Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-incocountries: A scoping review
Dublin Core
Title
Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-incocountries: A scoping review
African Journal of Emergency Medicine
Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-incocountries: A scoping review
Subject
Traumatic spinal cord injury
Low- and middle-income countries
Prehospital
Emergency medical services
Low- and middle-income countries
Prehospital
Emergency medical services
Description
Introduction: Traumatic spinal cord injury (TSCI) constitutes a considerable portion of the global injury burden,
disproportionately affecting low- and middle-income countries (LMICs). Prehospital care can address TSCI
morbidity and mortality, but emergency medical services are lacking in LMICs. The current standard of pre-
hospital care for TSCI in sub-Saharan Africa and other LMICs is unknown.
Methods: This review sought to describe the state of training and resources for prehospital TSCI management in
sub-Saharan Africa and other LMICs. Articles published between 1 January 1995 and 1 March 2020 were
identified using PMC, MEDLINE, and Scopus databases following PRISMA-ScR guidelines. Inclusion criteria
spanned first responder training programs delivering prehospital care for TSCI. Two reviewers assessed full texts
meeting inclusion criteria for quality using the Newcastle-Ottawa Scale and extracted relevant characteristics to
assess trends in the state of prehospital TSCI care in sub-Saharan Africa and other LMICs.
Results: Of an initial 482 articles identified, 23 met inclusion criteria, of which ten were set in Africa, representing
eight countries. C-spine immobilization precautions for suspected TSCI patients is the most prevalent prehospital
TSCI intervention for and is in every LMIC first responder program reviewed, except one. Numerous first
responder programs providing TSCI care operate without C-collar access (n = 13) and few teach full spinal
immobilization (n = 5). Rapid transport is most frequently reported as the key mortality-reducing factor (n =
11). Despite more studies conducted in the Southeast Asia/Middle East (n = 13), prehospital TSCI studies in
Africa are more geographically diverse, but responder courses are shorter, produce fewer professional re-
sponders, and have limited C-collar availability.
Discussion: Deficits in training and resources to manage TSCI highlights the need for large prospective trials
evaluating alternative C-spine immobilization methods for TCSI that are more readily available across diverse
LMIC environments and the importance of understanding resource variability to sustainably improve prehospital
TSCI care.
disproportionately affecting low- and middle-income countries (LMICs). Prehospital care can address TSCI
morbidity and mortality, but emergency medical services are lacking in LMICs. The current standard of pre-
hospital care for TSCI in sub-Saharan Africa and other LMICs is unknown.
Methods: This review sought to describe the state of training and resources for prehospital TSCI management in
sub-Saharan Africa and other LMICs. Articles published between 1 January 1995 and 1 March 2020 were
identified using PMC, MEDLINE, and Scopus databases following PRISMA-ScR guidelines. Inclusion criteria
spanned first responder training programs delivering prehospital care for TSCI. Two reviewers assessed full texts
meeting inclusion criteria for quality using the Newcastle-Ottawa Scale and extracted relevant characteristics to
assess trends in the state of prehospital TSCI care in sub-Saharan Africa and other LMICs.
Results: Of an initial 482 articles identified, 23 met inclusion criteria, of which ten were set in Africa, representing
eight countries. C-spine immobilization precautions for suspected TSCI patients is the most prevalent prehospital
TSCI intervention for and is in every LMIC first responder program reviewed, except one. Numerous first
responder programs providing TSCI care operate without C-collar access (n = 13) and few teach full spinal
immobilization (n = 5). Rapid transport is most frequently reported as the key mortality-reducing factor (n =
11). Despite more studies conducted in the Southeast Asia/Middle East (n = 13), prehospital TSCI studies in
Africa are more geographically diverse, but responder courses are shorter, produce fewer professional re-
sponders, and have limited C-collar availability.
Discussion: Deficits in training and resources to manage TSCI highlights the need for large prospective trials
evaluating alternative C-spine immobilization methods for TCSI that are more readily available across diverse
LMIC environments and the importance of understanding resource variability to sustainably improve prehospital
TSCI care.
Creator
Zachary J. Eisner , Peter G. Delaney , Patricia Widder , Ilyas S. Aleem , Denise G. Tate , Krishnan Raghavendran , John W. Scott
Source
https://doi.org/10.1016/j.afjem.2021.04.006
Date
30 April 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Zachary J. Eisner , Peter G. Delaney , Patricia Widder , Ilyas S. Aleem , Denise G. Tate , Krishnan Raghavendran , John W. Scott , “Jurnal internasional afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-incocountries: A scoping review,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1840.
African Journal of Emergency Medicine
Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-incocountries: A scoping review,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1840.