f991a2601e23ee7e3e 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 The reporting of adverse events in Johannesburg Academic Emergency Departments Subject The topic of the resource Emergency department Adverse events Healthcare provider reporting practices Description An account of the resource Introduction: Adverse events (AE) are a common occurrence in healthcare systems; however, the frequency of AEs occurring in South Africa and especially Emergency Departments (ED) is unknown. The aims of this study were to describe the frequency of AEs experienced by Healthcare providers (HCP) and the frequency of formal reporting thereafter over a 12-month period. Methods: A cross sectional descriptive study was performed amongst HCPs at Helen Joseph Hospital and Chris Hani Baragwanath Academic Hospital EDs. The questionnaire incorporated ED relevant AEs using the South African National Procedural Manual for Patient Safety Incident Reporting and Learning. Results: The questionnaires from 51 doctors and 49 nurses were analysed. All HCPs experienced >10 AEs over 1 year. Nurses were 21 times more likely than doctors to report >10 AEs (p < 0.001). Twenty four percent of AEs experienced were deemed to be minor, very minor or not adverse. Conclusion: There are low levels of formal AE reporting, especially amongst doctors, within Johannesburg Academic EM Departments despite large numbers of AEs experienced. There are multiple barriers, which influence these reporting practices. Improved reporting systems are needed to affect a change in the current environment Creator An entity primarily responsible for making the resource Matthew Gabriel Zoghby, Deidre Hoffman, Zeyn Mahomed 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 Emergency department Adverse events Healthcare provider reporting practices Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/19692b7d97e60f24ac01a7b2bdb29ab5.pdf afada8a00d24b54485dea637ef3571c4 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 The burden of HIV and tuberculosis on the resuscitation area of an urban district-level hospital in Cape Town Subject The topic of the resource Emergency centre HIV Tuberculosis Prevalence In-hospital mortality Description An account of the resource Introduction: Many patients present to emergency centres with HIV and tuberculosis related emergencies. Little is known about the influence of HIV and tuberculosis on the resuscitation areas of district-level hospitals. The primary objective was to determine the burden of non-trauma patients with HIV and/or tuberculosis presenting to the resuscitation area of Khayelitsha Hospital, Cape Town. Methods: A retrospective analysis was performed on a prospectively collected observational database. A randomly selected 12-week sample of data from the resuscitation area was used. Trauma and paediatric (<13 years) cases were excluded. Patient demographics, HIV and tuberculosis status, disease category, investigations and procedures undertaken, disposition and in-hospital mortality were assessed. HIV and tuberculosis status were determined by laboratory confirmation or from clinical records. Descriptive statistics are presented and comparisons were done using the χ2-test or independent t-test. Results: A total of 370 patients were included. HIV prevalence was 38.4% (n = 142; unknown n = 78, 21.1%), tuberculosis prevalence 13.5% (n = 50; unknown n = 233, 63%), and HIV/tuberculosis co-infection 10.8% (n = 40). HIV and tuberculosis were more likely in younger patients (both p < 0.01) and more females were HIVpositive (p < 0.01). Patients with tuberculosis spend 93 min longer in the resuscitation area than those without (p = 0.02). The acuity of patients did not differ by HIV or tuberculosis status. Infectious-related diseases and diseases of the digestive system occurred significantly more in the HIV-positive group, and endocrine-related diseases and diseases of the nervous system in HIV-negative patients. HIV-positive patients received more abdominal ultrasound examinations (p < 0.01), blood cultures (p < 0.01) and intravenous antibiotics (p < 0.01). In-hospital mortality was 17% and was not influenced by HIV status (p = 0.36) or tuberculosis status (p = 0.29). Conclusion: This study highlights the burden of HIV and tuberculosis on the resuscitation area of a district level hospital. Neither HIV nor tuberculosis status were associated with in-hospital mortality Creator An entity primarily responsible for making the resource Lynne Swarts, 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 22 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 centre HIV Tuberculosis Prevalence In-hospital mortality Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/b13c2a4748c96ce36bc17b0bb040cee7.pdf 3bbddfb9a096deec6b3c95f0b5f3a1ff 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 Original article The barriers and facilitators to the telephonic application of the FAST assessment for stroke in a private emergency dispatch centre in South Africa Subject The topic of the resource FAST assessment Stroke Emergency medical services Telephonic communication South Africa Description An account of the resource Background: Stroke is one of the leading contributors to morbidity and mortality globally. The incidence of stroke is on the increase in Sub-Saharan countries such as South Africa. As stroke is a time-sensitive condition, emergency medical services (EMS) play an important role in the early recognition of stroke. The telephonic application of the FAST (Face, Arm, Speech, Time) assessment has been suggested to screen patients for stroke, but this is not applied consistently. This study aimed to identify the barriers and facilitators to the telephonic application of the FAST assessment. Methods: This retrospective, exploratory study sampled 20 randomly selected emergency calls to a private EMS in South Africa, with suspected stroke. After verbatim self-transcription, data were analysed using inductive content analysis to identify the barriers and facilitators to the application of the FAST assessment. Results were arranged according to themes. Results: Results indicated that in 15/20 (75%) of the calls, the FAST assessment was successfully applied. Eight barriers under three themes (practical barriers, emotionality, and knowledge and understanding) and three facilitators under one theme (clear communication) were identified. Most notably, language discordance, lack of empathy and caller frustration featured prominently as barriers while caller cooperation and clear instructions were prominent facilitators. Conclusion: With the barriers known, methods to address these may be constructed. Additional training and credentialing for call-takers may be a reasonable first step. These lessons can likely be applied to other telephonic acuity and recognition algorithms. Creator An entity primarily responsible for making the resource Ethan Mackay, Elzarie Theron, Willem 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 elsevier Date A point or period of time associated with an event in the lifecycle of the resource 3 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 FAST assessment Stroke Emergency medical services Telephonic communication South Africa Jurnal Internasional Keperawatan