Local Articles : EMSSA - local articles

By: Emssa  11-11-2011
Keywords: Emergency Care, Quality Emergency Care

Background Prehospital care in developing countries is severely lacking. Few countries can afford the relatively expensive formalised Western model of a prehospital emergency medical system. The WHO has highlighted the development of layperson first responder programmes as the most basic step in the development of a functioning prehospital system.

Published:

August 2010 |

Author(s):

DJ van Hoving, WP Smith, EB Kramer, S de Vries, F Docrat, LA Wallis


Posted:

19 September 2010 |

Filed Under:

Abstract

Background and problem statement: The South African response to the Haitian earthquake consisted of two independent non-government organisations (NGOs) working separately with minimal contact. Both teams experienced problems during the deployment, mainly owing to not following the International Search and Rescue Advisory Group (INSARAG) guidelines.

Published:

February 2010 |

Author(s):

Z Smith, N Postma, D Wood


Posted:

26 April 2010 |

Filed Under:

Abstract

Objectives: To assess the utility of an existing ultrasound machine for the purposes of focused assessment sonography in trauma (FAST) scanning in a developing world emergency department (ED).

Design: Prospective study undertaken over a 12-month period. Trauma patients attending the ED were FAST scanned by one of three trained emergency medicine doctors.

Published:

2009 |

Author(s):

JE Augustyn, VJ Ehlers, SP Hattingh


Posted:

1 December 2009 |

Filed Under:

Abstract

Triage assessment of patients on arrival at an emergency unit is an essential function in quality emergency care provision, and is a cost-effective and time saving venture. This study investigated nurses’ and doctors’ perceptions about the implementation of the Cape Triage Score in one emergency unit. The challenges encountered prior to the implementation of the Cape Triage Score and the roles and core competencies of the triage nurse were addressed as well as the strengths and weaknesses of the Cape Triage Score.

Published:

2008 |

Author(s):

D J Van Hoving, W P Smith, L A Wallis


Posted:

8 September 2009 |

Filed Under:

ABSTRACT

Background: The South African setting lends itself to the extensive useof air transport. There is a perception with healthcare providersthat flight crews spend too much time with a patient beforedeparture. The main advantage of aero medical transport is tominimise the delay to definitive care and prolonged on-scenetime defies this objective. A study was carried out to examinethe mean on-scene times of aero medical and road transport ofcritically ill patients in the Western Cape of South Africa.

Published:

2008 |

Author(s):

L A. Wallis, S R. Garach, and A Kropman


Posted:

8 September 2009 |

Filed Under:

Abstract

Published:

2009 |

Author(s):

P. W. Hodkinson, M. F. M. James, and L. A. Wallis


Posted:

8 September 2009 |

Filed Under:

Abstract

Published:

2006 |

Author(s):

L Wallis, S Carley, C T Hodgetts


Posted:

8 September 2009 |

Filed Under:

ABSTRACT

Background: Triage at the site of a major incident is key toeffective scene management. A number of triage algorithms havebeen suggested to assist the triage officer to determine triagepriorities. However, many advocated scores were not specificallydeveloped for use in major incidents, nor are they designedfor multiple age groups.

Many of these algorithms have not been validated: those thathave were validated against the Injury Severity Score, whichis of little relevance in a major incident—it is the urgencyof medical intervention that is of importance in this setting.

Published:

2006 |

Author(s):

L A Wallis, S Carley


Posted:

8 September 2009 |

Filed Under:

ABSTRACT

Introduction: The Paediatric Triage Tape (PTT) is an easy touse major incident primary triage tool, based upon a modificationof the Triage Sieve. The purpose of this study was to prospectivelyvalidate the PTT for use in paediatric major incidents.

Published:

2006 |

Author(s):

S B Gottschalk, D Wood, S DeVries, L A Wallis, S Bruijns


Posted:

8 September 2009 |

Filed Under:

ABSTRACT

The Cape Triage Group (CTG) convened with the intention of producinga triage system for the Western Cape, and eventually South Africa.The group includes in-hospital and prehospital staff from variedbackgrounds. The CTG triage protocol is termed the Cape TriageScore (CTG), and has been developed by a multi-disciplinarypanel, through best available evidence and expert opinion. TheCTS has been validated in several studies, and was launchedacross the Western Cape on 1 January 2006.

Keywords: Emergency Care, Quality Emergency Care