The role of informatics in prehospital emergency resuscitation and defibrillation

Out-of-hospital cardiac arrests account for a large number of deaths as the time window for successful resuscitation is very short. Timely call for help, resuscitation and defibrillation by laypersons are crucial for the survival and outcome of cardiac arrest victims. Good quality data and informatics play an important role in the effectiveness of the chain of survival. Information about defibrillator location is vital for emergency services to direct bystanders; informatics also helps to strategically place defibrillators for optimal use. Technologies, such as location-based systems are being used to keep track of defibrillators and also alert volunteer responders to emergencies. Informatics also plays a role in post resuscitation care and research by facilitating the linkage and interoperability of health data between different systems, such as ambulance service, hospital, and other health data such as cardiac arrest registries

An Integrated Emergency Response Tool for Developing Countries: Case of Uganda

This paper presents a First responder emergency response tool (EMApp) as a step towards achieving integrated emergency care in developing countries, the case of Uganda. The EMApp prototype has potential to support health emergency response from various emergency stakeholders. This innovation is in line with strategic plans to embrace technologies towards the establishment of integrated social services such as emergency healthcare services (EHS) in Uganda. We describe the prototype and provide its functionalities that can be further enhanced to enable access to emergency services and save life. The possible assumptions, potential challenges and recommendations to implement and deployment of such a system are provided. There is currently no such integrated emergency response system in Uganda as is the case in many other developing countries. For future studies, there is need to deploy the tool and assess its impact on the communities

Embracing technology for improving dental records and record keeping in the Republic of South Africa. A review.

Forensic odontology (FO) techniques are used to identify unknown remains and play an integral role in dental-legal cases. The utility of FO relies on accurate antemortem records – the creation and management of which continues to be a global challenge, albeit more acutely presenting in developing countries. Inadequate record keeping and management by the dental fraternity has made application of FO techniques for identifying unknown remains challenging. In addition, dental-legal cases such as in homicides, rapes, patient mismanagement and fraud are sometimes unresolved due to record keeping and health system shortcomings. This current status quo affects families and society: bereaved families are deprived of closure, and protracted litigations ensue, leading to various socioeconomic consequences

Classificatory multiplicity: intimate partner violence diagnosis in emergency department consultations

Aims and Objectives The aim of this research was to explore the naming, or classification, of physical assaults by a partner as ‘intimate partner violence’ during emergency department consultations. Background Research continues to evidence instances when intimate partner physical violence is ‘missed’ or unacknowledged during emergency department consultations. Methods Theoretically this research was approached through complexity theory and the sociology of diagnosis. Research design was an applied, descriptive and explanatory, multiple-method approach that combined: qualitative semi-structured interviews with service users (n=8) and emergency department practitioners (n=9), and qualitative and quantitative document analysis of emergency department health records (n=28). Results This study found that multiple classifications of intimate partner violence were mobilised during emergency department consultations and that these different versions of intimate partner violence held different diagnostic categories, processes, and consequences. Conclusion The construction of different versions of intimate partner violence in emergency department consultations could explain variance in people’s experiences and outcomes of consultations. The research found that the classificatory threshold for ‘intimate partner violence’ was too high. Strengthening systems of diagnosis (identification and intervention) so that all incidents of partner violence are named as ‘intimate partner violence’ will reduce the incidence of missed cases and afford earlier specialist intervention to reduce violence and limit its harms. Relevance to Clinical Practice This research found that identification of and response to intimate partner violence, even in contexts of severe physical violence, was contingent. By lowering the classificatory threshold so that all incidents of partner violence are named as ‘intimate partner violence’, practitioners could make a significant contribution to reducing missed intimate partner violence during consultations and improving health outcomes for this population. This research has relevance for practitioners in any setting where service-user report of intimate partner violence is possible.   SUMMARY BOX What does this paper contribute to wider global community? • Identification of and response to intimate partner violence, even in contexts of severe physical violence was found to be contingent. • Classification of intimate partner violence was connected to: legal duty to respond statutory frameworks of risk of harms; socio-cultural discourses about what counts as intimate partner violence; and health care practitioners’ perceptions of usual modes of disclosure. • Connecting all reports of partner perpetrated violence to intimate partner violence identification and intervention will reduce missed cases in health consultations and mobilise earlier intervention to reduce violence and limit its harms. • The sociology of diagnosis is a valuable conceptual tool for examining variance in identification and response for a wide range of determinants of health of concern for nurses and allied professions

Diogenes Wanders the Superhighway: A Proposal for Authentication of Publicly Disseminated Documents on the Internet

On the national level, there are proposals to make the Internet the primary, and even the exclusive, means of disseminating certain government information. Concurrently, corporations and other private organizations may adopt a similar approach for their reports and other documents. Intertwined with these official and quasi-official documents are innumerable others created by individuals around the world. With so many documents, there is potential for dissemination of false, biased, and even fraudulent information. This is the source of the authentication problem