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- Volume 2016, Issue 2
Journal of Emergency Medicine, Trauma and Acute Care - 2 - International Conference in Emergency Medicine and Public Health-Qatar Proceedings, October 2016
2 - International Conference in Emergency Medicine and Public Health-Qatar Proceedings, October 2016
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Measles outbreak among Pakistani community living in Qatar, Spring 2015
Background: Measles is a highly contagious respiratory disease caused by a virus that can be serious in all age groups. However, measles complications more like to occur in children younger than five years and adult older than 20 years. Qatar is one of the Eastern Mediterranean (EMR) countries that are committed to achieving measles elimination target by 2015. However, Qatar has been experiencing a measles outbreak mainly due to a uniq Read More
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Validation of the pre-hospital Qatar Early Warning Score (QEWS) to determine transport priority
Background: Ambulance Paramedics are dispatched to all calls while Critical Care Paramedic (CCP) units only attend potentially “life threatening” cases (Priority 1). Ambulance Paramedics (AP) triaged patients based on clinical judgment and experience creating a risk of Priority 1 under or over-triage. QEWS was designed to supplement priority decision-making process based on physiological values used as a trigger to identify patients with Read More
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Qatar ambulance service and Hamad General Hospital Emergency Department staff's perception of current patient handover practice
Background: The handover process is meant to ensure patient safety and maintain continuity of care through endorsement of critical patient information. This study evaluates staff's perceptions about the current patient handover process effectiveness between Ambulance Service (AS) and Emergency Department (ED) clinicians. It may help identify barriers and contributing factors to an effective patient handover. Methods: An el Read More
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Optimising the patient compartment design of ambulances in Qatar
Authors: David Hutton, Guillaume Alinier and John MeyerBackground: The ambulance patient compartment is a working environment where paramedics provide care to patients at times of distress. It needs to meet a number of functional requirements under various conditions whilst being practical and safe for its occupants. Their design varies greatly internationally and often nationally. This study aims to review the current design of Qatar's ambulances to ensure the safe journey of its user Read More
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Perception of emergency nurses on electronic health record (Cerner) in acute-care setting
Background: The introduction of electronic health record (Cerner) in Qatar's public health system aimed to bridge the disparities in documenting patient's official health record. It is essential to recognize nurses' viewpoint in using this technology. As it embarks on the two emergency walk-in-clinics, we attempted to identify its impact to ER nurses in terms of coordination of care, documentation skills and staff productivity. Methods: The st Read More
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Do physicians who manage head injuries also diagnose and treat benign paroxysmal positional vertigo (BPPV) in patients with head injuries?
Authors: Muhammad Masood Khalid, Khalid Bashir, Sameh Zayed and Saleem FarookBackground: Benign paroxysmal positional vertigo (BPPV) is a common medical condition. According to recent literature, it is prevalent in about 28% of the head injury patients. BPPV can be easily diagnosed in the Emergency Department (ED) by a simple bedside Dix-Hallpike test, in which patients experience vertigo and nystagmus as observed by the physician. It can be treated effectively in the ED by the Epley maneuver. In 2014, over Read More
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Organophosphorus toxicity awareness among Emergency Department healthcare providers in Tertiary Care Hospital, Qatar
Authors: Waleed Awad, Mohamed E. Abbasy, Ahmed Hai Ebrahim, Rana Gaffer and Saad Salahuddin KhanBackground: Organophosphorus poisoning is a global public health problem. Annually, approximately 200,000–300,000 individuals die worldwide from Organophosphorus poisoning with the majority of deaths occurring in developing countries. In many countries in the Middle East, legislation is inflexible and unable to cope with new challenges. Often standards are not consistent with international and national needs. Hamad General Hospital ( Read More
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Developing trauma care education in low, middle-income countries: Sequential Trauma Education Programs, challenges, and lessons learned
Background: As one of the leading causes of death and disability in the world, human trauma and injury disproportionately affects individuals in developing countries. During initial program development, senior MOHP physicians stated there was a critical need for a portable and flexible educational course on the clinical care of injured patients. To meet the need for improved trauma care in Egypt, the Sequential Trauma Emer Read More
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Diabetic muscle infarction with pelvic vein thrombosis - An uncommon presentation to the Emergency Department
Authors: Suresh Varadarajulu and Sameer PathanBackground: DMI itself is a benign condition unless complicated by compartment syndrome or superadded infection. However, coexistence of extensive DVT may have serious complications such as pulmonary embolism. We report 2 cases of DMI with iliac vein thrombosis presented to our ED. Case presentation: Case 1 A 40-year-old lady with diabetes, presented with a swollen and painful left leg for a day. A bedside Doppler ultrasound co Read More
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Dieting – a very risky business? Simultaneous determination of anti-diabetic and weight-loss agents in herbal and dietary supplements
By Salman AzimiThe presence of undeclared pharmaceuticals, including drugs that have been withdrawn from the market, in anti-diabetic and weight-loss herbal and dietary supplements can pose a serious health risk to consumers; they also undermine confidence in legitimate products. To protect consumers from potentially harmful products that are marketed as dietary supplements, the Drug QC Laboratory, Qatar is involved in the testing of herbal an Read More
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Pre-notification of healthcare responders reduces the risk of exposure to infectious diseases
More LessBackground: The ambulance service communication center is the first access point of the public to the health care services in the state of Qatar. It's receiving between 400 and 600 emergency calls per day which are processed through a very robust and consistent workflow, for the aim to triage the emergency incidents and distinguish high and low acuity patients and send an adequate response. Within these emergency calls there are ca Read More
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Emergency Medicine training in Egypt: Steps to success
Authors: Mohamed E. Abbasy and Mohamed El-Shinawi Sherif AlkahkyBackground: Although Emergency Medicine has existed as a recognized specialty in Alexandria University since 1970 a recent shining as a highly competitive specialty since 2003 through an Egyptian Fellowship Training program granting a professional and not an academic degree. Emergency Medicine is still in its development phase as a practice. Five public universities are offering postgraduate degrees in Emergency Medicine. The Read More
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Pre- and post-assessment of conjugated vaccine (MenAfriVac) and case-based surveillance system implementation 2010–2015, Sudan
Objective: Since 1998 seasonal epidemic meningitis has been a recurrent problem in Sudan with a variation in the severity between seasons. Mass vaccination campaign with conjugated vaccine (MenAfriVac) for Neisseria meningitidis A was implemented in Sudan since October 2012, since then case base surveillance of meningitis was implemented. The target age group was 1–30 years. Measuring of meningitis trends in three years pre an Read More
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A comprehensive UPLC-MS(/MS) based approach for screening and confirmation of illegally added erectile dysfunction (ED) drugs in natural health products
By Salman AzimiThe adulteration of herbal/dietary supplements with erectile dysfunction (ED) drugs and their analogues is reported worldwide and is an increasing problem. The sale of so-called 100%, ’all-natural’ products has become a highly profitable business for online pharmacies, however these products can pose a serious threat to consumers owing to the undisclosed presence of approved/prescription drugs or the unknown safety and toxicity pro Read More
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Monitoring of toxic metals in dietary supplements before they marketed in Qatar
Authors: Salman Azimi and Noha Reda ArramThe consumption of dietary supplements is widely spread and on the rise in Qatar market. Toxic metals like mercury, lead, cadmium and arsenic can be naturally present in dietary supplements and can pose harmful effects on human health. Pharmacy and Drug Control Department; SCH has been involved in proper counselling of these products before they are marketed to Qatar. In this study Two hundred and thirty five different dietary Read More
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Risk assessment of dengue fever in Qatar
By Sayed HimattBackground: Dengue Fever constitutes a major international public health concern due to rapid expansion of geographic distribution of the virus and the mosquito vector of the disease. In this paper we aim to review the risk of Dengue Fever introduction to Qatar. Methods: Review of the Literature for the factors responsible for the worldwide spread of dengue fever and assess these factors in Qatar. Results: Internationally, the Global Climate C Read More
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A case of brain abscess in a child following trivial head injury
Authors: Anup Mathai, Prakash Joseph and Arif Nelliyulla ParathIntroduction: Brain abscess is caused by inflammation and collection of infected material, coming from local or remote infectious sources, within the brain tissue. The infection may also be introduced via a breach in the skull following head trauma or surgical procedures. Brain abscess may also be associated with congenital heart disease in the young children. Here we would like to describe a case of brain abscess secondary to seemingl Read More
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Atypical presentation of achalasia cardia: A case report
Authors: Bassem Alhadi, Hani Abdelaziz, Rana El Sayed and Muayad KhaledBackground: Primary achalasia is a disease of unknown etiology in which there is a loss of peristalsis in the distal esophagus and a failure of lower esophageal sphincter to relax with swallowing. Typical Clinical manifestations including dysphagia for solids (91%) and liquids (85%) and regurgitation food (76 to 91%) are the most frequent symptoms in patients with achalasia. Regurgitation may also result in aspiration (8%). However, atypi Read More
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A study to assess the compliance rate with pain assessment and reassessment by nurses in ED, HGH - A quality improvement initiative
Authors: Leila Mazara, Maryam Abdullah Zareei, Ahmed Gharib and Hani Shahir AljazzaziBackground: One of the most common reasons why patients visit the Emergency Department is with the complaints of pain. The compliance rate of pain assessment and reassessment by the nurses in ED is far from expectation. This results in delayed disposition, increased re admission and poor patient satisfaction. As pain is exclusively a subjective experience, accurate documentation of patient pain assessment is critical in the management Read More
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Changing culture through conversation: An action research inquiry on the adverse incident review process
Background: Clinical governance requires having a process for adverse incident review and management to ensure the organisation ‘learns from its mistakes’ to prevent repetition. How leadership implements this system may enhance learning and patient safety, or have the unintended consequence of raising alarm, possible demotivation, and staff becoming risk-averse. The impact of the existing Ambulance Service incident management Read More
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