Vidya Lalloo
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View article: Factors contributing to extended length of stay in the emergency department and potential strategies for improving patient flow in a central hospital in the Gauteng Province, South Africa
Factors contributing to extended length of stay in the emergency department and potential strategies for improving patient flow in a central hospital in the Gauteng Province, South Africa Open
Data demonstrated that 80% of patients in the ED wait an average of 3 days before transfer into the wards. This extended ALOS in the ED has consequences for patient outcomes and the quality of healthcare provided. Based on the findings of …
View article: Mechanism of injury and disposition of severe polytrauma patients at Kalafong Hospital 2018/2019
Mechanism of injury and disposition of severe polytrauma patients at Kalafong Hospital 2018/2019 Open
Background: The most common mechanisms of injury (MOI) for trauma patients in South Africa (SA) are transport-related and interpersonal violence. South Africa is rated among the highest in the world with regard to mortality from injuries s…
View article: Approach to the diagnosis and management of snakebite envenomation in South Africa in humans: Special patient groups and surgical aspects.
Approach to the diagnosis and management of snakebite envenomation in South Africa in humans: Special patient groups and surgical aspects. Open
This article explores the management of snakebite to vulnerable patient groups, namely children and pregnant women as well as providing detail on the current best practice when caring for venom ophthalmia and surgical wounds resulting from…
View article: Approach to the diagnosis and management of snakebite envenomation in South Africa in humans.
Approach to the diagnosis and management of snakebite envenomation in South Africa in humans. Open
Snake bite management is largely driven by expert opinion and consensus, however there are a few large retrospective studies and RCT’s that have improved the quality of medical guidance currently available. South African snakes are differe…
View article: The use of point-of-care ultrasound in Tshwane public and private sector emergency units
The use of point-of-care ultrasound in Tshwane public and private sector emergency units Open
Point-of-care ultrasound is used similarly in both public and private sector EUs in Tshwane. Lack of and/or access to POCUS training are the main barrier to its use.Contribution: This study underlines the state of POCUS use in Tshwane and …
View article: Point-of-care ultrasound assessment of a swollen limb following snakebite envenomation – an adjunct to avoid fasciotomy
Point-of-care ultrasound assessment of a swollen limb following snakebite envenomation – an adjunct to avoid fasciotomy Open
Acute limb compartment syndrome can occur with cytotoxic snake envenomation. Ultrasound (US) assessment of the affected limb has been suggested as an adjunct to the administration of snakebite polyvalent antivenom to ameliorate the systemi…
View article: Case Report: Safe Tourniquet Removal in Black Mamba (Dendroaspis polylepis) Bites
Case Report: Safe Tourniquet Removal in Black Mamba (Dendroaspis polylepis) Bites Open
The black mamba is known for its notorious potent neurotoxic venom. For this reason, their bites are often erroneously treated in the field with the application of a tourniquet in the hope of delaying systemic spread of the venom. Observat…
View article: A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite
A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite Open
The boomslang (Dipholidus typus) has a predominantly haemotoxic venom. Because of the consumptive nature of the coagulopathy, signs and symptoms are usually delayed by up to 72 h after the bite. Traditional laboratory coagulation assays ha…
View article: Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis
Ethylene glycol poisoning: A diagnostic challenge in a patient with persistent seizures and a severe metabolic acidosis Open
A high index of suspicion for toxic alcohol poisoning should be maintained in patients presenting with an altered mental status, seizures and a HAGMA. Indirect markers such as clinical features and laboratory results can lead to the diagno…