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An Analysis of the Clinical Practice of Emergency Medicine in Public Emergency Centres in Kenya

Thesis Info

Author

Wachira, Benjamin W.

Department

Internal Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728036494

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Objectives: To describe the case mix, interventions, procedures and management of patients in public accident and emergency departments (A&Es) in Kenya. Methods: This was an observational study of patients who presented to 15 A&Es from 1 October to 31 December 2010. The study was conducted across Kenya in two national referral hospitals, five secondary level hospitals, and eight primary level hospitals. All patients presenting alive to the A&E during the 24 hour study period that were seen by a doctor or clinical officer were included in the study. A data collection form was completed by the primary investigator at the time of the initial A&E consultation documenting patient demographics, presenting complaints, investigations ordered, procedures done, initial diagnosis and outcome of A&E consultation. Results: Data on 1887 patient presentations were described with adults (≥13 years) accounting for the majority (70%) of patients. There were two peak age groups, 0-9 and 20–30 years accounting for 27% and 25% of the patients respectively. Respiratory and trauma presentations each accounted for 21% of presentations with a widespread of other presentations. Over half (58%) of the patients were investigated in the department and an equal number (56%) were treated and discharged from the A&E. Only one in three patients admitted or transferred to specialist units received any immediate therapy. Conclusions: Public accident and emergency departments in Kenya provide care to a widespread undifferentiated patient population yet most of the immediate therapy is provided only to patients with minor conditions who are subsequently discharged from the A&Es. Sicker patients have to await transfer to the wards or specialist units to start receiving treatment.
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قاہرہ ماضی اور حال

قاہرہ ماضی اور حال

مسافر کے قویٰ جواب دے چکے تھے مگر جسمانی تھکن سے زیادہ روحانی آسودگی مسافر کو رت جگے پراکسا رہی تھی ۔کیا واقعی میںقاہرہ میں ہوں ؟اپنے آپ سے بار بار اس سوال میں خوشی کی وہ سرشاری تھی جو تھکاوٹ کے احساس کو مغلوب کر رہی تھی ۔ایک طرف قاہرہ شہر کی بڑی عمارات اور فلک بوس مینار اپنی حقیقت مجھ پر آشکار کر رہے تھے تو دوسری طرف میری پیشوائی کے لیے ایک عظیم تہذیب ،ایک بزرگ تاریخ ،قرآنی آیات کے عملی نمونے اور چشم کشا تفسیریں چشم براہ تھے۔مصری تہذیب اور تاریخ کے بارے میں تھوڑی بہت جانکاری تھی مگر شہر قاہرہ کب وجود میں آ یا اور کن کن اقوام نے اس کو اپنا مسکن بنایا ۔ اس حوالے سے کوئی خاطر خواہ معلومات نہ تھی ۔اس کے باوجود میں سحر قاہرہ سے آزاد نہ تھا۔ اس شہر کے رعب و دبدبے اور اس کی تاریخی حیثیت سے چشم پوشی ممکن نہ تھی ۔کہتے ہیں کہ یورپ کے تہذیبی مرکز پیرس کو جب چھینک بھی آتی ہے تو یورپ کو زکام ہو جاتا ہے۔ کچھ ایسا ہی اعزاز عرب دنیا میں قاہرہ کو حاصل ہے براعظم افریقہ کا یہ شہر جو ابتدائے اسلام میںہی عربی شہر بن گیا تھا اور زبان و مذہب عربوں کا اختیار کر لیا تھاوہ آج عرب دنیا کا سب سے زیادہ پڑھا لکھا اور علم و فنون کی درسگاہوں کا محور و مرکز بن چکا ہے اس لیے قاہرہ میں جو سماجی ،سیاسی لہر اٹھتی ہے وہ پوری عرب دنیا میں محسو س کی جاتی ہے ۔اس میںکوئی مبالغہ نہیںہے کہ مغربی افریقہ سے مشرقِ وسطیٰ تک پھیلی ہوئی عرب دنیا پر ثقافتی اور علمی سطح پر حکمرانی مصرکی ہے ۔

قاہرہ یونانی شاعر ہومر کا کوئی مردہ شہر نہیں جو تاریخ کی نظر...

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