AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development
Emergency care occurs on a continuum. Developing prehospital emergency care systems that are integrated with in-hospital emergency care systems can be a sustainable and effective way to help address the large morbidity and mortality of acute disease in Africa. Unfortunately, development of such preh...
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| Format: | Article |
| Language: | English |
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Elsevier
2014-06-01
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| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X14000330 |
| _version_ | 1811220882639552512 |
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| author | N.K. Mould-Millman R. Naidoo S. de Vries C. Stein L.A. Wallis |
| author_facet | N.K. Mould-Millman R. Naidoo S. de Vries C. Stein L.A. Wallis |
| author_sort | N.K. Mould-Millman |
| collection | DOAJ |
| description | Emergency care occurs on a continuum. Developing prehospital emergency care systems that are integrated with in-hospital emergency care systems can be a sustainable and effective way to help address the large morbidity and mortality of acute disease in Africa. Unfortunately, development of such prehospital systems across Africa has been slow to progress for many reasons, including feared cost implications, no agreed optimal system structure and function, and poor advocacy.
In November 2013, the African Federation for Emergency Medicine (AFEM) convened a second expert and stakeholder meeting in Cape Town, South Africa, with the objective of reaching consensus on a few position statements to facilitate advocacy and to guide the development of emergency care in Africa. The objective of this paper is to report the outputs and position statements emerging from the AFEM Out-of-Hospital Emergency Care Workgroup consensus process.
The term “Out-of-Hospital Emergency Care” was agreed by consensus and defined by the Workgroup as a suitable umbrella term for use in Africa that refers to the full spectrum of emergency care that occurs outside healthcare facilities. Critical components of this system were defined, including first responder care (tier-one) systems, and prehospital care and emergency medical services (tier-two) systems. The Workgroup provided a practical, adaptable and flexible set of guidelines and expert recommendations to facilitate advocacy and development of out-of-hospital emergency care systems in needy African settings.
Future directions of the AFEM Out-of-Hospital Emergency Care Workgroup include creating an online Toolkit. This will serve as a repository of template documents to guide implementation and development of clinical care, education, transportation, public access, policy and governance. |
| first_indexed | 2024-04-12T07:50:28Z |
| format | Article |
| id | doaj.art-d3f8a5179186484b9d6c2f2adaee3a7f |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-04-12T07:50:28Z |
| publishDate | 2014-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-d3f8a5179186484b9d6c2f2adaee3a7f2022-12-22T03:41:37ZengElsevierAfrican Journal of Emergency Medicine2211-419X2014-06-0142909510.1016/j.afjem.2014.02.001AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and DevelopmentN.K. Mould-Millman0R. Naidoo1S. de Vries2C. Stein3L.A. Wallis4Department of Emergency Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USADepartment of Emergency Medical Care and Rescue, Durban University of Technology, Kwazulu Natal, South AfricaWestern Cape Government, Emergency Medical Services, Western Cape Province, South AfricaDepartment of Emergency Medical Care, University of Johannesburg, Gauteng, South AfricaUniversity of Cape Town, Division of Emergency Medicine, Western Cape Province, South AfricaEmergency care occurs on a continuum. Developing prehospital emergency care systems that are integrated with in-hospital emergency care systems can be a sustainable and effective way to help address the large morbidity and mortality of acute disease in Africa. Unfortunately, development of such prehospital systems across Africa has been slow to progress for many reasons, including feared cost implications, no agreed optimal system structure and function, and poor advocacy. In November 2013, the African Federation for Emergency Medicine (AFEM) convened a second expert and stakeholder meeting in Cape Town, South Africa, with the objective of reaching consensus on a few position statements to facilitate advocacy and to guide the development of emergency care in Africa. The objective of this paper is to report the outputs and position statements emerging from the AFEM Out-of-Hospital Emergency Care Workgroup consensus process. The term “Out-of-Hospital Emergency Care” was agreed by consensus and defined by the Workgroup as a suitable umbrella term for use in Africa that refers to the full spectrum of emergency care that occurs outside healthcare facilities. Critical components of this system were defined, including first responder care (tier-one) systems, and prehospital care and emergency medical services (tier-two) systems. The Workgroup provided a practical, adaptable and flexible set of guidelines and expert recommendations to facilitate advocacy and development of out-of-hospital emergency care systems in needy African settings. Future directions of the AFEM Out-of-Hospital Emergency Care Workgroup include creating an online Toolkit. This will serve as a repository of template documents to guide implementation and development of clinical care, education, transportation, public access, policy and governance.http://www.sciencedirect.com/science/article/pii/S2211419X14000330AfricaEmergency medical servicesEmergency carePrehospital careAmbulanceOut-of-hospital |
| spellingShingle | N.K. Mould-Millman R. Naidoo S. de Vries C. Stein L.A. Wallis AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development African Journal of Emergency Medicine Africa Emergency medical services Emergency care Prehospital care Ambulance Out-of-hospital |
| title | AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development |
| title_full | AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development |
| title_fullStr | AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development |
| title_full_unstemmed | AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development |
| title_short | AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development |
| title_sort | afem consensus conference 2013 afem out of hospital emergency care workgroup consensus paper advancing out of hospital emergency care in africa advocacy and development |
| topic | Africa Emergency medical services Emergency care Prehospital care Ambulance Out-of-hospital |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X14000330 |
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