A5079593141- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Disaster Response and Management
- Injury Epidemiology and Prevention
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Abdominal Trauma and Injuries
- Nursing Roles and Practices
- Global Maternal and Child Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Asthma and respiratory diseases
- Respiratory Support and Mechanisms
- Pregnancy-related medical research
- Trauma Management and Diagnosis
- Traffic and Road Safety
- Patient-Provider Communication in Healthcare
- Ultrasound in Clinical Applications
- Migration, Health and Trauma
- Oral microbiology and periodontitis research
- Palliative Care and End-of-Life Issues
- Pleural and Pulmonary Diseases
- Autopsy Techniques and Outcomes
- Cancer survivorship and care
- High Altitude and Hypoxia
- Health and Conflict Studies
University of Colorado Anschutz Medical Campus
2014-2025
University of Colorado Denver
2016-2025
University of Colorado System
2014-2024
Ceres
2023
Stellenbosch University
2023
University of Cape Town
2019-2022
Groote Schuur Hospital
2022
Denver School of Nursing
2022
Africa Center
2022
Denver Health Medical Center
2021
Introduction Little is known about the existence, distribution, and characteristics of Emergency Medical Services (EMS) systems in Africa, or corresponding epidemiology prehospital illness injury.A survey was conducted between 2013 2014 by distributing a detailed EMS system questionnaire to experts paper electronic versions. The ascertained systems' jurisdiction, operations, finance, clinical care, resources, regulatory environment. discovery respondents with requisite expertise occurred...
Emergency medical services (EMS) systems provide professional prehospital emergency care and transportation to help improve outcomes from conditions. Ghana's national ambulance service has relatively low public utilization in comparison with the large burden of acute disease.A survey instrument was developed using Pechansky Thomas's model access covering 5 dimensions availability, accessibility, accommodation, affordability, acceptability. The used a cross-sectional 2013 Accra, Ghana;...
Sub-Saharan Africa bears a disproportionate burden of mortality from trauma. District hospitals, although not trauma centres, play critical role in the care system by serving as frontline hospitals. However, clinical characteristics patients receiving African district hospitals remains under-described and is barrier to development. We aim describe at analysing prototypical hospital emergency centre. An observational study was conducted August, 2014 Wesfleur Hospital, facility Western Cape...
Abstract Background Injury‐related deaths claim millions of lives annually, with severe hemorrhage a leading cause. This study assesses tranexamic acid (TXA) administered within 3 h post‐injury on mortality in trauma patients. Study Design And Methods We conducted secondary database analysis EpiC, multicenter, prospective cohort patients South Africa. compared between severely injured at risk for traumatic receiving TXA versus untreated Inverse probability treatment weighting adjusted...
Management of head trauma in austere military environments is challenging as current injury scoring systems have limited triage utility the absence advanced imaging. Additionally, unlike recent past, future conflicts will be characterized by opportunities for aeromedical evacuation. We hypothesize that safe hospital discharge within 48 h may an effective surrogate endpoint to identify patients appropriate averted or delayed evacuation settings. To analyze this, we assess mild head-injured...
The increasing burdens of trauma and time sensitive non-communicable disease in Addis Ababa necessitate a robust emergency medical care system. objectives this study were to assess the proportion patients who used services (EMS) quantitatively qualitatively barriers EMS utilization Ababa. A cross-sectional quantitative qualitative was conducted on visited five selected public hospitals with specific conditions. Data collected by trained nurses using standardized questionnaire. Descriptive...
Prehospital care constitutes an important link in the continuum of emergency and confers a survival benefit to injured ill persons. As development acute sub-Saharan Africa expands, there is strong need improve delivery prehospital help relieve overwhelming regional morbidity mortality attributable time-sensitive, life-threatening conditions. Effective research integral development, as it helps quantify for tests effective solutions. Unfortunately, limited consensus guiding such low-resource...
Emergencies span all social and specialty boundaries, making an integrated cross-cutting approach to the management of acutely ill injured patients essential. Most low income countries lack emergency care systems, thus suffer highest rates morbidity mortality from acute disease. The second African Federation for Emergency Medicine Consensus Conference was held in November, 2013, Cape Town, South Africa. Workgroups included: Out Hospital Care, Care Integration into Current Health Systems,...
Emergency care occurs on a continuum. Developing prehospital emergency systems that are integrated with in-hospital can be sustainable and effective way to help address the large morbidity mortality of acute disease in Africa. Unfortunately, development such across Africa has been slow progress for many reasons, including feared cost implications, no agreed optimal system structure function, poor advocacy. In November 2013, African Federation Medicine (AFEM) convened second expert...
We live in an era of rapid technological advancement, and as newer diagnostic modalities have emerged, the traditional physical examination has become less central to clinical assessment patients. Point-of-care ultrasound (POCUS), imaging acquired interpreted by a treating clinician at bedside, emerged tool that can augment accuracy bedside assessment.1–3 Emerging evidence shows certain POCUS applications rivals sometimes surpasses conventional tests.4–6 Growing literature supports notion...
Garissa county, Kenya is a geographically large county with mobile pastoralist population that has developed method for emergency medical services (EMS) coordination using the WhatsApp communication platform. This work was based on site visit, to better understand and describe current operations, strengths, weaknesses of EMS system in Garissa. The use seems well local context potential serve as cost-effective solution other systems Kenya, Africa, LMICs.
Abstract Background Blood products form the cornerstone of contemporary hemorrhage control but are limited resources. Freeze‐dried plasma (FDP), which contains coagulation factors, is a promising adjunct in hemostatic resuscitation. We explore association between FDP alone or combination with other blood on 24‐h mortality. Study Design and Methods This secondary data analysis from cross‐sectional prospective observational multicenter study adult trauma patients Western Cape South Africa....
Background: We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in context regional need for prehospital care.Design: A mixed-methods approach was employed, using retrospective collection quantitative data prospectively gathered qualitative data. Setting – pertinent were collected from Ghanaian international sources; interviews technical assessments performed primarily Region Ghana.Participants: All stakeholders relevant Ghana...
Strokes are a leading cause of morbidity and mortality in the United States, especially "stroke belt" southeast. Up to 65% stroke patients access care by calling 9-1-1. The primary objective this study is measure accuracy emergency medical dispatchers (EMD) paramedics, prehospital identification stroke.The was based at Grady Emergency Medical Services, which Atlanta, Georgia's public services (EMS) provider. A retrospective analysis all medically related 9-1-1 calls EMS classified as...
Out-of-hospital emergency care (OHEC) should be accessible to all who require it. However, available data suggests that there are a number of barriers such access in Africa, mainly centred around challenges public knowledge, perception and appropriate utilisation OHEC. Having reached consensus 2013 on two-tier system African OHEC, the Federation for Emergency Medicine (AFEM) OHEC Group sought gain further narrower subject Africa. The objective this paper is report outputs statements arising...
Introduction: The most effective use of trauma center resources helps reduce morbidity and mortality, while saving costs. Identifying critical infrastructure characteristics, patient characteristics staffing components a associated with the proportion patients needing major care will help planners create better systems for care.Methods: We used 2009 National Trauma Data Bank-Research Dataset to determine critically injured requiring within each Level I-IV (n=443). outcome variable was...
Well organized and appropriately utilized pre-hospital emergency services play a critical role in augmenting care systems. The primary objective of this study was to understand the demographic clinical profile patients who used ambulances Addis Ababa. secondary objectives were assess ambulance response time, transport time reasons for referral amongst inter-facility transported designed as cross-sectional retrospective chart review using station records from Ababa Fire Emergency Prevention...