A5049881451- Trauma and Emergency Care Studies
- Disaster Response and Management
- Emergency and Acute Care Studies
- Viral Infections and Outbreaks Research
- Migration, Health and Trauma
- COVID-19 and healthcare impacts
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Congenital Heart Disease Studies
- Infective Endocarditis Diagnosis and Management
- Innovations in Medical Education
- Coronary Artery Anomalies
- Alcohol Consumption and Health Effects
- Injury Epidemiology and Prevention
- Health and Well-being Studies
- Climate Change and Health Impacts
- Diversity and Career in Medicine
- Musculoskeletal Disorders and Rehabilitation
- Biomedical and Engineering Education
- Tracheal and airway disorders
- Sepsis Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Central Venous Catheters and Hemodialysis
- Radiology practices and education
- Problem and Project Based Learning
University of Rwanda
2017-2025
Centre Hospitalier Universitaire de Kigali
2017-2023
University of Kigali
2021
University Teaching Hospital
2020-2021
Brown University
2021
Island Institute
2021
Kaiser Permanente San Leandro Medical Center
2021
<strong>Introduction:</strong> Rwanda has made significant advancements in medical and economic development over the last 20 years emerged as a leader healthcare East African region. The COVID-19 pandemic, which reached March 2020, presented new unique challenges for infectious disease control. objective of this paper is to characterize Rwanda's domestic response first year pandemic highlight effective strategies so that other countries, including high middle-income can learn from its...
In Rwanda, alcohol use disorder (AUD) is estimated to affect 7% of the population. The Alcohol Use Disorder Identification Test (AUDIT) an excellent screening instrument for AUD, but a Rwanda-focused version previously was unavailable. Our objective develop Rwanda- focused AUDIT and evaluate its psychometric properties. English adapted Rwandan language through translation back- by panel native Kinyarwanda speakers. Random sampling used recruit participants from emergency department,...
Low and middle-income countries (LMIC) in Africa face challenges medical education. Eleven have no school, 24 share one few residency programs. This shortage means that has only 1.7% of the world’s physicians, yet bears 27% global disease burden. COVID-19 created further educational constraints, especially emergency medicine (EM). Student resident education opportunities were limited. Rwanda faced a available in-person EM instructors during pandemic, to support learning needs, we designed...
BackgroundCorona Virus Disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which originated in Wuhan, China late 2019, has spread across globe, rapidly reaching classification as a pandemic. As of September 24, 2020, more than 31.7 million cases and 973,000 deaths have been identified worldwide nearly every country impacted.1According to World Health Organization (WHO) surveillance data, African region (AFRO) 1,154,171 confirmed 24,464 from...
In high-income settings, vasopressor administration to treat haemodynamic instability through a central venous catheter (CVC) is the preferred standard. However, due lack of availability and potential for complications, CVCs are not widely used in low- middle-income countries. This prospective cohort study evaluated use peripheral vasopressors associated incidence extravasation events patients with at Centre Hospitalier Universitaire Kigali, Rwanda. Patients ≥18 years age receiving emergency...
While trauma prognostication and triage scores have been designed for use in lower-resourced healthcare settings specifically, the comparative clinical performance between trauma-specific general risk-stratifying injured patients such is not well understood. This study evaluated Kampala Trauma Score (KTS), Revised (RTS), Triage Early Warning (TEWS) accuracy predicting mortality among seeking emergency department (ED) care at Centre Hospitalier Universitaire de Kigali (CHUK) Rwanda. A...
Injuries cause significant burdens in sub-Saharan Africa. In Rwanda, national regulations to reduce COVID-19 altered population mobility and resource allocations. This study evaluated epidemiological trends care among injured patients preceding during the pandemic at Centre Hospitalier Universitaire de Kigali (CHUK) Kigali, Rwanda. prospective interrupted cross-sectional enrolled adult (≥15 years) presenting CHUK emergency department (ED) from January 27th-March 21st (pre-COVID-19 period)...
National regulations to curb the coronavirus disease 2019 (COVID-19) transmission and health care resource reallocation may have impacted incidence treatment for neurotrauma, including traumatic brain injury (TBI) spinal trauma, but these trends not been characterized in Sub-Saharan Africa. This study analyzes differences epidemiology, management, outcomes preceding during COVID-19 pandemic neurotrauma patients a Rwandan tertiary hospital. The setting was Centre Hospitalier Universitaire de...
Introduction: Improving access to emergency health services can reduce morbidity and mortality for patients with acute emergent conditions. The WHO ICRC developed the Basic Emergency Care course train frontline providers in a systematic approach common treatable life-threatening This study aims evaluate knowledge retention of Rwandan care after implementation this course. Method: A prospective, quasi-experimental, nonrandomized was conducted at University Teaching Hospital Kigali (CHUK)...
Treatment of seriously ill patients is often complicated by prolonged or complex transfers between hospitals in sub-Saharan Africa. Difficulties inefficiency these can lead to poor outcomes for patients. "On-call" triage systems have been utilized facilitate communication facilities and avoid associated with patient transfer. This study attempts examine the effects a pilot implement such system Rwanda. Data collection occurred prospectively two stages, pre-intervention intervention,...
INTRODUCTION: The burden of injuries is high in low- and middle-income countries where pre-hospital systems are being developed to improve acute injury care. This study compares the characteristics outcomes between trauma patients transported by formal emergency medical services (EMS) private transport department (ED) Centre Hospitalier Universitaire de Kigali (CHUK) Rwanda.
 METHODS: retrospective cohort analyzed a random sample presenting 1 August 2015 30 July 2016. Descriptive...
Abstract Background The International Federation for Emergency Medicine (IFEM) published its model curriculum medical student education in emergency medicine 2009. Because of the evolving principles and education, driven by societal, professional, educational developments, there was a need an update on IFEM recommendations. main objective process creating Intended Learning Outcomes (ILOs) providing tier-based Method A consensus methodology combining nominal group modified Delphi methods...
Injuries cause significant morbidity and mortality in sub-Saharan African countries such as Rwanda. These burdens may be compounded by limited access to intravenous (IV) resuscitation fluids crystalloids blood products. This study evaluates the association between emergency department (ED) volume outcomes adult trauma patients treated at University Teaching Hospital-Kigali (UTH- K). Data were abstracted using a structured protocol for random sample of ED during periods from 2012 2016....
Emergency centres (ECs) can be important access points for HIV testing. In Rwanda, one in eight people with are unaware of their infection status, which impedes epidemic control. This could addressed via increased cross-sectional study evaluated factors associated EC-based testing among injured patients at the Centre Hospitalier Universitaire de Kigali (CHUK), Kigali, Rwanda. Adult injury were prospectively enrolled between January-June 2020. Trained personnel collected data on demographics,...
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease encountered in pediatrics with surgical repair being definitive treatment. Long-term survival after has improved; however, reported mortality rates untreated TOF are significant. Associated complications include neurological sequelae such as brain abscess and stroke. In countries without early intervention for (including TOF), delayed presentations require recognition by healthcare workers.A 22-year-old male a...
Introduction: Low/middle-income countries (LMIC) in Africa face unique, systemic challenges medical education. faces a shortage of schools; only one school serves 24 countries. 11 have no school. Residency programs are few. The effect this is far-reaching. has 3.5% the world’s health workforce and 1.7% physicians, yet 27% global disease burden. COVID-19 created further resource constraints, especially emergency medicine (EM). Non-clinical physician functions such as student resident...
Laryngospasm is a partial or complete closure of the vocal cords, causing stridor and then airway obstruction. We present an unusual case recurrent laryngospasm following cervical spine trauma. A 41-year-old pedestrian was hit by car sustaining several fractures including comminuted fracture C1. These were initially unrecognised, his not immobilised. During this time patient experienced three episodes requiring intubation. On day 11 identified, Philadelphia collar placed. He made full...
Abstract Background Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease encountered in pediatrics. Long-term survival after surgical repair has improved; however, reported mortality rates unrepaired TOF are significant. Associated complications include neurological sequelae, frequently brain abscess and stroke. In countries without early intervention for including TOF, delayed presentations require recognition by healthcare workers. Case presentation A 22 year old...
Abstract IntroductionInjuries account for approximately five million deaths worldwide and have high burdens in low- middle-income countries, where pre-hospital systems are being developed to improve acute injury care. This study compares the characteristics outcomes between trauma patients transported by formal emergency medical services (EMS), known as Service d’Aide Medicale Urgente, private transport department (ED) at Centre Hospitalier Universitaire de Kigali (CHUK) Rwanda.MethodsThis...