Emergency care in sub-Saharan Africa: Results of a consensus conference

The communities of sub-Saharan Africa face a disproportionate burden of acute injury and illness. While acute care systems can substantially lower the morbidity and mortality associated with a wide range of medical and surgical conditions in adults and children, few healthcare facilities in the regi...

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Main Authors: Emilie Calvello, Teri Reynolds, Jon Mark Hirshon, Conrad Buckle, Rachel Moresky, Joseph O’Neill, Lee A. Wallis
Format: Article
Language:English
Published: Elsevier 2013-03-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X13000037
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author Emilie Calvello
Teri Reynolds
Jon Mark Hirshon
Conrad Buckle
Rachel Moresky
Joseph O’Neill
Lee A. Wallis
author_facet Emilie Calvello
Teri Reynolds
Jon Mark Hirshon
Conrad Buckle
Rachel Moresky
Joseph O’Neill
Lee A. Wallis
author_sort Emilie Calvello
collection DOAJ
description The communities of sub-Saharan Africa face a disproportionate burden of acute injury and illness. While acute care systems can substantially lower the morbidity and mortality associated with a wide range of medical and surgical conditions in adults and children, few healthcare facilities in the region adopt an integrated approach to resuscitation and stabilization. The term acute care encompasses the health system components used to treat patients with urgent or emergent conditions, and governments, health care facilities, funders, and academic institutions would benefit from a clearer understanding of acute care in an African context. In November 2011, the African Federation of Emergency Medicine held the first in a series of conferences on acute care in Africa to engage stakeholders in the development of consensus statements for the region. This first meeting engaged a range of acute and emergency care providers working in sub-Saharan Africa, and effective acute care was defined as: The provision of initial resuscitation, stabilization, and treatment to acutely ill and injured patients, and delivery of those patients to the best available definitive care, regardless of their ability to pay. Focus areas included: (1) Acute care referral systems (pre-facility, transfer, and field care), (2) Facility-based acute care, (3) Emergency medicine specialist training, (4) Emergency nursing, (5) Sustainability strategies (advocacy, policy, and funding). The resulting consensus document is presented here and will be expanded and specified in future sessions of the conference series.
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spelling doaj.art-ef53de3b0b1640f9a522fc994399ead02022-12-21T18:19:50ZengElsevierAfrican Journal of Emergency Medicine2211-419X2013-03-0131424810.1016/j.afjem.2013.01.001Emergency care in sub-Saharan Africa: Results of a consensus conferenceEmilie Calvello0Teri Reynolds1Jon Mark Hirshon2Conrad Buckle3Rachel Moresky4Joseph O’Neill5Lee A. Wallis6Department of Emergency Medicine, University of Maryland, United StatesEmergency Medical Department, Muhimbili National Hospital, Dar es Salaam, TanzaniaDepartment of Emergency Medicine, University of Maryland, United StatesEmergency Medicine Department, Barnet and Chase Farm Hospitals NHS Trust, United KingdomDepartment of Medicine and Population & Family Health, Columbia University Mailman School of Public Health, United StatesDirector of Global Initiatives, University of Maryland, United StatesDivision of Emergency Medicine, University of Cape Town, South AfricaThe communities of sub-Saharan Africa face a disproportionate burden of acute injury and illness. While acute care systems can substantially lower the morbidity and mortality associated with a wide range of medical and surgical conditions in adults and children, few healthcare facilities in the region adopt an integrated approach to resuscitation and stabilization. The term acute care encompasses the health system components used to treat patients with urgent or emergent conditions, and governments, health care facilities, funders, and academic institutions would benefit from a clearer understanding of acute care in an African context. In November 2011, the African Federation of Emergency Medicine held the first in a series of conferences on acute care in Africa to engage stakeholders in the development of consensus statements for the region. This first meeting engaged a range of acute and emergency care providers working in sub-Saharan Africa, and effective acute care was defined as: The provision of initial resuscitation, stabilization, and treatment to acutely ill and injured patients, and delivery of those patients to the best available definitive care, regardless of their ability to pay. Focus areas included: (1) Acute care referral systems (pre-facility, transfer, and field care), (2) Facility-based acute care, (3) Emergency medicine specialist training, (4) Emergency nursing, (5) Sustainability strategies (advocacy, policy, and funding). The resulting consensus document is presented here and will be expanded and specified in future sessions of the conference series.http://www.sciencedirect.com/science/article/pii/S2211419X13000037DevelopmentConsensus
spellingShingle Emilie Calvello
Teri Reynolds
Jon Mark Hirshon
Conrad Buckle
Rachel Moresky
Joseph O’Neill
Lee A. Wallis
Emergency care in sub-Saharan Africa: Results of a consensus conference
African Journal of Emergency Medicine
Development
Consensus
title Emergency care in sub-Saharan Africa: Results of a consensus conference
title_full Emergency care in sub-Saharan Africa: Results of a consensus conference
title_fullStr Emergency care in sub-Saharan Africa: Results of a consensus conference
title_full_unstemmed Emergency care in sub-Saharan Africa: Results of a consensus conference
title_short Emergency care in sub-Saharan Africa: Results of a consensus conference
title_sort emergency care in sub saharan africa results of a consensus conference
topic Development
Consensus
url http://www.sciencedirect.com/science/article/pii/S2211419X13000037
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