African Journal of Emergency Medicine最新文献

Global health research abstracts: April ‘25

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-04-02 DOI: 10.1016/j.afjem.2025.03.001

Jonathan Kajjimu

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.

引用次数: 0

The effect of smartphones and mobile apps in Egyptian Emergency Departments: A cross-sectional study

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-03-27 DOI: 10.1016/j.afjem.2025.02.001

Mohamed Hassan , Roeya Aboelnasr , Aya Farag Attia Elsebaey , Sherif Shawky Elabd , Alaa H. Ewida , Waleed M. Taha

Background

The prevalence of mobile devices in healthcare environments has steeply increased the creation of medical software applications, or apps, for these platforms. It can enhance the provided healthcare services.

Aim

This study aimed to assess the prevalence of smartphone use among health care professionals (HCPs) in Egypt and detect the possible benefits and challenges identified by HCPs in the emergency department associated with the use of smartphones and mobile apps.

Methods

A cross-sectional 23-question structured survey-based study was conducted and distributed electronically via GoogleForms. The survey targeted all healthcare professionals working in emergency departments in Egypt either from University hospitals or the Ministry of Health.

Results

Among 130 responders, almost 89 % were physicians, while the rest were nurses. In addition, 53.1 % had one to four years of experience. Our study revealed that 62.3 % of the responders used medical apps daily with 61.5 % using smartphones during their work shifts. Though, about 81.5 % demonstrated limited or no availability of necessary technology infrastructure in ED. Furthermore, peer-reviewed evidence use was detected among 80 % of the responders using Google and other search engines for health-related information, and about 23 % of them used WikiEM and Wikipedia. Nevertheless, Medscape, MedCalc, and Up-to-date were among the most used medical apps with 69.2 %, 44.6 %, and 33.1 % respectively. Most of the responders were confident that smartphones could improve patient safety. In addition, satisfaction with current mobile apps was detected by more than 60 %, and most of the HCPs agreed that smartphones and mobile apps are crucial for future emergency healthcare delivery.

Conclusion

The use of smartphone apps in Egyptian ED is critical and is widespread among health providers; however, proper training on peer-reviewed resources can serve in improving medical health services.

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引用次数: 0

Psychoactive substance use among psychiatric in-patients presenting to the Emergency Centre of a district hospital in Cape Town, South Africa. A retrospective descriptive study

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-03-21 DOI: 10.1016/j.afjem.2025.02.006

Nardus Droomer, Paul Xafis, Philip Cloete

Background

Mental illness and substance use are major global challenges, with their impact on Emergency Centres becoming evident, especially in South Africa. Patients facing these issues require significant resources from both hospital and community services. However, there is a lack of local data regarding the prevalence of concurrent mental health and substance use disorders. This study aims to evaluate the extent of psychoactive substance use within the psychiatric population at a District Hospital in Cape Town, South Africa.

Methods

This study is a single-centre, retrospective descriptive analysis. It includes all patients referred to the inpatient psychiatric service over six months, recorded in an electronic database. Data were statistically analysed, considering the following variables: urine drug test results to identify specific substance (s) used, sex, age, diagnosis, and repeat visits.

Results

A total of 597 patient visits were analysed. Fifty-nine percent tested positive for at least one substance. The patients’ average age was 34 years. A greater percentage of visits were for males (58 %), with males exhibiting a higher rate of positive test results (64 %) than females (51 %). Among the 146 repeat visits, a significant association was found between the number of visits and positive test results, with 73 % of patients with ≥2 repeat visits testing positive for substances (p < 0.001). Cannabis (60 %), methamphetamines (47 %), benzodiazepines (26 %), opioids (7 %), and cocaine (1 %) were the substances most frequently reported.

Conclusions

Emergency Centres in South Africa are impacted by individuals seeking mental health care, and substance use significantly exacerbates these challenges. Substance use creates serious physical, mental, and social implications for patients. As emergency care practitioners and members of the broader healthcare system, we play vital roles in addressing these issues. This study provides valuable insights into the complexities of the situation and suggests potential approaches for intervention.

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引用次数: 0

Global health research abstracts: February ‘25

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-03-19 DOI: 10.1016/j.afjem.2025.02.004

Jonathan Kajjimu

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.

引用次数: 0

Global Health research abstracts: March ‘25

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-03-08 DOI: 10.1016/j.afjem.2025.02.005

Jonathan Kajjimu

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.

引用次数: 0

Implementation of a cascade training model to enhance emergency care capacity of healthcare workers during the COVID-19 outbreak in Uganda

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-02-01 DOI: 10.1016/j.afjem.2025.01.001

Sulaiman Bugosera Wasukira , Carl Trevor Kambugu , Judith Nanyondo S , Emmanuel Candia , Stephen Emmanuel Aporu , Patricia Ikwaru , Racheal Kwagala , Andrew Kwiringira , Peter Mukiibi , Costance Murungi , Marek Ma , Celine Jacobs , Cliff Asher Aliga , Afizi Kibuuka , Dathan M. Byonanebye , Sylvia Natukunda , Kenneth Bagonza , Rose Muhindo , Prisca Kizito , Benard Toliva Opar , Annet Alenyo-Ngabirano

Introduction

The COVID-19 pandemic highlighted the gaps and the need to strengthen the emergency care system in Uganda. The Ugandan Ministry of Health implemented an emergency care capacity-building program during the COVID-19 pandemic response to improve COVID-19 case management in Uganda. We describe the curriculum development and rollout using a cascade model.

Methods

In June 2021, the World Health Organisation (WHO) Hospital Emergency Unit Assessment Tool (HEAT) was used to assess emergency units and document existing capacity gaps in regional referral hospitals and general hospitals. The WHO Basic Emergency Care curriculum was modified to a training curriculum for emergency care principles for COVID-19 management. Training of trainers was conducted across 14 health regions in July and August 2021. The trainers trained cascaded the training through facility-based training during continuous professional development sessions.

Results

Using the HEAT, 115 health facilities (14 regional and 101 general hospitals) were assessed. Only 31.3% (36/115) of the health facilities had a formal triage system. 53.5% (54/101) of general hospitals lacked non-rotating staff in the emergency unit. Some 511 healthcare workers from 205 facilities were trained as trainers, of whom 51.8% were nurses. The trainers trained cascaded the training to 3,550 healthcare workers. There was a significant difference between the overall median pre-test (71%) and median post-test (86.8%) scores of trainers trained (p<0.001).

Conclusion

There was a general lack of emergency unit protocols and a shortage of fixed staff at the emergency units. The cascade model facilitated the dissemination of emergency care knowledge to seven times more healthcare workers than the trainers trained. This demonstrates the efficiency of this approach in knowledge dissemination and its ability to be replicated in other low resource settings.

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引用次数: 0

Empowering emergency nursing in Africa through research

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-01-18 DOI: 10.1016/j.afjem.2025.01.002

Petra Brysiewicz

引用次数: 0

Global health research abstracts: April ‘24

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-01-15 DOI: 10.1016/j.afjem.2024.10.230

Dr Jonathan Kajjimu

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.

引用次数: 0

Global health research abstracts: February ‘24

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.234

Dr. Jonathan Kajjimu

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.

引用次数: 0

Global health research abstracts: August ‘24

IF 1.4 4区医学 Q3 EMERGENCY MEDICINE

African Journal of Emergency Medicine

Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.227

Dr. Jonathan Kajjimu

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.

引用次数: 0