ABSTRACT
@#Introduction: Critical pediatric patients have specific needs, which require special skills, training, equipment, supplies, personnel, and medications. While the knowledge related to enhance survival rate of newborn and children has improved over the past few decades. This study conducted to assess the emergency care capacity in pediatric hospitals at Khartoum state, Sudan. Methods: This is a descriptive cross-sectional hospital-based study, it was conducted in three hospitals at Khartoum, Sudan 2017-2018, to assess emergency care capacity in pediatric hospitals. Data was collected using open-ended questionnaire, and observational checklist. The data scored using dichotomous indicators (absent or present). Results: The study showed that there is shortage in human resources necessary to provide emergency care. However, much essential equipment for emergency care of children was absent in most hospitals, moreover, only 33% of hospitals had Triage system staffed by a trained person. Further, the clinical practice protocols for managing dehydration, neonatal sepsis, and neonatal resuscitation were not traced at the three hospitals. There are a limited laboratory services in one hospital. Conclusion: It is concluded that pediatric specialized hospitals, in Khartoum state, Sudan, have low capacity to provide emergency care for children. Further efforts are needed to improve the emergency care capacity in Khartoum hospitals.
ABSTRACT
@#Aims: Aims: When attending family members, the procedure for the resuscitation of cardiac arrest patients remains controversial. There have been conflicts on why healthcare professionals, should include the family during resuscitation. This systematic review seeks to identify the barriers and facilitators related to the FWR of adult patients at Emergency Department. Design: A systematic review was conducted on ten studies. This review utilized a clearly formulated research question then the data was gathered and analysed from the included studies. Data Source: Studies on the barriers and facilitators related to allowing family members to attend were included during January 2020 to May 2020. Methods: A systematic review of studies that investigate the barriers and facilitators of the FWR of adult patients at emergency department. All studies evaluated the barriers and facilitators related to allowing family members to attend cardiopulmonary resuscitation. This systematic review was registered in PROSPERO with the registration number CRD42020169383. Results: This review has demonstrated that the facilitators reduce conflict and provide a supportive presence that builds the emotional adequacy and closure related to the resuscitation. These policies can eliminate barriers, such as conflicts in EDs and negative attitudes, and expedite the accommodation of the professional as well as individual staff’s needs during witnessed resuscitation.