African Journal of Emergency Medicine最新文献

{"title":"The National Ambulance Service of Ghana: Changes in capacity and utilization over 20 years","authors":"Ahmed N. Zakariah ,&nbsp;Edmund Boateng ,&nbsp;Christiana Achena ,&nbsp;Foster Ansong-Bridjan ,&nbsp;Charles Mock","doi":"10.1016/j.afjem.2024.06.008","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Emergency medical services (EMS) are minimally developed in many African countries. We sought to document the achievements and challenges faced by the National Ambulance Service (NAS) of Ghana during its 20-year nationwide expansion, and to understand how well it is providing access to previously unserved, remoter areas.</p></div><div><h3>Methods</h3><p>Data routinely collected by NAS from 2004 to 2023 were analyzed, including structure and capacity (number of stations, ambulances, employees) and utilization and process of care (number of patients served, demographics, medical conditions, response site). Per population indicators of capacity and utilization were compared across Ghana's 16 regions.</p></div><div><h3>Results</h3><p>From 64 emergency medical technicians (EMTs) and nine ambulances in 2004, NAS has grown to 3,473 EMTs and 356 ambulances. From covering three cities in 2004, NAS now has at least one station in each of Ghana's 261 districts. From transporting 205 patients in 2004, NAS transported 38,393 patients in 2022. There have been interruptions due to financial restrictions, with numbers of patients transported per year in 2017–2019 decreasing by over 50% from the prior peak (<em>n</em> = 20,236 in 2014). In 2022, there were 1.13 ambulances per 100,000 people and 0.33 transports/100,000/day. Most (81.3%) transports are inter-facility transfers. Among Ghana's 16 regions, there is moderate variation in utilization from 0.16 to 0.50 transports/100,000/day. However, the three lowest-income, remoter regions currently have utilizations of 0.16, 0.30, and 0.37 transports/100,000/day, mostly near the National average of 0.33.</p></div><div><h3>Conclusion</h3><p>Despite periodic limitations due to finances, the NAS has expanded to cover all of Ghana's 261 districts and has largely achieved geographic equity. Sustainability has been aided by having a training school directly under NAS's control, assuring a steady supply of EMTs. Challenges include assuring financial stability and increasing utilization for emergencies at the scene, in addition to the current high utilization for inter-facility transfer.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 172-178"},"PeriodicalIF":1.4,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000260/pdfft?md5=af05056337f023485e2db89f16edd6bd&pid=1-s2.0-S2211419X24000260-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can plethysmographic capillary refill time predict lactate during sepsis? An observational study from Morocco","authors":"Chadi Rahmani ,&nbsp;Ayoub Belhadj ,&nbsp;Younes Aissaoui","doi":"10.1016/j.afjem.2024.06.007","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Blood lactate is a marker of tissue hypoxia while capillary refill time (CRT) is a surrogate of tissue perfusion. Measuring these parameters is recommended for assessing circulatory status and guiding resuscitation. However, blood lactate is not widely available in African emergency departments. Additionally, CRT assessment faces challenges related to its precision and reproducibility. This study aims to evaluate the accuracy of visual CRT(V-CRT) compared to plethysmographic CRT (P-CRT) in predicting lactate levels among septic patients.</p></div><div><h3>Methods</h3><p>This prospective observational study enrolled consecutive patients with sepsis or septic shock over a 6-month period from a tertiary hospital in Marrakech, Morroco. V-CRT and P-CRT were evaluated upon admission, and simultaneous measurements of arterial lactate levels were obtained. The precision of V-CRT and P-CRT in predicting arterial lactate was assessed using ROC curve analysis.</p></div><div><h3>Results</h3><p>Forty-three patients aged of 64±15 years, of whom 70 % were male, were included in the study. Of these, 23 patients (53 %) had sepsis, and 20 patients (47 %) experienced septic shock. Both V-CRT and P-CRT demonstrated statistically significant correlations with arterial lactate, with correlation coefficients of 0.529 (<em>p</em> &lt; 0.0001) and 0.517 (<em>p</em> = 0.001), respectively. ROC curve analysis revealed that V-CRT exhibited satisfactory accuracy in predicting arterial lactate levels &gt;2 mmol/l, with an area under the curve (AUC) of 0.8 (95 % CI=0.65 – 0.93; <em>p</em> &lt; 0.0001). The prediction ability of P-CRT was lower than V-CRT with an AUC of 0.73 (95 % CI: 0.57–0.89; <em>p</em> = 0.043). The optimal thresholds were determined as 3.4 s for V-CRT (sensitivity = 90 %, specificity = 58 %) and 4.1 s for P-CRT (sensitivity = 85 %, specificity = 62 %).</p></div><div><h3>Conclusion</h3><p>These findings suggest that the plethysmographic evaluation did not improve the accuracy of CRT for predicting lactate level. However, V-CRT may still serve as a viable surrogate for lactate in septic patients in low-income settings.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 167-171"},"PeriodicalIF":1.4,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000259/pdfft?md5=fcd9789e6d8afb55389ff5cdb5e67803&pid=1-s2.0-S2211419X24000259-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the time to pain relief in the emergency department through triage nurse-initiated analgesia - a quasi-experimental study from Ethiopia","authors":"Merahi Kefyalew ,&nbsp;Negussie Deyassa ,&nbsp;Uqubay Gidey ,&nbsp;Maligna Temesgen ,&nbsp;Maraki Mehari","doi":"10.1016/j.afjem.2024.06.004","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Pain management is crucial for improving patients' quality of care. Persistent pain has been linked to higher depression, anxiety, and work-related difficulties. This study aimed to enhance the time to pain relief in the emergency department through triage nurse-initiated analgesia. It evaluated the impact of nurse-led analgesia on patient satisfaction compared to standard pain management at Tikur Anbessa Specialized Hospital and Kidus Paulos Specialized Hospital. Additionally, it compared the time to analgesia between the two hospitals and assessed the effect of nurse-led analgesia on reducing the length of stay for patients with pain.</p></div><div><h3>Methods</h3><p>Using a quasi-experimental design, the study included an intervention group and a control group. Data was collected using an open data kit, and after ensuring data completeness, it was exported to SPSS and Excel for analysis. To assess the effectiveness of the intervention, the time to analgesia was compared between the intervention and control groups using an independent samples <em>t</em>-test. This statistical test allowed for a comparison of the mean time to analgesia between the two groups.</p><p>Patient satisfaction scores were also compared between the intervention and control groups using the Mann-Whitney U test. Kaplan-Meier curves were employed to compare the time to analgesia between the intervention and control groups within both settings. A point bi-serial correlation analysis was performed to examine the association between the length of stay and the intervention of nurse-led analgesia in both hospital settings.</p></div><div><h3>Result and discussion</h3><p>The study enrolled 179 participants, with a median age of 34 years (range: 9–80) and 67% female. The most common events leading to pain were medical conditions (21%), followed by trauma/quarrel/war, fall accidents, and underlying diseases (15%, 13%, and 13%, respectively). There was a significant correlation between the degree of pain on arrival and time to analgesia. Additionally, a significant correlation (<em>p</em> &lt; 0.01) was found between time to analgesia and patient satisfaction.</p></div><div><h3>Conclusion and recommendation</h3><p>Implementing a nurse-led analgesia protocol in the emergency department is crucial for reducing time to analgesia and improving patient satisfaction. It is recommended to scale up this approach to other healthcare facilities by incorporating it into the nursing practice guidelines of the country.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 161-166"},"PeriodicalIF":1.4,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000235/pdfft?md5=3dd5d5c34af986a469d0e6de23258cfa&pid=1-s2.0-S2211419X24000235-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of focused cardiac ultrasound interpretation among emergency and critical care medicine residents in Ethiopia: A multi-center cross-sectional study","authors":"Nahom Mesfin Mekonen ,&nbsp;Temesgen Beyene Abicho ,&nbsp;Kalsidagn Girma Asfaw ,&nbsp;Tigist Workneh Leulseged ,&nbsp;Nebiat Adane Mera ,&nbsp;Yegeta Wondafrash Habte ,&nbsp;Fekadesilassie Henok Moges ,&nbsp;Yidnekachew Asrat Birhan ,&nbsp;Meron Tesfaye ,&nbsp;Birhanu Tesfaye","doi":"10.1016/j.afjem.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Focused cardiac ultrasound (FoCUS) has emerged as a valuable tool in emergency and critical care medicine, allowing for rapid assessment of cardiac function and structure at the bedside. This rapid diagnostic technique holds particular promise in resource-limited settings like Ethiopia, where access to standard echocardiography may be limited and delayed. However, the accuracy of FoCUS interpretation is highly dependent on the operator's skills and expertise. To inform the design of effective interventions, the study aimed to assess the accuracy of FoCUS interpretation and associated factors among senior Emergency Medicine residents at two large referral teaching hospitals in Ethiopia.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted from October to December 2023 among 80 residents at Tikur Anbessa Specialized Hospital and St. Paul's Hospital Millennium Medical College. To assess diagnostic accuracy, 15 pre-selected cardiac ultrasound videos (normal and pathological cases) were selected from American College of Emergency Physicians website and the PoCUS Atlas, and accurate interpretation was defined as correctly answering at least 12 out of 15 readings. A binary logistic regression model was fitted to identify significant factors at the 5% level of significance, where significant results were interpreted using adjusted odds ratio (AOR) with 95% confidence interval (CI).</p></div><div><h3>Result</h3><p>The overall accuracy in interpreting FoCUS findings was 47.5% (95% CI: 38.8–60.0%), with highest for collapsing Inferior Vena Cava (91.3%) and standstill (90.0%), and lowest for Regional Wall Motion Abnormality of Left Ventricle (46.3%). Residents who received training (AOR=4.14, 95%CI:1.32–13.04, <em>p</em> = 0.015), perceived themselves as skilled (AOR=4.81, 95%CI=1.06–21.82, <em>p</em> = 0.042), and felt confident in acquiring and interpretation (AOR=3.16, 95%CI=1.01–9.82, <em>p</em> = 0.047) demonstrated significantly higher accuracy.</p></div><div><h3>Conclusion</h3><p>The study identified a low overall accuracy in FoCUS interpretation, with accuracy improving with training and better perceived skill and confidence. Training programs with simulation, continuous education, and mentorship are crucial to enhance these critical skills.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 150-155"},"PeriodicalIF":1.3,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X2400020X/pdfft?md5=c042bcae5b455ddfd93a6d11e42c4b3a&pid=1-s2.0-S2211419X2400020X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The knowledge and skills of emergency department registered nursing staff at an academic hospital in South Africa, on endotracheal tube cuff manometry, before and after a training session","authors":"Jandre Henning ,&nbsp;Lucy Hindle","doi":"10.1016/j.afjem.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Accurate management of endotracheal tube cuff pressure is essential to prevent patient morbidity and mortality. Due to increased length of stay of critically ill patients in emergency departments, it has become an increasingly important skill among Emergency Department nurses.</p></div><div><h3>Methods</h3><p>This prospective longitudinal interventional study was performed among registered nurses at the emergency departments in a Johannesburg Academic Hospital. The study aimed to determine their current knowledge and practical skills on endotracheal tube cuff manometry and assess the effectiveness of a training program. The training program was provided once, in the form of a narrated PowerPoint presentation developed by the researchers and involved theoretical and practical components. The participants' theoretical knowledge and practical skills were measured by using questionnaires and skill assessments. The theoretical and practical scores were compared pre- and post-training.</p></div><div><h3>Results</h3><p>Of the 63 registered nurses employed in the emergency departments, 95 % (60) participated in this study. 86 % reported having never received any formal training on endotracheal tube cuff manometry. Only 38.9 % used cuff manometry as standard practice and only 12.8 % checked it at appropriate 12-hourly intervals. The pre-training median score on theory was 4.5 (IQR=3.0) and improved to 7.0 (IQR=3.0) post-training. The maximum achievable score was 11 with a pre-training average of 41.8 % and post-training of 64.5 % (<em>p</em> = 0.001).</p><p>The practical pre-training median score was 1.0 (IQR=8.0) and improved to 12.0 (IQR=2.0) post-training. The maximum achievable score was 12 with a pre-training average of 29.1 % and a post-training average of 93.3 % (<em>p</em> = 0.001).</p></div><div><h3>Conclusion</h3><p>This study showed inadequate knowledge and skills on endotracheal cuff pressure manometry among registered nurses in the emergency department. It also correlates with other evidence that supports the need for ongoing training programs. Our training program led to significant improvement among participants in both knowledge and practical skills. This training program was well received by participants and deemed to be practice changing. The recommendation after this study will be for South African emergency units to consider using this study and training material as a guide for annual in-service training.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 156-160"},"PeriodicalIF":1.3,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000193/pdfft?md5=3a32fe81fb2f6b5dbdc9301981fa5325&pid=1-s2.0-S2211419X24000193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation of National Early Warning Score 2 to Angolan Portuguese","authors":"Esmael Tomás ,&nbsp;Ana Escoval ,&nbsp;Maria Lina Antunes","doi":"10.1016/j.afjem.2024.06.006","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.06.006","url":null,"abstract":"<div><h3>Objective</h3><p>To make a cross-cultural adaptation of the National Early Warning Score 2 (NEWS 2) from English to Angolan Portuguese.</p></div><div><h3>Methods</h3><p>A methodological research of cross-cultural adaptation was conducted, involving sequential stages of forward translation, translation synthesis, back-translation, and the application of the Delphi Panel methodology for analyzing semantic, idiomatic, experiential, and conceptual equivalence between the translated and the original versions. This process culminated in the development of a pre-final version, which subsequently underwent testing in a cohort of nurses (<em>n</em> = 37). The Intraclass Correlation Coefficient was calculated to assess inter-rater reliability of ratings. Cronbach's alpha was used for evaluating the internal consistency and reliability within the items of the NEWS 2 score.</p></div><div><h3>Results</h3><p>The cross-cultural adaptation process allowed us to prepare the final version of this tool. The data collected during the testing phase facilitated the examination of inter-rater reliability of ratings and the internal consistency and reliability within the items of the NEWS2 score. The Intraclass Correlation Coefficient observed at this step was 0.992. The Cronbach's alpha was 0.993.</p></div><div><h3>Conclusion</h3><p>The cross-cultural adaptation of the NEWS 2 scoring system to Angolan Portuguese was successful, providing healthcare professionals in Angola with the means to effectively use the tool.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 145-149"},"PeriodicalIF":1.3,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000247/pdfft?md5=e7cf68a2a14a940fa0ae25edb4245460&pid=1-s2.0-S2211419X24000247-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UPESI: Swahili translation of the FAST acronym for stroke awareness campaigns in East Africa","authors":"Peter Kuria Waweru ,&nbsp;Elijah Yulu ,&nbsp;Sarah Shali Matuja ,&nbsp;Samwel Maina Gatimu","doi":"10.1016/j.afjem.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Despite stroke being a leading cause of death and disability in sub-Saharan Africa, stroke awareness remains a major hurdle to early stroke response and care in the region. To improve stroke awareness, we endeavoured to borrow a leaf from initiatives in high-income countries, beginning with the translation and dissemination of the acronym, FAST (Face, Arms, Speech, Time) to Swahili.</p></div><div><h3>Methods</h3><p>We formed a translation group consisting of two stroke physicians, one nurse and two professional translators, all native Swahili speakers. Forward translation of the original document from English to Swahili was done by one Swahili translator; followed by a backward translation by another translator. Clinician reviews and cognitive reviews were then done, and a final translation was developed.</p></div><div><h3>Results</h3><p>We developed the acronym UPESI, a Swahili translation of the word, FAST. The acronym stands for <strong><em>U</em></strong><em>so kupooza upande mmoja;</em> <strong><em>P</em></strong><em>ooza mkono/mguu (au kupoteza hisia); ugumu ku-</em><strong><em>E</em></strong><em>leza/kuongea;</em> <strong><em>SI</em></strong><em>mu upesi</em> translating to <em>face drooping, arm/leg paralysis, difficulty</em> in <em>speaking/explaining</em> and <em>fast to the phone</em>.</p></div><div><h3>Conclusion</h3><p>The result of this process is a Swahili translation of the FAST tool for stroke awareness campaigns. The translation will improve communication during stroke campaigns and increase awareness of stroke.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 141-144"},"PeriodicalIF":1.3,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000181/pdfft?md5=261f443c741972c59a41d14d10af9034&pid=1-s2.0-S2211419X24000181-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The utilisation of emergency point-of-care ultrasound in a tertiary hospital emergency department in East London, South Africa","authors":"Oscar Biggs ,&nbsp;Luan Taljaard ,&nbsp;Daniël Jacobus Van Hoving ,&nbsp;Meeren Rugunanan","doi":"10.1016/j.afjem.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Emergency departments are the primary entry point for emergencies in the public healthcare system. Resource constraints burden a large proportion of the public hospital emergency departments, which includes limited access to radiological services. Emergency point-of-care ultrasound provides a tool capable of bridging this gap. The Eastern Cape is yet to describe the utilisation of emergency point-of-care ultrasound in any of its emergency departments.</p></div><div><h3>Methods</h3><p>Frere Hospital initiated a clinical audit to assess the utilisation of emergency point-of-care ultrasound in its emergency department in 2022. This study was a retrospective review of the audit between 01 November 2022 until 28 February 2023. Data from the handwritten register regarding patient's presenting complaints and provisional diagnoses was also captured during the study period to draw comparisons between burden of disease and use of emergency point-of-care ultrasound.</p></div><div><h3>Results</h3><p>A total of 9501 patients attended Frere Hospital's emergency department over the study period with 492 emergency point-of-care ultrasounds performed (overall utilisation rate 5.2 %). The five credentialed emergency point-of-care ultrasound providers performed the majority (<em>n</em> = 360, 73.2 %) of the applications, compared to 132 (26.8 %) performed by the seven non-credentialed providers. The extended focused abdominal sonography in trauma (eFAST) was the most frequently performed application (<em>n</em> = 140, 28.5 %).</p></div><div><h3>Conclusion</h3><p>Emergency point-of-care ultrasound is underutilised in Frere Hospital's emergency department. The varied casemix requires upskilling of clinicians in emergency point-of-care ultrasound to suit the burden of disease experienced in the department. Ongoing emergency point-of-care ultrasound training, credentialing and research is important to ensure appropriate and quality emergency point-of-care ultrasound utilisation.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 3","pages":"Pages 135-140"},"PeriodicalIF":1.3,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X2400017X/pdfft?md5=f4e00c15cc3cccac271b6bf26adc5128&pid=1-s2.0-S2211419X2400017X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global health research abstracts: November ‘23","authors":"Jonathan Kajjimu","doi":"10.1016/j.afjem.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.04.003","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 2","pages":"Pages 131-133"},"PeriodicalIF":1.3,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000132/pdfft?md5=578106c987dda2fda79d2893f4071829&pid=1-s2.0-S2211419X24000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141067980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Health research abstracts: October ‘23","authors":"Jonathan Kajjimu","doi":"10.1016/j.afjem.2024.04.005","DOIUrl":"https://doi.org/10.1016/j.afjem.2024.04.005","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"14 2","pages":"Pages 128-130"},"PeriodicalIF":1.3,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211419X24000156/pdfft?md5=12908fa5f67a177968ded43dca9b5cf9&pid=1-s2.0-S2211419X24000156-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}