Absentee doctors leave trail of pain

“When it comes to knowledge skill gap, the World Bank reports that while doctors get the right diagnosis 86 per cent of the time, they are only able to translate that into full treatment in 54 per cent of the cases they handle.”…translated, one in two patients seen by a doctor in Kenya do not […]

EM Don’ts

Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma and a normal neurological evaluation. Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of pulmonary embolism and either a negative Pulmonary Embolism Rule-Out Criteria (PERC) or a negative D-dimer. Avoid lumbar spine imaging in […]

Chosing Wisely Master List

Don’t order sinus computed tomography (CT) or indiscriminately prescribe antibiotics for uncomplicated acute rhinosinusitis. Don’t prescribe antibiotics for URTIs Don’t order antibiotics for adenoviral conjunctivitis (pink eye). CT scans are not necessary in the immediate evaluation of minor head injuries; clinical observation/Pediatric Emergency Care Applied Research Network (PECARN) criteria should be used to determine whether […]

Myths in Emergency Medicine

ED practices that are potentially harmful, costly, inefficient, or just don’t work “Banana Bags” for alcoholics Cardiac enzyme testing in syncope Dilution (Delusional) Anemia Cephalosporins and Penicillin Allergies Read More

Emergency Medicine Kenya Foundation

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Strengthening emergency healthcare systems in Kenya to save lives.