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2018 AHA PALS Update – Nothing New


The optimal sequence of PALS interventions, including administration of antiarrhythmic drugs during resuscitation, and the preferred manner and timing of drug administration in relation to shock delivery are still not known. One study reported a statistically significant improvement in return of spontaneous circulation when lidocaine administration was compared with amiodarone for pediatric ventricular fibrillation/pulseless ventricular tachycardia cardiac arrest. However, no difference in survival to hospital discharge was observed among patients who received amiodarone, lidocaine, or no antiarrhythmic medication.

All you need to know about emergency care in Kenya
Kakamega County Referral Hospital Emergency Department

The Ministry of Health in Kenya reported that in 2016, about 13,159 people were seriously injured on the road. It is not just road traffic accidents, but also tens of thousands others lose their lives due to other emergencies such as heart attacks, stroke, maternity cases such as the killer pregnancy-induced blood pressure and falls from buildings.

Oxygen therapy for acutely ill medical patients: a clinical practice guideline

What you need to know

  • It is a longstanding cultural norm to provide supplemental oxygen to sick patients regardless of their blood oxygen saturation
  • A recent systematic review and meta-analysis has shown that too much supplemental oxygen increases mortality for medical patients in the hospital
  • For patients receiving oxygen therapy, aim for peripheral capillary oxygen saturation (SpO2) of ≤ 96% (strong recommendation)
  • For patients with acute myocardial infarction or stroke, do not initiate oxygen therapy in patients with SpO2 ≥ 90% (for ≥ 93% strong recommendation, for 90-92% weak recommendation)
  • A target SpO2 range of 90-94% seems reasonable for most patients and 88-92% for patients at risk of hypercapnic respiratory failure; use the minimum amount of oxygen necessary

Universal Health Coverage (UHC) to include emergency services

The Government of Kenya today launched the Universal Health Coverage (UHC) Pilot Program dubbed Afya Care – Wema Wa Mkenya that will enable Kenyans to access affordable healthcare without financial hardship.

The President highlighted that with the UHC card, Kenyan residents in the four pilot counties will now access health services ranging from Emergency Services, Child Health Services, Maternal Health Services, Mental Health Services, Infectious Disease Management, Non-communicable Disease Management, Inpatient and Outpatient Services and Community Health Services across county public health facilities.

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Emergency Medicine

Emergency medicine is a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of episodic undifferentiated physical and behavioural disorders (IFEM) - WATCH VIDEO

Emergency Topics

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