Asunto(s)
Traumatismos en Atletas/diagnóstico , Traumatismos en Atletas/terapia , Pie de Inmersión/diagnóstico , Caminata , Traumatismos en Atletas/etiología , Humanos , Pie de Inmersión/etiología , Pie de Inmersión/terapia , Masculino , Persona de Mediana Edad , Missouri , Resultado del TratamientoAsunto(s)
Bovinos , Hernia Abdominal/complicaciones , Hernia Abdominal/diagnóstico por imagen , Heridas no Penetrantes/etiología , Dolor Abdominal/complicaciones , Dolor Abdominal/diagnóstico por imagen , Anciano , Animales , Diagnóstico Diferencial , Hernia Abdominal/cirugía , Humanos , Masculino , Heridas no Penetrantes/diagnóstico por imagenRESUMEN
OBJECTIVES: To determine the most commonly used resources (provider procedural skills, medications, laboratory studies and imaging) needed to care for patients. SETTING: A single emergency department (ED) of a district-level hospital in rural Uganda. PARTICIPANTS: 26 710 patient visits. RESULTS: Procedures were performed for 65.6% of patients, predominantly intravenous cannulation, wound care, bladder catheterisation and orthopaedic procedures. Medications were administered to 87.6% of patients, most often pain medications, antibiotics, intravenous fluids, antimalarials, nutritional supplements and vaccinations. Laboratory testing was used for 85% of patients, predominantly malaria smears, rapid glucose testing, HIV assays, blood counts, urinalyses and blood type. Radiology testing was performed for 17.3% of patients, including X-rays, point-of-care ultrasound and formal ultrasound. CONCLUSION: This study describes the skills and resources needed to care for a large prospective cohort of patients seen in a district hospital ED in rural sub-Saharan Africa. It demonstrates that the vast majority of patients were treated with a small formulary of critical medications and limited access to laboratories and imaging, but providers require a broad set of decision-making and procedural skills.
