Browsing by Author "Wallis, LA"

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    Correlating emergency centre referral diagnoses with final discharge diagnoses
    (2012) Oosthuizen, Almero Hendrik; Wallis, LA
    Includes bibliographical references.
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    An evaluation of documentation of endotracheal intubation in Cape Town emergency centres
    (2010) Cloete, Philip G; Geduld, H; Wallis, LA
    We undertook a retrospective case review of medical records in two regional hospitals in Cape Town. All adult patients intubated in the EC during the 6 months 1 July to 31 December 2008 were included. A single researcher assessed the case notes to assess documentation of specific procedural criteria: indication for intubation, drugs & doses, endotracheal tube size, laryngoscopy, insertion depth, securing method, position confirmation, ventilator settings and complications. General medical documentation including demographics and legibility of physician name were also assessed. Results are presented using basic descriptive statistics of the 32 criteria analysed.
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    Paediatric procedural sedation current practice and challenges in Cape Town
    (2012) Burger, Adrian; Hodkinson, PW; Wallis, LA
    Children often present to the Emergency Centre (EC) with painful injuries, or conditions which require painful or upsetting interventions to diagnose or treat. Procedural sedation and analgesia (PSA) refers to the pharmacologic technique of managing the child’s pain and anxiety. The appropriate management of pain and anxiety in the EC is a significant facet of emergency care for all patients, especially in paediatric patients.1 This is achieved partly by the administration of sedative, dissociative, or analgesic drugs which alter awareness, completely sedate the patient, reduce or eliminate pain.2,3,4 PSA is an essential component of Emergency Medicine practice and is a core skill acquired in Emergency Medicine training programs. There is good evidence that proactively addressing pain and anxiety may improve quality of care and patient satisfaction by facilitating interventional procedures and minimizing patient suffering.5