1 10 23 https://repository.horizon.ac.id/files/original/e49af6f991f837b8c6a7ee249e5b1a02.pdf c33bbb874031bc54f65ddf14a23af364 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 2 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 2 2021 African Journal of Emergency Medicine A baseline review of the ability of hospitals in Kenya to provide emergency and critical care services for COVID-19 patients Subject The topic of the resource Emergency treatment Critical care Prehospital emergency care SARS coronavirus Oxygen Triage Description An account of the resource Introduction: As the Coronavirus Disease 2019 (COVID-19) cases in Kenya begin to rise, the number of severe and critical COVID-19 patients has the potential to quickly overload the local healthcare system beyond its capacity to treat people. Objective: The purpose of this study was to gather information about the ability of hospitals in Kenya to provide emergency and critical care services and to identify priority actions for use by policymakers and other stakeholders as a roadmap toward strengthening the COVID-19 response in the country. Methods: This was a comprehensive review of the published and grey literature on emergency and critical care services in Kenya published in the last three years through April 2020. Screening of articles was conducted independently by the authors and the final decision for inclusion was made collaboratively. A total of 15 papers and documents were included in the review. Key recommendations: There is an urgent need to strengthen prehospital emergency care in Kenya by establishing a single toll-free ambulance access number and an integrated public Emergency Medical Services (EMS) system to respond to severe and critical COVID-19 patients in the community and other emergency cases. Functional 24- h emergency centres (ECs) need to be established in all the level 4, 5 and 6 hospitals in the country to ensure these patients receive immediate lifesaving emergency care when they arrive at the hospitals. The ECs should be equipped with pulse oximeters and functioning oxygen systems and have the necessary resources and skills to perform endotracheal intubation to manage COVID-19-induced respiratory distress and hypoxia. Additional intensive care unit (ICU) beds and ventilators are also needed to ensure continuity of care for the critically ill patients seen in the EC. Appropriate practical interventions should be instituted to limit the spread of COVID-19 to healthcare personnel and other patients within the healthcare system. Further research with individual facility levels of assessment around infrastructure and service provision is necessary to more narrowly define areas with significant shortfalls in emergency and critical care services as the number of COVID-19 cases in the country increase. Creator An entity primarily responsible for making the resource Benjamin W. Wachira , Margarita Mwai 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 6 January 2021 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 treatment Critical care Prehospital emergency care SARS coronavirus Oxygen Triage Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/ec21aa73be11299a7215d3ea3aa115e9.pdf 71708dd5a1c11380988888447cf225e6 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 2 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 2 2021 African Journal of Emergency Medicine A guide to an improvised femoral traction splint in a resource-limited setting Subject The topic of the resource Femoral fractures Traction Splint Description An account of the resource A femoral traction splint is a mechanical device that uses traction to align and provide stability to femoral fractures. The use of this device has many benefits however there is still limited availability in low- and middleincome countries. This article provides the reader with a step by step guide to improvise a femoral traction splint built from recyclable materials readily available in most hospitals. The authors’ concept will give patients access to a potentially life-saving device in a resource-limited setting. Creator An entity primarily responsible for making the resource S. Swanepoel , B. Bonner , B. Salence , K. Evans , S. Maqungo , N. Kauta 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 17 February 2021 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 Femoral fractures Traction Splint Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/bc1ca1f63771cae9ee51abe825e147a5.pdf f3aed970583d3b0cef084367630a9319 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 2 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 2 2021 African Journal of Emergency Medicine Age-related laryngoscopic visual acuity Subject The topic of the resource Endotracheal intubation Laryngoscopy Visual acuity Creator An entity primarily responsible for making the resource Abdul-Maajid Mathews , Christopher Stein , Marietjie Richter Endotracheal intubation Laryngoscopy Visual acuity Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/fae45c72f4a5d4bb5b2ee02f4ef23402.pdf c7720a3b49054d1aafc87de069f3f124 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 2 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 2 2021 African Journal of Emergency Medicine Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa Subject The topic of the resource Emergency department Input-Throughput-Output model Length of stay Description An account of the resource Introduction: Globally, length of stay of patients in emergency departments remains a challenge. Remaining in the emergency department for >12 h increases health care costs, morbidity and mortality rates and leads to crowding and lower patient satisfaction. The aim of this research was to describe the areas of delay related to prolonged length of stay in the emergency department of an academic hospital. Methods: A quantitative retrospective study was done. The Input-Throughput-Output model was used to identify the areas of patients’ journey through the emergency department. The possible areas of delay where then described. Using systematic sampling, a total of 100 patient files managed in an emergency department of an academic hospital in South Africa were audited over a period of 3 months. Descriptive statistics and regression analysis was used to analyse data. Results: The mean length of stay of patients in the emergency department was 73 h 49 min. The length of stay per phase was: input (3 h 17 min), throughput (16 h 25 min) and output (54 h 7 min). A strong significant relationship found between the length of stay and the time taken between disposition decision (throughput phase) disposition decision to admission or discharge of patients from the ED (output phase) (p < 0.05). Conclusion: The output phase was identified as the longest area of delay in this study, with the time taken between disposition decision to admission or discharge of patients from the ED (patients waiting for inpatient beds) as the main significant area of delay. Creator An entity primarily responsible for making the resource Kapari Mashao , Tanya Heyns , Zelda White 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 1 February 2021 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 Input-Throughput-Output model Length of stay Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/d77530e6fb3df9e818a3dbee8bb94f15.pdf 478bcbbffaa781089d94642a267c9212 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 2 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 2 2021 African Journal of Emergency Medicine Characteristics and outcomes of patients with an unscheduled return visit within 72 hours to the Paediatric Emergency Centre at a Private Tertiary Referral Hospital in Kenya Subject The topic of the resource Kenya Unscheduled Revisits Emergency department 72 hours Description An account of the resource Introduction: Patients’ unscheduled return visits (URVs) to the paediatric emergency Centre (PEC) contribute to overcrowding and affect health service delivery and overall quality of care. This study assessed the characteristics and outcomes of paediatric patients with URVs (within 72 hours) to the PEC at a private tertiary hospital in Kenya. Methods: We conducted a retrospective chart review of all URVs within 72 hours among paediatric patients aged ≤15 years between 1 July and 31 December 2018 at the tertiary hospital in Nairobi, Kenya. Results: During the study period, 1.6% (n=172) of patients who visited the PEC returned within 72 hours, with 4.7% revisiting the PEC more than once. Patients’ median age was 36 months (interquartile range: 42 months); over half were male (51.7%), 55.8% were ambulatory and 84.3% were insured. In addition, 21% (n=36) had chronic diseases and 7% (n=12) had drug allergies. Respiratory (59.5%) and gastrointestinal (21.5%) tract infections were the most common diagnoses. Compared with the first visit, more patients with URVs were classified as urgent (1.7% vs. 5.2%) and were non-ambulatory (44.2% vs. 49.5%, p=<0.001); 18% of these patients were admitted. Of these 58% were male, 83.9% were aged 0–5 years, 12.9% were classified as urgent, 64.5% had respiratory tract infections and 16.1% had gastrointestinal tract infections. Being admitted was associated with patient acuity (p=0.004), laboratory tests (p=<0.001) and ambulatory status (p=0.041). Conclusion: The URV rate is low in our setting. Patients who returned to the PEC within 72 hours tended to be male, under 5 years old and insured. Many were non-urgent cases with diagnoses of respiratory and gastrointestinal tract infections. The findings suggest that some URVs were necessary and may have contributed to better care and improved outcomes while others highlight a need for effective patient education and comprehensive initial assessment. Creator An entity primarily responsible for making the resource Kenneth M. Rintaari , Rachel Wangari Kimani , Horatius Malilu Musembi , Samwel Maina Gatimu 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 7 March 2021 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 Kenya Unscheduled Revisits Emergency department 72 hours https://repository.horizon.ac.id/files/original/3d86732f434cc996d4785e607eb101f7.pdf 7cc6734543d51ceb42644ff33c891e02 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 2 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 2 2021 African Journal of Emergency Medicine Comparison of paediatric weight estimation methods at a tertiary hospital in Ghana Subject The topic of the resource Ghana Paediatric Weight estimation Broselow Tape Age-based weight estimation formulae Description An account of the resource Introduction: Weight estimation in children is critical in paediatric emergencies. The Broselow Tape (BT) and most age-based formulae for weight estimation were derived in high-income countries and are thought to overestimate the weight of children in low-income countries. This study sought to validate the 2017 BT, and eight age-based weight estimation formulae among Ghanaian children and to derive a weight estimation formula using this data. Methods: A cross-sectional study was conducted in the Tamale Teaching Hospital (TTH) in Ghana. Children aged between 2 months and 13 years had their weights estimated by the 2017 BT and eight age-based formulae. These estimated weights were compared to the weight of the children measured by a calibrated Seca scale using mean percentage error (MPE) and the percentage of weight estimates within 10% and 20% of actual weight. Bland- Altman method was used to assess agreement between estimated and actual weight of the children. A new formula was derived by linear regression. Results: Seven hundred and seventy-five children took part in the study. The 2017 BT, Original APLS (APLS1) and Nelson’s formulae performed best with proportion of weight estimates within 10% of actual weight being 47.5%, 51.1% and 47.5% respectively. The formula developed in this study was: WE = 3Am / 10 + 5 (for infants <12 months), WE = 2A + 7 (1 to 4 years) and WE = 2A + 9 (5 to 13 years), where WE is estimated weight, Am is age in completed months and A is age in completed years. The new formula had similar accuracy as the three best performing methods in this study. Conclusion: The Broselow Tape, APLS1 and the Nelson’s formula were the most accurate in this study. APLS1 and the Broselow Tape can be used for weight estimation in Ghanaian children when no other better method is available. Creator An entity primarily responsible for making the resource Rafiuk Cosmos Yakubu , Samuel Blay Nguah , Nedda Ayi-bisah 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 10 March 2021 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 Ghana Paediatric Weight estimation Broselow Tape Age-based weight estimation formulae Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/056812c932e0e45432b442a291b5db3f.pdf c6fc1c5c64f1caba9824cbeff5f9d30f 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 2 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 2 2021 African Journal of Emergency Medicine Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda Subject The topic of the resource Rwanda Trauma Injury prevention Injury secondary survey LMIC Low and middle-income country CHUK: Centre Hospitalier Universitaire de Kigali Description An account of the resource Introduction: Traumatic injuries and their resulting mortality and disability impose a disproportionate burden on sub-Saharan countries like Rwanda. An important facet of addressing injury burdens is to comprehend injury patterns and aetiologies of trauma. This study is a cross-sectional analysis of injuries, treatments and outcomes at the University Teaching Hospital-Kigali (CHUK). Methods: A random sample of Emergency Centre (EC) injury patients presenting during August 2015 through July 2016 was accrued. Patients were excluded if they had non-traumatic illness. Data included demographics, clinical presentation, injury type(s), mechanism of injury, and EC disposition. Descriptive statics were utilised to explore characteristics of the population. Results: A random sample of 786 trauma patients met inclusion criteria and were analysed. The median age was 28 (IQR 6–50) years and 69.4% were male. Of all trauma patients 49.4% presented secondary to road traffic injuries (RTIs), 23.9% due to falls, 10.9% due to penetrating trauma. Craniofacial trauma was the most frequent traumatic injury location at 36.3%. Lower limb trauma and upper limb trauma constituted 35.8% and 27.1% of all injuries. Admission was required in 68.2% of cases, 23.3% were admitted to the orthopaedic service with the second highest admission to the surgical service (19.2%). Of those admitted to the hospital, the median LOS was 6 days (IQR 3–14), in the subset of patients requiring operative intervention, the median LOS was also 6 days (IQR 3–16). Death occurred in 5.5% of admitted patients in the hospital. Conclusion: The traumatic injury burden is borne more proportionally by young males in Kigali, Rwanda. Blunt trauma accounts for a majority of trauma patient presentations; of these RTIs constitute nearly half the injury mechanisms. These findings suggest that this population has substantial injury burdens and prevention and care interventions focused in this demographic group could provide positive impacts in the study setting Creator An entity primarily responsible for making the resource Saadiyah Bilal , Jean Paul Nzabandora , Doris Lorette Uwamahoro , Lars Meisner , Subhanik Purkayastha , 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 7 March 2021 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 Rwanda Trauma Injury prevention Injury secondary survey LMIC Low and middle-income country CHUK: Centre Hospitalier Universitaire de Kigali https://repository.horizon.ac.id/files/original/c428b6525b10ebdef9b08d121656898e.pdf 4d4e2a7ef21d014f7868c624da36369e 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 2 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 2 2021 African Journal of Emergency Medicine Do-it-yourself PET-bottle manikin: An understudied means for enhancing massive CPR training in a simple and affordable way Subject The topic of the resource Cardiopulmonary resuscitation Basic life support Learning Mannequin Low cost Low resources Description An account of the resource Effective training of lay people in cardiopulmonary resuscitation (CPR) is recognised as an important contributor to increased survival rates from cardiac arrest. However, owing to high risk of COVID-19, it is currently recommended to refrain from traditional instructor-led resuscitation training. As an alternative, individual self-directed learning is advisable [1]. Self-instruction programs utilising video or on-line learning with synchronous or asynchronous hands-on practice were shown to be at least as effective as classroom training both in producing necessary skills and improving willingness of trainees to attempt CPR. For practicing resuscitation skills in individual environment, a manikin is required. Whereas simplified inflatable CPR manikins suitable for home use are currently available on market, a need to spend time and money to buy the manikin may limit motivation to initiate or complete the training. An interesting option for those who want to get a dummy right away and at no cost is the creation of a homebrew manikin. Creator An entity primarily responsible for making the resource A R T I C L E I N F O 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 18 April 2021 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 Cardiopulmonary resuscitation Basic life support Learning Mannequin Low cost Low resources Jurnal Internasional Keperawatan https://repository.horizon.ac.id/files/original/f8e385709fab4a1fec1a330383a407f2.pdf b02ac43ea86f9926d124c3bd936b3077 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 2 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 2 2021 African Journal of Emergency Medicine Epidemiology of prehospital trauma deaths in Malawi: A retrospective cohort study Subject The topic of the resource Prehospital deaths Brought in dead Trauma Description An account of the resource Introduction: Trauma is among the leading causes of death and disability in both adults and children worldwide. In Malawi, trauma patients are commonly brought in dead (BID). We aimed to describe the prevalence, sociodemographic, and injury-related characteristics of patients BID to Kamuzu Central Hospital (KCH), a referral hospital in Lilongwe, Malawi. Methods: We retrospectively reviewed records of all patients BID in the trauma surveillance registry at KCH from February 2008 to September 2019. We excluded patients BID that did not present to the emergency centre, and were instead taken to the mortuary directly. We used descriptive statistics to evaluate the epidemiology of patients BID. Results: We reviewed 106,198 trauma records and 1889 (1.8%) were BID patients. Most patients BID were male, in both adult (n = 1337/1528, 88.4%) and children (n = 231/360, 64.9%) cohorts. The mean age was 34.7 (SD 11.9) years in adults and 7.8 (SD 5.4) years in children. Among the adult BID patients, 33.2% were unemployed, 25.6% were construction workers, and 10.1% were small business owners or managers. The common injury mechanisms in adults were road traffic-related injuries (RTIs) (47.1%) and assaults (23.6%). In children, injuries resulted from RTIs (39.7%), with 74.4% of those were pedestrians hit by cars, drowning (22.9%), and burns (12.4%). In both groups, most injuries occurred on roads (60.2%) or at home (22.1%). Reported alcohol use at the time of trauma was present in 6.3%. The police (57.9%) and privately-owned vehicles (26.6%) transported most BID patients to KCH. Conclusion: Efforts to reduce prehospital trauma mortality must focus on improving prehospital care, including training the police and community in basic life support and improving resources towards prehospital trauma care. Further efforts to reduce prehospital mortality must aim to decrease injuries on the roads and at home Creator An entity primarily responsible for making the resource Gift Mulima , Laura N. Purcell Rebecca Maine , Erica C. Bjornstad , Anthony Charles 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 13 March 2021 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 Prehospital deaths Brought in dead Trauma https://repository.horizon.ac.id/files/original/25db54de17c5673bb39cabf915876303.pdf c232182e8e2f2953513c76762809a33c 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 2 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 2 2021 African Journal of Emergency Medicine Global health research abstracts Subject The topic of the resource Global health research abstracts Description An account of the resource The African Journal of Emergency Medicine, in partnership with several other regional emergency medicine journals, publishes abstracts from each respective journal. Abstracts are not necessarily linked to open access papers however, all abstracts are accessible without subscription 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 13 April 2021 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 Global health research abstracts Jurnal Internasional Keperawatan