Road Traffic Crash Response & Emergency Medical Care

The utilisation of bystander training programs targeted at groups such as boda-boda riders and PSV drivers can assist in closing prehospital emergency care management gaps; while the creation of trauma centres institutes the first step in creating a trauma network to more efficiently address post-crash emergency care.

Community Health Workers in Emergency Care

CHWs have shown great efficacy in reducing mortality and morbidity associated with multiple disease categories and help to fill healthcare worker shortages worldwide. Utilising CHWs to provide emergency care in the community requires a focus on their formal training and can strengthen the emergency care system overall.

Emergency Hotlines

Emergency Hotlines establish a reliable fixed-line system that is able to improve emergency care and reduce mortality and morbidity through improved communication and collaboration with emergency care centres.

Effective Positioning of Emergency Care Centres in Kenya

In order to provide quality emergency care, emergency care centres need to be developed with an understanding of current geographical disparities and careful planning to create a network of emergency care centres that is sufficient to meet the needs of the population. This is key to ensure country-wide access to emergency care within the “golden hour” window.

Defining Emergency Care Centres across Kenya

Emergency care is a key component of any healthcare system in protecting the health of a population and preventing mortality and morbidity. Right to emergency care is protected in Kenya, but in order to optimise this, there must be the promotion of a common language and universal knowledge.

ACLS REVISION: Post ROSC Care

Once we’ve achieved ROSC our job is not over. Good post-arrest care involves maintaining blood pressure and cerebral perfusion, adequate sedation, cooling and preventing hyperthermia, considering antiarrhythmic medications, optimization of tissue oxygen delivery while avoiding hyperoxia, getting patients to PCI who need it, and looking for and treating the underlying cause.

Priapism

 Non-ischemic (high-flow)Ischemic (low-flow)
Physical ExamTypically painless, not fully tumescentPainful, fully tumescent with corpus cavernosa rigidity without involvement of corpus spongiosum and glans penis
AetiologyHigh-flow priapism is extremely rare and most commonly associated with antecedent trauma including blunt trauma, or resulting from needle injury of the cavernosal artery.Low-flow priapism is caused by impaired relaxation and/or paralysis of cavernosal smooth muscle and in sickle-cell disease
ManagementNOT EmergencyEmergency
 
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