Triage is a fast, challenging and unforgiving dance with life and death. Those who have the task will carry the memory of the decisions they were forced to make forever. SALT, which stands for Sort, Assess, Lifesaving interventions, Treatment and/or transport is the four step process for responders to manage mass casualty incidents proposed by […]
This assessment, conducted by external EMS experts with expertise in African and international EMS systems and EMS education, reports several key findings and offers important recommendations to help standardise and enhance the quality of training in Kenyan prehospital care. In brief, the key recommendations are as follows: A standard Kenyan EMS scope of practice (document and […]
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#Garissa, Kenya – Preserving Crime Scene Evidence when Treating Patients at a Mass Casualty Incident (MCI)…a must read for all EMS personnel in the current era of terrorism.
Busting Trauma Myths… Nasopharyngeal airway placement can safely be performed in patients with a head injury when airway management is needed. The benefit of establishing an airway outweighs the incredibly small risk of the NPA entering the brain. Backboards (Spine boards) have no proven benefit for the trauma patient and can be harmful by compromising […]
EMS in Kenya: Preliminary research data shows that ambulances in Nairobi (which has the highest ambulance density in the country) mostly transport sick children and pregnant mothers.
Spinal motion restriction should be considered for patients who meet validated indications such as the NEXUS criteria or Canadian C-Spine rules. Spinal motion restriction should be considered for patients with plausible blunt mechanism of injury and any of the following: Altered level of consciousness or clinical intoxication Mid-line spinal pain and/or tenderness Focal neurologic signs […]