African Journal of Emergency Medicine最新文献

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Perceptions, availability and use of vasopressors for septic shock in emergency care settings in Tanzania 在坦桑尼亚的紧急护理环境中,对感染性休克血管加压药的认识、可得性和使用
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-06-02 DOI: 10.1016/j.afjem.2025.05.003
Said Kilindimo , Forrest Turner , Raya Musa , Collin Russell , Adeline Dozois , Hendry Sawe
{"title":"Perceptions, availability and use of vasopressors for septic shock in emergency care settings in Tanzania","authors":"Said Kilindimo ,&nbsp;Forrest Turner ,&nbsp;Raya Musa ,&nbsp;Collin Russell ,&nbsp;Adeline Dozois ,&nbsp;Hendry Sawe","doi":"10.1016/j.afjem.2025.05.003","DOIUrl":"10.1016/j.afjem.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>Sepsis carries a disproportionately high mortality in Sub-Saharan Africa. Current international guidelines for management of septic shock advocate for initial fluid resuscitation followed by vasopressors if there is ongoing concern for hypoperfusion. Emerging data suggest patients in sub-Saharan Africa who receives large fluid boluses may have increased mortality and thus earlier initiation of vasopressors may have clinical benefit. Little data exists on the perceptions, availability and use of vasopressors in Tanzania, which may impact the feasibility of this strategy. We aimed to describe the perception, availability and use of vasopressor in Tanzanian emergency care settings, including its barriers.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional web-based survey among clinicians and nurses from 19 different hospitals throughout Tanzania (national, zonal, regional and district hospitals). Collected data was kept by the principal investigator on a password encrypted computer whereby descriptive statistics were used to summarize the results.</div></div><div><h3>Results</h3><div>Sixty-five healthcare providers completed the survey of whom the majority 53 (81.5 %), work in the emergency medicine department and 50 (76.9 %) reported treating at least one patient with septic shock per week. However, three quarters of respondents from district hospitals and nearly half of those from regional hospitals had access to vasopressors in &lt;50 % of the time. The most common reported barriers to vasopressor use were lack of availability (50.8 %), and lack of comfort or knowledge (43.1 %). Overall, most respondents perceived that vasopressor use is generally safe and helpful for treating septic shock.</div></div><div><h3>Conclusions</h3><div>Nearly all Tanzanian healthcare providers in emergency care settings reported that they had limited access to vasopressors to treat septic shock, as it was not consistently available. In addition to unavailability, lack of knowledge on vasopressor use was also reported as barrier. Our findings suggest that ensuring availability of vasopressors and education in the use thereof would improve sepsis care in Tanzanian hospitals.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 3","pages":"Article 100879"},"PeriodicalIF":1.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time delays in emergency stroke care in a low-resource referral hospital in Ghana 加纳一家资源匮乏的转诊医院的紧急中风护理时间延误
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-06-02 DOI: 10.1016/j.afjem.2025.05.006
Hussein A Yakubu , Richmond O Marfo , Jonathan Boakye-Yiadom , Freda M Aidoo , Fred S Sarfo , Rockefeller A Oteng
{"title":"Time delays in emergency stroke care in a low-resource referral hospital in Ghana","authors":"Hussein A Yakubu ,&nbsp;Richmond O Marfo ,&nbsp;Jonathan Boakye-Yiadom ,&nbsp;Freda M Aidoo ,&nbsp;Fred S Sarfo ,&nbsp;Rockefeller A Oteng","doi":"10.1016/j.afjem.2025.05.006","DOIUrl":"10.1016/j.afjem.2025.05.006","url":null,"abstract":"<div><h3>Background</h3><div>Patients in sub-Saharan Africa face significant delays in receiving appropriate stroke care, which negatively impacts outcomes. This study aimed to quantify the time delays in acute stroke care at the Komfo Anokye Teaching Hospital (KATH) and determine the effect on mortality.</div></div><div><h3>Methods</h3><div>This was a secondary analysis of prospectively collected data on patients ≥ 18 years with Computed Tomography (CT) scan-confirmed stroke treated at KATH’s adult emergency department (ED) from November 2021 to March 2022. Patients were initially enrolled in a pilot stroke registry by trained research assistants, who documented relevant time points in their care. Patient outcome (dead or alive) was determined at time of hospital discharge and three months post-discharge. Data was analyzed using STATA™ version 16. The median times from stroke onset to ED arrival, physician evaluation, CT scan imaging, and treatment were measured and the relationship with mortality determined.</div></div><div><h3>Results</h3><div>Eighty-six patients with confirmed stroke were analyzed, comprising 40 males and 46 females. Ages ranged between 29 and 86 years, with mean of 57.4 years (SD 14.3). The median time from stroke onset to arrival at KATH ED was 35.3 h (IQR: 12.3–79.5). The median time from ED arrival to first physician evaluation was 1.3 h (IQR: 0.5–2.6); to CT imaging was 14.1 h (IQR: 4.3–40.8); and to antiplatelet treatment (for ischemic stroke) was 31.1 h (IQR: 16.1–42.5). The cumulative mortality rates at three months post-discharge were 8.7 % for patients who arrived at KATH’s ED within 4 h of symptom onset, 43.5 % for those arriving between 4 and 24 h, and 47.8 % for those arriving after 24 h, <em>p</em> = 0.036.</div></div><div><h3>Conclusion</h3><div>Significant delays occurred in all stages of stroke care at KATH’s ED. Improving stroke education and implementing contextually appropriate stroke codes can enable early patient presentations, improve intervention times, and reduce mortality rates.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 3","pages":"Article 100882"},"PeriodicalIF":1.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presentation and management of snakebite envenomation at a District Hospital in the north-east of South Africa 南非东北部地区医院毒蛇咬伤中毒的表现和处理
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-05-29 DOI: 10.1016/j.afjem.2025.05.002
Matamba Jean Benoit Kabeya , Darryl Wood , Peter Hodkinson
{"title":"Presentation and management of snakebite envenomation at a District Hospital in the north-east of South Africa","authors":"Matamba Jean Benoit Kabeya ,&nbsp;Darryl Wood ,&nbsp;Peter Hodkinson","doi":"10.1016/j.afjem.2025.05.002","DOIUrl":"10.1016/j.afjem.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Snakebites have been recognised as a neglected tropical disease by the World Health Organization and remain a potentially preventable cause of morbidity around the world, particularly in Africa. South Africa (SA) has a well-documented prevalence of snakebites, and there has been a recent surge in attention on snakebite due to dwindling antivenom stocks. uMkhanyakude District in the far northeast of SA has one of the highest incidences of snakebite and uses more antivenom than elsewhere in SA, and the impact of antivenom shortages and the high prevalence of disease has not been assessed recently.</div></div><div><h3>Methods</h3><div>A descriptive, retrospective, observational study was undertaken to describe victims of snakebites presenting from 1 September 2019 to 31 August 2022 to a district hospital, Mosvold Hospital. Data were manually extracted from patients’ medical records. Information about demographics, clinical presentations, treatments and outcomes was collected and analysed.</div></div><div><h3>Results</h3><div>A total of 155 snakebite cases presented, with an incidence rate of 58 snakebite cases per 100 000 people per year. Most patients were young, with a median age of 19 years (range 0–94 years), and most bites occurred outdoors (75/155, 48.4 %). Patients were most often bitten on the lower limbs (107/155, 69.0 %), and most presented with minimal swelling (117/155, 75.5 %). Antivenom was administered to 33 patients (33/155, 21.3 %), and 24 (24/33, 72.7 %) of those who received antivenom experienced some form of post-antivenom reaction. Three patients died during their hospital stay, resulting in a mortality rate of 1.2 deaths per 100 000 people per year. Antivenom shortages contributed to the outcomes of several patients.</div></div><div><h3>Conclusion</h3><div>Cytotoxic snakebites are a not infrequent presentation, many requiring admission, antivenom and subsequent management. Emergency personnel need to be familiar with local protocols for snakebite management, and have the resources to manage severe envenomation, including access to antivenom. Expanding knowledge and education about snakebites provided to community members might also improve outcomes and prevent bites.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 3","pages":"Article 100878"},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vehicle extrication in road traffic crashes: a descriptive analysis of an advanced medical rescue service in South Africa 道路交通碰撞中的车辆解救:对南非先进医疗救援服务的描述性分析
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-05-07 DOI: 10.1016/j.afjem.2025.04.003
Naseef Abdullah , Jaydon Rose , Egnall Brown , Heike Geduld
{"title":"Vehicle extrication in road traffic crashes: a descriptive analysis of an advanced medical rescue service in South Africa","authors":"Naseef Abdullah ,&nbsp;Jaydon Rose ,&nbsp;Egnall Brown ,&nbsp;Heike Geduld","doi":"10.1016/j.afjem.2025.04.003","DOIUrl":"10.1016/j.afjem.2025.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Road Traffic Crashes (RTCs) represent a significant global health challenge, with a disproportionate burden on low- and middle-income countries. Vehicle extrication is a critical Emergency Medical Service (EMS) intervention enabling early assessment and treatment of entrapped patients but remains understudied in resource-limited settings despite its potential impact on patient outcomes. This study describes the RTC extrication burden managed by a public sector EMS in the Western Cape, South Africa.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of Computer-Aided-Dispatch (CAD) and a paper-based rescue case record data related to the extrication practises of 97 Advanced Medical Rescuers stationed across 25 rescue stations throughout the Western Cape of South Africa. Standard descriptive statistical procedures were applied to all variables.</div></div><div><h3>Results</h3><div>Of 2,587,979 EMS activations during the study period, 23,899 (0.9 %) required specialised medical rescue activations, and 11,699 (0.5 %) were for transport-related emergencies. Of these, 719 (6.1 %) cases necessitated vehicle extrication. Light motor vehicles accounted for most extrications (78.2 %, <em>n</em> = 562), while heavy motor vehicles showed higher proportional extrication rates (127.5 vs. 75.8 extrications per 1,000 RTCs). Peak rescue activations occurred between 08h00 and 20h00 (11.9 %, <em>n</em> = 1,388). The predominant extrication techniques were vehicle stabilisation (24.9 %, <em>n</em> = 501), third-door conversion (23.9 %, <em>n</em> = 482 ), and dashboard lift (13.9 %, <em>n</em> = 282). Most patients (83.1 %, <em>n</em> = 24,588) presented with routine (green) or non-urgent (yellow) acuity, though rural areas exhibited a higher proportion of high-acuity cases</div></div><div><h3>Conclusion</h3><div>This first comprehensive analysis of the RTC extrication burden in a South African province reveals significant spatial and temporal variations in rescue needs and techniques. Our findings provide valuable extrication-related data to inform targeted training programs, standardised extrication protocols, and strategic resource allocation to enhance EMS capabilities in resource-limited settings. These insights provide a foundation for workforce planning and specialised training to improve outcomes for entrapped RTC patients in similar contexts.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 621-627"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with mortality among patients with penetrating non-compressible torso hemorrhage in South Africa: A retrospective cohort study 南非穿透性不可压缩性躯干出血患者死亡率相关因素:一项回顾性队列研究
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-05-03 DOI: 10.1016/j.afjem.2025.02.002
Smitha Bhaumik , Adane F. Wogu , Lani Finck , Maria Jamison , Mengli Xiao , Julia Finn , Hendrick Lategan , Janette Verster , Shaheem de Vries , Craig Wylie , Lesley Hodson , Mohammet Mayet , Leigh Wagner , L'Oreal Snyders , Karlien Doubell , Elaine Erasmus , George Oosthuizen , Christiaan Rees , Steven G Schauer , Julia Dixon , Nee-Kofi Mould-Millman
{"title":"Factors associated with mortality among patients with penetrating non-compressible torso hemorrhage in South Africa: A retrospective cohort study","authors":"Smitha Bhaumik ,&nbsp;Adane F. Wogu ,&nbsp;Lani Finck ,&nbsp;Maria Jamison ,&nbsp;Mengli Xiao ,&nbsp;Julia Finn ,&nbsp;Hendrick Lategan ,&nbsp;Janette Verster ,&nbsp;Shaheem de Vries ,&nbsp;Craig Wylie ,&nbsp;Lesley Hodson ,&nbsp;Mohammet Mayet ,&nbsp;Leigh Wagner ,&nbsp;L'Oreal Snyders ,&nbsp;Karlien Doubell ,&nbsp;Elaine Erasmus ,&nbsp;George Oosthuizen ,&nbsp;Christiaan Rees ,&nbsp;Steven G Schauer ,&nbsp;Julia Dixon ,&nbsp;Nee-Kofi Mould-Millman","doi":"10.1016/j.afjem.2025.02.002","DOIUrl":"10.1016/j.afjem.2025.02.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Non-compressible torso haemorrhage (NCTH), resulting from penetrating trauma to the chest, abdomen, or pelvis, places patients at high risk of death. The objectives of this study are to characterize the injury profile of patients with penetrating NCTH who receive care within a tiered public trauma system in South Africa and to identify factors associated with mortality.</div></div><div><h3>Methods</h3><div>This is a secondary analysis of clinical data collected from Sept-2021 through Dec-2023 across 6 hospitals, 4 ambulance bases, and 2 mortuaries in the Western Cape Province that form a cohesive trauma referral pathway. The study included patients age ≥18 years with penetrating NCTH who arrived at the hospital within 3 h and received blood products within 6 h of injury. NCTH was defined as Abbreviated Injury Scale (AIS) ≥ 2 to chest, abdomen or pelvis, with a systolic blood pressure ≤ 100 mm Hg. Data were analysed using multivariable logistic regression and Cox proportional hazards modelling.</div></div><div><h3>Results</h3><div>There were 202 patients with penetrating NCTH; median age was 29 years, 94 % male, injured by stab wounds (66 %) and gunshot wounds (31 %). Most patients (85 %) sustained injuries to the chest, 33 % to the abdomen, and 1.5 % to the bony pelvis. In a multivariable logistic regression model, elevated Triage Early Warning Score (TEWS ≥7) (OR 4.45, 95 % CI 1.58–13.90), elevated New Injury Severity Score (NISS &gt;25) (OR 4.35, 95 % CI 1.45–16.30), anatomic injury to the abdomen/pelvis (OR 2.76, 95 % CI 1.03–7.74), and receipt of acute airway intervention (OR 4.97, 95 % CI 1.94–13.20) were significantly associated with 7-day in-hospital mortality.</div></div><div><h3>Conclusion</h3><div>Among patients with penetrating injuries to the torso, high triage scores, high injury severity, early airway interventions, and penetrating abdominal trauma were associated with elevated mortality risk.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 613-620"},"PeriodicalIF":1.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia 埃塞俄比亚一家三级医院医生对心肺复苏的知识、态度、实践及相关因素
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.afjem.2025.04.002
Natan Mulubrhan Alemseged , Gobena Tesfaye , Abera Admas
{"title":"Knowledge, attitude, practice, and associated factors of physicians towards cardiopulmonary resuscitation at a tertiary hospital in Ethiopia","authors":"Natan Mulubrhan Alemseged ,&nbsp;Gobena Tesfaye ,&nbsp;Abera Admas","doi":"10.1016/j.afjem.2025.04.002","DOIUrl":"10.1016/j.afjem.2025.04.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Cardiopulmonary resuscitation (CPR) is performed on victims of cardiac arrest. It is important for health professionals to successfully perform these lifesaving skills. This study aimed to assess the CPR knowledge, attitude, practice, and associated factors of physicians working at Hiwot Fana Comprehensive Specialized Hospital Eastern Ethiopia.</div></div><div><h3>Methods</h3><div>An institutional-based cross-sectional study was implemented. A stratified random sampling technique was used. A self-administered questionnaire and a manikin was used to assess CPR skills. The results are presented in the text, tables, and graphs. Multivariate logistic regression was used to identify factors associated with levels of competency. The adjusted odds ratio with the corresponding 95 % confidence interval was calculated to show the strength of the association.</div></div><div><h3>Results</h3><div>This study revealed that 63.7 % [95 % CI 57 % -71 %] of the physicians had good knowledge, and their overall competency in CPR was found to be 63 % [95 % CI 54 % - 72 %]. They have a positive attitude regarding the importance of CPR and a willingness to provide CPR. Physicians who took resuscitation training (adjusted odds ratio 11.8 [4.29–32.42]) and a specialist (adjusted odds ratio 7.99 [1.87–34.27]) were more competent than their counterparts.</div></div><div><h3>Discussion</h3><div>The results demonstrate suboptimal CPR competency among physicians’ representatives at a tertiary hospital in Eastern Ethiopia. Taking CPR training and being a specialist were found to have an effect on being competent in CPR. Participants reported positive attitudes toward doing CPR. A system of regular, updated refresher training for physicians should be implemented to maintain CPR competencies. Hospitals should also be equipped with materials and drugs needed for CPR.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 607-612"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The evolving role of paramedicine educators: A scoping review 辅助医学教育者角色的演变:范围综述
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-04-17 DOI: 10.1016/j.afjem.2025.04.001
Judy Sheahan , Richelle Duffy , Charmaine Cunningham
{"title":"The evolving role of paramedicine educators: A scoping review","authors":"Judy Sheahan ,&nbsp;Richelle Duffy ,&nbsp;Charmaine Cunningham","doi":"10.1016/j.afjem.2025.04.001","DOIUrl":"10.1016/j.afjem.2025.04.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Growing responsibility and changes to paramedicine and prehospital care have led to rapid developments in paramedicine education. Despite educational requirements at increasingly advanced levels, it remains unclear how academia has responded to these changes and if they're developing the requisite skills and knowledge.</div></div><div><h3>Methods</h3><div>A scoping review was undertaken to understand the present role of paramedicine educators and how they've adapted to the evolution of paramedicine education worldwide. Data searches were performed across eight electronic databases, six paramedicine journals, grey literature, and included sources reference lists.</div></div><div><h3>Results</h3><div>The four-staged search strategy revealed 1,738 sources, of which 32 remained for final synthesis. In general, there was a lack of contemporary research examining the role of the paramedicine educator despite changes to Higher Education provision and function of paramedics. Noteworthy was the absence of articles from Africa, South America, and major parts of Europe, highlighting the need for development in these regions. There is a lack of clear role descriptions or definitions for paramedicine educators. Inconsistencies were highlighted in entry criteria and progression routes across paramedicine academia globally, emphasising the importance of support for transitioning and established paramedicine educators.</div></div><div><h3>Discussion</h3><div>These findings have important implications for Higher Education. Professional demands are on the rise, creating a need to introduce clearly defined roles for paramedicine educators to provide clarity in expectations and increase confidence. The changing landscape of care provision in paramedicine from the historic emergency care focussed model to a more autonomous and inclusive sphere of out-of-hospital care, provides an ideal opportunity to progress and shape the identity of the paramedicine educator.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 595-601"},"PeriodicalIF":1.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute trauma care training in undergraduate medical education programs in Uganda; A cross-sectional survey of final year medical students 乌干达本科医学教育项目中的急性创伤护理培训;对毕业班医学生的横断面调查
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-04-17 DOI: 10.1016/j.afjem.2025.01.003
Nankabirwa Victoria , Guma Isaac , Kabunga Jonathan , Bigogo H Charles , Navume Deborah Esther , Mwanje T Kintu , Nakiwere Elizabeth , Chelimo Gerald , Lemi Edward Nelson , Kanyike A Marvin , Francis M. Mwaka , Law J Tyler , Annet N. Alenyo , Bulamba Fred
{"title":"Acute trauma care training in undergraduate medical education programs in Uganda; A cross-sectional survey of final year medical students","authors":"Nankabirwa Victoria ,&nbsp;Guma Isaac ,&nbsp;Kabunga Jonathan ,&nbsp;Bigogo H Charles ,&nbsp;Navume Deborah Esther ,&nbsp;Mwanje T Kintu ,&nbsp;Nakiwere Elizabeth ,&nbsp;Chelimo Gerald ,&nbsp;Lemi Edward Nelson ,&nbsp;Kanyike A Marvin ,&nbsp;Francis M. Mwaka ,&nbsp;Law J Tyler ,&nbsp;Annet N. Alenyo ,&nbsp;Bulamba Fred","doi":"10.1016/j.afjem.2025.01.003","DOIUrl":"10.1016/j.afjem.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Trauma is one of the leading causes of death and long-term disability globally. In sub-Saharan Africa, the number of specialist emergency care personnel is inadequate and task shifting is common. We aimed to assess the variation in knowledge on acute trauma care, and self-perceived confidence in performing lifesaving skills amongst final year medical students in Uganda.</div></div><div><h3>Methods</h3><div>We conducted a multi-institutional, cross-sectional survey among final year medical students who had just completed their training from eight medical schools in Uganda. We assessed knowledge using a 25 standardized multiple-choice question test adopted from a previous study, and self-reported confidence in perfuming lifesaving skills, scored on a 5-Point Likert scale.</div></div><div><h3>Results</h3><div>Some 246 (88.5 %) participants responded to the survey and 241 provided complete data. The mean knowledge score was 58.9 % (SD; 12.4) with a mean variation ratio of 0.36 (SD; 0.17). The mean self-perceived confidence score of the participants was 3.8 (SD; 1.0) with relatively high scores in interpretation of radiological investigations (mean 4.2, SD; 0.9) and patient assessment (mean 4.1, SD; 0.9), and lower scores in management of different categories of trauma patients (mean 3.8, SD; 1.0) and performing life-saving procedures (mean 3.5, SD; 0.9). Only three institutions had emergency medicine physicians, with one at each institution, and 146 (60.6 %) of participants received no dedicated trauma training.</div></div><div><h3>Conclusion</h3><div>Final year medical students exiting training in Uganda had variable knowledge in acute trauma care and intermediate self-perceived confidence in performing lifesaving skills. Training programs need to standardize and strengthen acute trauma training and provide specialists and resources essential for trauma training at undergraduate level.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 602-606"},"PeriodicalIF":1.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global health research abstracts: January ‘25 全球健康研究摘要:25年1月
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-04-10 DOI: 10.1016/j.afjem.2025.02.003
Jonathan Kajjimu
{"title":"Global health research abstracts: January ‘25","authors":"Jonathan Kajjimu","doi":"10.1016/j.afjem.2025.02.003","DOIUrl":"10.1016/j.afjem.2025.02.003","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 2","pages":"Pages 592-594"},"PeriodicalIF":1.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global health research abstracts: April ‘25 全球健康研究摘要:25年4月
IF 1.4 4区 医学
African Journal of Emergency Medicine Pub Date : 2025-04-02 DOI: 10.1016/j.afjem.2025.03.001
Jonathan Kajjimu
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