Peter Hodkinson
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View article: An assessment of emergency care capacity at three hospitals in the Harare metropol, Zimbabwe: A descriptive cross-sectional study using the WHO Hospital Emergency Assessment Tool (HEAT)
An assessment of emergency care capacity at three hospitals in the Harare metropol, Zimbabwe: A descriptive cross-sectional study using the WHO Hospital Emergency Assessment Tool (HEAT) Open
This assessment revealed a spectrum of service availabilities across the three hospitals, with common barriers identified. To strengthen the country's emergency care system, efforts should be focused on improving consumable supplies, prior…
View article: Presentation and management of snakebite envenomation at a District Hospital in the north-east of South Africa
Presentation and management of snakebite envenomation at a District Hospital in the north-east of South Africa Open
Cytotoxic snakebites are a not infrequent presentation, many requiring admission, antivenom and subsequent management. Emergency personnel need to be familiar with local protocols for snakebite management, and have the resources to manage …
View article: Erratum: ‘I am afraid the news is not good’ – Breaking bad news in the time of COVID: Experiences from a field hospital
Erratum: ‘I am afraid the news is not good’ – Breaking bad news in the time of COVID: Experiences from a field hospital Open
No abstract available.
View article: ‘I am afraid the news is not good’ – Breaking bad news in the time of COVID: Experiences from a field hospital
‘I am afraid the news is not good’ – Breaking bad news in the time of COVID: Experiences from a field hospital Open
We found that in the Mitchell's Plain Field Hospital, communication challenges were exacerbated by the unpredictability of the illness and the impact of restrictions on families visiting in preparing them for bad news. We identified a need…
View article: Prognostic accuracy of eight triage scores in suspected COVID-19 in an Emergency Department low-income setting: An observational cohort study
Prognostic accuracy of eight triage scores in suspected COVID-19 in an Emergency Department low-income setting: An observational cohort study Open
None of the triage scores assessed demonstrated sufficient accuracy to be used clinically. This is likely due to differences in the health care system and population (23 % of patients died) compared to higher-income settings in which the s…
View article: An initiative to reduce psychiatric boarding in a Cape Town emergency department
An initiative to reduce psychiatric boarding in a Cape Town emergency department Open
Inpatient hallway boarding could be a feasible option to reduce the risk. Psychiatric boarding times in the ED are independent of ward LOS, rendering it devoid from any value from a lean and economic perspective.
View article: Training and testing of a gradient boosted machine learning model to predict adverse outcome in patients presenting to emergency departments with suspected covid-19 infection in a middle-income setting
Training and testing of a gradient boosted machine learning model to predict adverse outcome in patients presenting to emergency departments with suspected covid-19 infection in a middle-income setting Open
COVID-19 infection rates remain high in South Africa. Clinical prediction models may be helpful for rapid triage, and supporting clinical decision making, for patients with suspected COVID-19 infection. The Western Cape, South Africa, has …
View article: LMIC-PRIEST: Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19 in a middle-income setting
LMIC-PRIEST: Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19 in a middle-income setting Open
Background Uneven vaccination and less resilient health care systems mean hospitals in LMICs are at risk of being overwhelmed during periods of increased COVID-19 infection. Risk-scores proposed for rapid triage of need for admission from …
View article: External validation of triage tools for adults with suspected COVID-19 in a middle-income setting: an observational cohort study
External validation of triage tools for adults with suspected COVID-19 in a middle-income setting: an observational cohort study Open
Background Tools proposed to triage ED acuity in suspected COVID-19 were derived and validated in higher income settings during early waves of the pandemic. We estimated the accuracy of seven risk-stratification tools recommended to predic…
View article: firearm pandemic: time to act and flatten the curve
firearm pandemic: time to act and flatten the curve Open
N/A
View article: 1482 Prognostic accuracy of triage tools for adults with suspected COVID-19 in a middle-income setting
1482 Prognostic accuracy of triage tools for adults with suspected COVID-19 in a middle-income setting Open
Aims, Objectives and Background Uneven vaccination in low- and middle-income settings and less resilient health care provision mean that emergency health care systems may still be at risk of being overwhelmed during periods of increased CO…
View article: LMIC-PRIEST: Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19 in a middle-income setting
LMIC-PRIEST: Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19 in a middle-income setting Open
Background Uneven vaccination and less resilient health care systems mean hospitals in LMICs are at risk of being overwhelmed during periods of increased COVID-19 infection. Risk-scores proposed for rapid triage of need for admission from …
View article: Rescue Activity of a Civilian Helicopter Emergency Medical Service in the Western Cape, South Africa: A 5-Year Retrospective Review
Rescue Activity of a Civilian Helicopter Emergency Medical Service in the Western Cape, South Africa: A 5-Year Retrospective Review Open
Introduction Helicopter search and rescue (SAR) in Africa is conducted primarily by military organizations. Since 2002, the Western Cape of South Africa has had a dedicated contracted civilian helicopter emergency medical service (HEMS) co…
View article: Prognostic accuracy of triage tools for adults with suspected COVID-19 in a middle-income setting: an observational cohort study
Prognostic accuracy of triage tools for adults with suspected COVID-19 in a middle-income setting: an observational cohort study Open
Study Objective Tools proposed to triage acuity in suspected COVID-19 in the ED have been derived and validated in higher-income settings during early waves of the pandemic. We estimated the accuracy of seven risk-stratification tools reco…
View article: Evaluation of needs and supply of emergency care in Kinshasa, Democratic Republic of Congo: a cross-sectional household survey
Evaluation of needs and supply of emergency care in Kinshasa, Democratic Republic of Congo: a cross-sectional household survey Open
Objective Emergency care can address over half of deaths occurring each year in low-income countries. A baseline evaluation of the specific needs and gaps in the supply of emergency care at community level could help tailor suitable interv…
View article: A COVID-19 field hospital in a conference centre – The Cape Town, South Africa experience
A COVID-19 field hospital in a conference centre – The Cape Town, South Africa experience Open
This study highlights the role of a field hospital in providing surge capacity. Its use halved the predicted duration of stay at acute care hospitals, allowing them the capacity to manage more unstable and critical patients. Adaptability a…
View article: African authorship on African papers during the COVID-19 pandemic
African authorship on African papers during the COVID-19 pandemic Open
With no known cure or vaccine, sharing of information and experiences in real-time became imperative to improving the standard of medical care during the COVID-19 pandemic.Cases rapidly surged worldwide, and so too did medical publications…
View article: Prehospital care providers’ understanding of responsibilities during a behavioural emergency
Prehospital care providers’ understanding of responsibilities during a behavioural emergency Open
Participants placed high value on their moral and medical responsibilities towards MHCUs, which they described as ensuring the safety of themselves, MHCUs and the community; preventing further harm; and transporting MHCUs to an appropriate…
View article: Pre-hospital over-triage and potential contributing factors in Cape Town, South Africa
Pre-hospital over-triage and potential contributing factors in Cape Town, South Africa Open
Background: Inappropriate dispatch of urgent ambulances by call-centre personnel causes an unnecessary drain on existing resources. How often these urgent dispatches are appropriate has not been evaluated in the lower-middle-income setting…
View article: Effectiveness and outcomes of air travel-related TB incident follow-up: a systematic review
Effectiveness and outcomes of air travel-related TB incident follow-up: a systematic review Open
The World Health Organization (WHO) recommends following up passengers after possible exposure to a case of infectious tuberculosis (TB) during air travel. This is time-consuming and difficult, and increasingly so with higher numbers each …
View article: <u>SE</u>eking <u>A</u>nswe<u>R</u>s for <u>C</u>are <u>H</u>omes during the COVID-19 pandemic (COVID SEARCH)
SEeking AnsweRs for Care Homes during the COVID-19 pandemic (COVID SEARCH) Open
The care and support of older people residing in long-term care facilities during the COVID-19 pandemic has created new and unanticipated uncertainties for staff. In this short report, we present our analyses of the uncertainties of care h…
View article: Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: a knowledge, attitudes and practices survey
Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: a knowledge, attitudes and practices survey Open
Background Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between healthcare providers’ knowledge of, and attitudes …
View article: Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey
Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey Open
Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitude…
View article: Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey
Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey Open
Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitude…