Pan African Journal of Emergency Medicine and Critical Care最新文献

{"title":"Oropharyngeal bee sting-unusual but life threatening site","authors":"B. Hailu, Ayalew Zewdie, Lamessa Mosisa","doi":"10.58904/2023/32","DOIUrl":"https://doi.org/10.58904/2023/32","url":null,"abstract":"Hymenoptera stings are among the most significant causes of anaphylaxis in the entire world. The response varies with symptoms ranging from skin reactions like rash and itching to respiratory discomfort, gastrointestinal issues, and cardiovascular failure. We report a case of a 34 years old male who survived after sustaining an oropharyngeal bee sting, one of a rare site but life-threatening one. He presented after having painful swallowing in the throat while drinking a local beverage, trouble breathing, hoarseness of voice, speech interruption, and a feeling of a bump in the throat. On physical exam, he was desaturating, tachypneic, and wheezing. He was kept in the emergency department with upper suspected airway obstruction secondary to an oropharyngeal bee sting. He was managed with O2 support, repeated doses of adrenalin, steroids, and salbutamol, and then discharged home improved. \u0000Keywords: Anaphylaxis, Envenomation, Bee sting, Oropharyngeal, Airway ","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127939468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prehospital Care System in Low-Resource Setting: Experiences Learned from Newly Established System in Jimma City, Southwest of Ethiopia","authors":"Shemsedin Amme, Sheka Shemsi, M. Beshir, Tolasa Takale, Abdulwahid Awol, Ismael Ahmed, Gemechis Melkamu, Gelaw Hailemariam, Abdusemed Husen, Mohammed Mecha, Ame Mehadi, N. Mould-Millman","doi":"10.58904/2023/17","DOIUrl":"https://doi.org/10.58904/2023/17","url":null,"abstract":" \u0000 ","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124466997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishment of New Journal in Resource Limited Setting and Challenges","authors":"Ayalew Zewdie Tadesse","doi":"10.58904/2023/48","DOIUrl":"https://doi.org/10.58904/2023/48","url":null,"abstract":"","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127390932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to access prehospital care in Jimma City, Oromiya Region of Ethiopia","authors":"Shemsedin Amme, Sheka Shemsi, Adugna Olani, Tura Koshe, A. Ahmed, Ismael Ahmed, Tolasa Takale, G. Ahmed, M. Beshir, Habtamu Jarso, Sultan Suleman, Gemechis Melkamu, Ebrahim Yimam, Shimelis Legese, M. Lippi, N. Mould-Millman","doi":"10.58904/2023/18","DOIUrl":"https://doi.org/10.58904/2023/18","url":null,"abstract":"Background: African nations experience a significant proportion of the global burden of death and disability. The provision of prehospital emergency care has been shown to partially reduce excess morbidity and mortality. However, access to prehospital care in Africa is still limited. This study sought to identify barriers to access prehospital care in the city of Jimma, Ethiopia. \u0000Methods: This is phenomenological qualitative study conducted in February 2018, among key stakeholders for prehospital care in Jimma. A purposive sample of individuals from the community and local ambulance organizations were selected for interviews. Interviews were conducted in local languages, translated into English, and then coded for consistent themes.  \u0000Results: All respondents felt that prehospital care was difficult to access and therefore infrequently utilized. This was due to a combination of a fragmented and under-resourced system, including lack of single dial number and limited number of ambulances; providers availability and practice; poor road infrastructure; and poor public awareness, misconception and mistrust of the existing service. Respondents suggested that establishment of a formalized system of prehospital care operating on a single dial toll-free number, improved resource allocation, awareness raising and capacity building in the community, improving road infrastructure, and improved emergency medical training would improve access.   \u0000Conclusion: Multiple barriers to accessing prehospital care were identified in Jimma. Establishing a formalized and well-resourced prehospital system in parallel with improving community capacity and knowledge building were suggested solutions to improve access. Hence, interventions to improve prehospital emergency care delivery should ideally target these identified barriers and proposed solutions.  \u0000 ","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134422378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency medicine optics: development , adaptation and changes in emergency medicine","authors":"Akililu Azazh","doi":"10.58904/2023/52","DOIUrl":"https://doi.org/10.58904/2023/52","url":null,"abstract":"","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115171627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated T wave Inversion in Lead aVL as an early sign of Inferior Wall Myocardial Infarction","authors":"G. Hassen, Gregory J McWhir, S. Talebi, Ryan Holzhauer, Sandra L. Levine, Jean-Paul Menoscal, Roger Chirurgi, Selome Fantahun, H. Kalantari","doi":"10.58904/2023/35","DOIUrl":"https://doi.org/10.58904/2023/35","url":null,"abstract":"Electrocardiogram (ECG) is instrumental in identifying acute myocardial infarction (AMI). ST-segment elevation in a region of specific coronary vessels in an acute coronary syndrome (ACS) setting is the hallmark of AMI. Reciprocal ST depression and T wave inversion (TWI) are well-recognized changes that could accompany ST segment elevations. Reciprocal changes may represent the only early manifestation of AMI and may be present in specific leads such as lead aVL as early and sensitive markers of AMI. Abnormalities in the ST segment and T wave can result from non-ACS causes, but early recognition and appropriate intervention are paramount for patients with ACS. We report a case of a 55-year-old male with acute IWMI with early reciprocal and dynamic ECG changes with a literature review.","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131269171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantification of local populations demand for prehospital emergency care in Jimma city, Ethiopia","authors":"Shemsedin Amme, Sheka Shemsi, Tura Koshe, Abdulwahid Awol, Ismael Ahmed, M. Beshir, Habtamu Jarso, S. Suleman, Gemechis Melkamu, Shimelis Legese, Abdusemed Husen, M. Lippi, N. Mould-Millman","doi":"10.58904/2023/11","DOIUrl":"https://doi.org/10.58904/2023/11","url":null,"abstract":"Abstract Background: Little is known about a burden of acute illness and injury that would be addressed with improved prehospital care in Ethiopia. This study aimed to quantify the burden of emergency conditions that potentially benefited from implementation of prehospital care service in Jimma city, Ethiopia.Method: This study is secondary analysis of dataset originally created to characterize the burden of emergency conditions presenting to public hospitals in Jimma city, from 2014 to 2017. We included of 19,885 eligible cases out of 39,537 emergency cases visited to hospitals, and rated for amenability to prehospital care using previous definitions devised for priority emergency conditions in Low-and Middle-Income-Countries. Demographic health report for the same period was also obtained from Jimma health office, and used to quantify the population-normalized rates of demand for prehospital care in the study area. Descriptive analysis was used to summarize demographic data, causes of visit, and need for prehospital care. Odd ratios were calculated to assess the need for prehospital care across major clusters of diseases, statistically significance was considered at a P-value<0.05. Results: We identified 51.1% (n=10163) of all emergency visits to local hospitals with acute conditions would have benefitted from receiving prehospital care. Maternal emergencies (22.2%, n=2255), lower respiratory infections (20.8%, n=2116) and trauma (27.8%, n=5527) were leading conditions in need of prehospital care. On average, there were 3388 acute events per year, or 1 acute event per every 56 individuals in the population, which could have potentially from prehospital care. Conclusion: This study identified a significant proportion of emergency conditions could have experienced improved health outcomes had prehospital services been available and rendered in Jimma city. These results provide additional justification for development of formalized prehospital services in Jimma, as well as the need for continued investigation of the health benefits of prehospital care in Ethiopia.","PeriodicalId":405884,"journal":{"name":"Pan African Journal of Emergency Medicine and Critical Care","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124902588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}