Partnerships in emergency care: Summary proceedings from the 2014 African Conference on Emergency Medicine (original) (raw)
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African Journal of Emergency Medicine, 2014
La première conférence internationale sur la médecine d’urgence (MU) s’est tenue les 15 et 16 mai 2014 à l’International Convention Centre de Gaborone, au Botswana. Le soutien affiché par les principales parties prenantes a permis de positionner la conférence, dès sa conception, sur la délivrance de directives proposées par des experts sur la pertinence de la médecine d’urgence, son enseignement et la mise en œuvre de systèmes s’y rapportant. Le thème de la conférence était, fort à propos, « Établir le programme d’action en médecine d’urgence dans la région Afrique australe ». Plus de 300 délégués, locaux, régionaux et internationaux, se sont réunis pour prendre part à cet événement marquant. Les pays représentés incluaient notamment le Botswana, l’Afrique du Sud, la Zambie, la Namibie, le Zimbabwe, le Swaziland, le Lesotho, le Nigeria et les États-Unis. Les hypothèses de la conférence ont permis de croiser les soins d’urgence, le fardeau des blessures et de la maladie en Afrique et...
African Journal of Emergency Medicine, 2014
Emergency care occurs on a continuum. Developing prehospital emergency care systems that are integrated with in-hospital emergency care systems can be a sustainable and effective way to help address the large morbidity and mortality of acute disease in Africa. Unfortunately, development of such prehospital systems across Africa has been slow to progress for many reasons, including feared cost implications, no agreed optimal system structure and function, and poor advocacy. In November 2013, the African Federation for Emergency Medicine (AFEM) convened a second expert and stakeholder meeting in Cape Town, South Africa, with the objective of reaching consensus on a few position statements to facilitate advocacy and to guide the development of emergency care in Africa. The objective of this paper is to report the outputs and position statements emerging from the AFEM Out-of-Hospital Emergency Care Workgroup consensus process. The term ''Out-of-Hospital Emergency Care'' was agreed by consensus and defined by the Workgroup as a suitable umbrella term for use in Africa that refers to the full spectrum of emergency care that occurs outside healthcare facilities. Critical components of this system were defined, including first responder care (tier-one) systems, and prehospital care and emergency medical services (tier-two) systems. The Workgroup provided a practical, adaptable and flexible set of guidelines and expert recommendations to facilitate advocacy and development of out-of-hospital emergency care systems in needy African settings. Future directions of the AFEM Out-of-Hospital Emergency Care Workgroup include creating an online Toolkit. This will serve as a repository of template documents to guide implementation and development of clinical care, education, transportation, public access, policy and governance.
Emergency medicine development in Ethiopia: Challenges, progress and possibilities
African Journal of Emergency Medicine, 2013
Ethiopia does not have the facilities, equipment and human resource with the essential skills to support a coordinated emergency medical care system and as such lacks the basic infrastructure for delivering emergency care. The country has made significant improvements in the last two decades, particularly with regard to training of key Emergency Medical personnel. Nevertheless, much remains to be done, and numerous opportunities exist to make additional improvements in both the short and long term. This article provides a historical overview of the development of emergency medicine in Addis Ababa, Ethiopia, critically examines the specific challenges faced and presents the various efforts over the past several years by national and international partners trying to address these challenges. It describes what has been achieved and proposes key recommendations
ACEM involvement in a successful African emergency medicine programme
Emergency Medicine Australasia, 2018
In the past 5 years Botswana graduated its first home-grown doctors and emergency medicine specialists for the country. The postgraduate emergency medicine specialist training arrangement between Botswana and South Africa was challenging in development, implementation and maintenance. Numerous varied supports from ACEM and its International Emergency Medicine Network were integral to these successes. This article encourages further investment of ACEM grants and scholarships in Africa by describing how ACEM supported significant advances in Botswana emergency medicine.
2013
Ethiopia does not have the facilities, equipment and human resource with the essential skills to support a coordinated emergency medical care system and as such lacks the basic infrastructure for delivering emergency care. The country has made significant improvements in the last two decades, particularly with regard to training of key Emergency Medical personnel. Nevertheless, much remains to be done, and numerous opportunities exist to make additional improvements in both the short and long term. This article provides a historical overview of the development of emergency medicine in Addis Ababa, Ethiopia, critically examines the specific challenges faced and presents the various efforts over the past several years by national and international partners trying to address these challenges. It describes what has been achieved and proposes key recommendations
Emergency medical services in Ethiopia: Drivers, challenges and opportunities
Human Antibodies, 2019
BACKGROUND: Ethiopia has well established health care system but not have significant improvements on emergency medical services and have shortage of equally initiative among all regional states and city administration of Ethiopia. This study aimed to examine the drivers, challenges, and opportunities of Emergency Medical Services (EMS) and to identify new evidence for future policy making in Ethiopia. METHOD: A narrative review of the literature related to EMS was undertaken to describe the drivers, challenges, and opportunities for EMS in Ethiopia from July, 2000 to September, 2018. The search was done from four relevant electronic databases: MEDLINE, Science Directs, Scopus and PubMed by using Google Scholar and Google with key search words used mainly as "Emergency Medical services in Ethiopia". The inclusion criteria were an original study or review studies involving Emergency Medical Services in Ethiopia. Among the available papers, the relevant articles were selected while the irrelevant ones were excluded. RESULTS: There was lack of trained emergency medical providers and misdistribution of trained professionals, immaturity of the program, lack of partnership and stakeholders and lack of motivation towards Emergency medical services. Emergency medical services hamper significant problems similar to other African countries that required being addressed in Ethiopia context for achieving the program and in order to obtain intended outcomes for the country. CONCLUSION: A long-term discussion is needed to further improves services system in various health care facilities. An Emergency Medical services policy making and analysis framework is needed to make quality emergency medical care at Emergency department in hospitals and outside the hospitals.
Developing a framework for emergency nursing practice in Africa
African Journal of Emergency Medicine, 2012
Whilst collaborating with members of the emergency team, the emergency nurse plays a crucial role in the identification and care of patients with medical, surgical and injury related emergencies. In Africa, as well as all over the world, the practice of emergency nursing is extremely challenging. In November 2011, an international emergency nursing workgroup (both academic and clinical) was convened in Cape Town, South Africa, to explore the development of a framework for emergency nursing practice in Africa. The resultant framework has implications for nursing education and training, continuing education, and staffing at both the institutional and regional levels throughout the African continent and possibly further afield. ª 2012 African Federation for Emergency Medicine. Production and hosting by Elsevier B.V. All rights reserved. Abstract Tout en collaborant avec les membres de l'e´quipe d'urgence, l'infirmier urgentiste joue un roˆle crucial dans l'identification et la prise en charge des patients traite´s pour des urgences me´dicales, chirurgicales et lie´es a`des blessures. En Afrique, mais aussi partout dans le monde, la pratique des soins infirmiers d'urgence est extreˆmement difficile. En novembre 2011, un groupe de travail international sur les soins infirmiers d'urgence (a`la fois univertaire et clinique) s'est re´uni au Cap, en Afrique du Sud, pour e´tudier le developpement d'un cadre relatif a`la pratique des soins infirmiers d'urgence en Afrique. Le cadre qui en est ressorti a des re´percussions sur l'enseignement et la formation en soins infirmiers, la fomation continue, et la dotation en personnel a`des niveaux institutionnel et re´gional sur l'ensemble du continent africain, voire au-dela`. ª 2012 African Federation for Emergency Medicine. Production and hosting by Elsevier B.V. All rights reserved.
Emergency Medicine Australasia, 2007
Tanzania in East Africa has a population of over 36 million and is one of the poorest countries in the world. Life expectancy has declined and infant mortality rates are increasing. Four consultant specialist hospitals and 17 regional hospitals service the mainland. Kilimanjaro Christian Medical Centre is a major specialist teaching hospital with 500 beds, serving the entire northwest of the country. There is a small 'casualty' ward with three cubicles and one resuscitation room. Malaria, HIV, respiratory infections and gastroenteri-tis are the chief causes of death in children. Changing lifestyle and Western influences have increased diabetes and vascular disease in adults, and large numbers of trauma deaths are increasingly encountered. Kilimanjaro Christian Medical Centre 'Casualty' admission data are presented, as well as an insight into the challenges of emergency medicine in this country.