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Emergency Medicine 20184th

AfRICANConference on

November 7 to 9marriott HotelKigali, rwaNda

Breaking Barriers in Emergency Medicine Education

Emergency Medicine 2018

4thAFRICANConference on

2 3#AfCEM18

Dear Colleagues,

On behalf of the organizing committee, it is my pleasure to welcome you to the 4th African Conference on Emergency Medicine (AfCEM).

AfCEM has become a premier international conference among emergency care providers. The theme of AfCEM 2018 is Breaking Barriers in Emergency Medicine Education with an emphasis on increasing emergency medicine

coverage across Africa. AfCEM 2018 will provide every attendee great opportunities to share knowledge, experiences and enrich professional networks.

In line with our theme, we are excited to continue the growing discussion of FAME: freely accessible medical education1. The focus is on what is needed in Africa and other resource-constrained settings, to deliver high-quality and up-to- date education in emergency care. It is not just about social media or technology. It is about breaking barriers in education: making education available, appropriate and affordable for Africa.

Rwanda is one of the most rapidly developing countries in Africa with a unique natural beauty, culture and tradition. Great weather mixed with friendly faces and a warm welcome awaits you in the land of a thousand hills. Welcome to AfCEM 2018 and we hope you enjoy your time in Kigali, Rwanda!

Best regards,Gabin MbanjumucyoChair, AfCEM 2018President of Rwanda Emergency Care Association (RECA)

WELCOME TO AfCEM 2018

Dear AFEM members and Supporters,

2018 holds great promise and excitement as we look ahead to the African Conference on Emergency Medicine (AfCEM2018) in November. Together with our partner and friend, RECA, we are working towards the best AfCEM ever in beautiful Kigali, Rwanda.

Our previous conferences in Ghana, Ethiopia and Egypt have demonstrated that we can host world-class

educational events on the continent. I would like to thank our speakers, attendees and sponsors who have attended and supported us in the past, for helping us grow AfCEM into what it is today. Each conference is the opportunity to bring together African EM and Global Health experts, deliver quality African appropriate EM education and the opportunity to engage with some of the most inspiring and thoughtful EM practitioners in the world.

We hope that you will be part of this African conversation in Kigali from 5-9 November 2018.

Heike GeduldPresident of African Federation for Emergency Medicine

Letter from the President

1Cattermole GN, Manirafasha A, Aluisio AR, Mbanjumucyo G. Freely Accessible Medical Education (FAME) for Africa. Afr J Emerg Med 2018; 8: 41-2.

Our VisionWe envision an Africa where high-quality emergency care is realised for all

For more information on our work or to join AFEM, see our webpage www.afem.africa or follow us on twitter or Instagram @InfoAFEM

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MANY THANKS TO OUR SPONSORS & PARTNERS!

AFEMAfrican Federation for Emergency MedicineFédération Africaine de Médicine d’Urgence

R E C M G L O B A L

ENDORSED BY

SPONSORS



Layout and design by Vinay Sharma

Photographs courtesy of Dr Laura Janneck and John Kegel

CHUK Emergency Medicine ResidentsFront row (l to r): Bernard Nsengiyumva, Olivier Felix Umihire, Xavier Uwimana, Pascal Mugemangango, Sylvain Tshilombo, Jean Paul Dushime, Joseph Niyonzima, Joseph Bamahire

Middle row (l to r): Lucien Mwemerashyaka, Ezechiel Nteziryayo, Francois Regis Twagirumukiza, Olivier Umihire, Gabin Mbanjumucyo, Jean Paul Vizir Nsengimana

Back row (l to r): Ernest Nahayo, Appolinaire Manirafasha, Martin Sabigaba, Emile Museno, Doris Uwamahoro

Far back row (l to r): Martin Sabigaba, Jean Muragizi

Faculty (l to r): Joe Becker, Kyle Martin, Noah Rosenberg, Julie Hersk

Not shown: Chantal Uwamohoro

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TABLE OF CONTENTS

8 Organizing Committee

Local Bites

Local Sites

AFEM Meeting Schedule

Conference Agenda

Day One

Day Two

Day Three

Abstracts

Crossword

12

14

16

17

18

27

39

47

58

Breaking Barriers in Emergency Medicine

Education



GabinMbanjumucyo

ConferenceChair

Giles Cattermole

Scientific Committee Chair

AppolinaireManirafasha

Scientific Committee Co-Chair

Olivier Felix Umuhire

WorkshopChair

Jean Marie Uwitonze

WorkshopCo-Chair

EricUwitonze

WorkshopCo-Chair

Joe Becker

FinancesChair

Delphine Mukakamali

Finances Co-Chair

Vincent Ndebwanimana

FinancesCo-Chair

ElizabethDeVos

AdvertisingChair

Amelia Pousson

Social MediaChair

AdamAlusio

Scientific Committee Co-Chair

ORGANIZING COMMITTEE

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ClaudeMusengimana

Social Media Co-Chair

DorisUwamahoro

Events Chair

Lise Mumporeze

EventsChair

Jeanne D’Arc Nyinawankusi

LogisticsCo-Chair

Ernest Nahayo

SponsorshipChair

Ignace Kabagema

LogisticsChair

Christine Uwineza

EventsCo-Chair

Esperance Mutoniwase

Francophone Chair

VinaySharma

ConferenceCoordinator

ORGANIZING COMMITTEE

Najeeb Rahman

SponsorshipCo-Chair

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CONTACTSFire & Police 112SAMU (EMS) 912Medical Emergency+250 788 640 910+250 785 395 837

Local Drivers+250 784 071 746+250 788 794 262+250 788 351 432+250 788 502 432+250 788 220 682+250 788 792 425



LOCAL BITES

Habesha (Ethiopian)Kacyiru, 10 KG 617 St

Afrika BiteKimihurura, 7 KG 674 St

Café CamelliaKigali, CarFreeZone

Repub LoungeKimihurura, 16 KG 674 St

Dae Jang Geum (Korean)Nyarutarama, KG 521 St

Kiseki (Japanese)Kimihurura, KG 680 St

Borneo (Indonesian)Kimihurura, KG 4 St

New CactusKiyovu, KN 47 St

The HutKacyiru, KG 646 St

Pili PiliNyaturama, KG 303 St

German ButcheryKiyovu, KN 61 St

Kimy Gourmand CreperieKimihurura, 15, KG 676 St

1000 Hills DistilleryKicukiro, KK 30 Ave

Khana KhazanaKiyovu, 9 KN 31 StNyarutarama, KG 9 St

Preet’sKigali, KN 84 St

Delhi DarbarNyarutarama, 79 KG 9 St

Sol e LunaGishushu, KG 599 St

GustoKimihurura, KG 8 St

BrachettoKacyiru, KG 5 St

Poivre NoirKimihurura, KG 670 Streservation recommended

Inka SteakhouseKacyiru, KG 605 St

Inzora Rooftop CaféKacyiru, 13 KG 5 Ave

Question CoffeeGishushu, 8 KG 8 Ave

Kigali offers a wide range of cuisines to entice any appetite. Whether it is a seekh kabob or vegetables with ugali, Kigali is sure to offer a tasty meal. Listed are a sample of restaurants throughout the city (more can be found online). Vegetarian options are available at nearly all restaurants. Most taxis know where restaurants are located in the city. Rarely are reservations needed but you may want to call in advance to ensure a table. Bon appetit!

africaN

asiaN

europeaN

iNdiaN

steaKHouses

cafés

italiaN

Growing coffee beans

12 13#AfCEM18



Tourism is a main attraction to Rwanda. With a diverse landscape ranging from the grasslands of Akagera National Park to the rainforests in Nyungwe National Park, Rwanda is sure to appeal to nearly every tourist. Kigali itself is nestled between several surrounding hills making any drive through the city - night or day - picturesque. One can horseback ride on the ridge of Mount Kigali or simpy pass time away in one of the museum’s, all the while enjoying and embracing the Land of A Thousand Hills.

Kigali Genocide Memorial Centre

Kandt House Museum

Presidential Palace Museum

Caplaki Craft Village

Campaign Against the Genocide Museum

Kimironko Market

Inema Arts Centre

A variety of companies are available to arrange for a safari to Akagera National Park. A safari can range from one to two days. The following websites provide further information regarding booking and costs.

www.akageranationalpark.org

www.rwandasafariafrica.com

www.primatessafaris.info

www.volcanoessafari.com

www.wildwhispersafrica.com

www.insightsafariholidays.com

Kigali

safaris

Along with safaris in Akagera National Park, Rwanda offers trekking in two rainforest-laden parks: Volcanoes National Park and Nyungwe Forest National Park. Various species of primates inhabit both parks. Gorillas and golden monkeys can be found in Volcanoes while chimpanzees and colobus monkeys dwell in Nyungwe. In addition to primates, the foilage is quite unique and the views stunning. The following websites provide more information about hiring guides and arranging trips.

www.rwandatourism.com

www.nyungweforest.com

www.volcanoesnationalparkrwanda.com

ecotourism

15

Free transportation is provided each day of the conference departing from and returning to the Marriott Hotel. Buses depart at 14h00 and return at 16h00 on November 7th, 8th and 9th. Space is limited to 25 seats, please register at the desk.

Admission to the memorial is free, but donations are suggested.

Kigali Genocide Memorial visit

LOCAL SITES

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MEETING SCHEDULETUE / NOV 6 ////////////////////////////////////////////////////////////////////////////////////////////////////////////

16.00 - 18.00 AFEM Board Meeting (room TBD)by invitation only

A F E M

*Side room⁑Coffee lounge

CONFERENCE AGENDA

WED / NOV 7 ////////////////////////////////////////////////////////////////////////////////////////////////////////////

07.00 - 08.30 AFEM West*

08.30 - 10.30 AFEM Nursing*

08.30 - 10.30 PEM Curriculum⁑

by invitation only

13.00 - 14.00

14.00 - 15.00

AFEM Research*

AFEM Education*

AFEM DELTA*

Doctors in Emergency Medicine & Leadership Training

16.30 - 18.00 AFEM Senate*

15.00 - 16.30

FRI / NOV 9 ////////////////////////////////////////////////////////////////////////////////////////////////////////////

07.00 - 8.30 AFEM North†

07.00 - 8.30 AFEM South‡

ConsensusMeeting*On the Chain of Survival of Cardiac Arrest

09.00 - 13.30

THU / NOV 8 ////////////////////////////////////////////////////////////////////////////////////////////////////////////

07.00 - 08.30 AFEM East*

11.00 - 13.00 AFEM OHEC*

Out-of-Hospital Emergency Care

AFEM ECOP*

Emergency Care Outcomes Projectby invitation only

WHO Meeting*

by invitation only

08.30 - 11.00 Francophonemeeting*

13.00 - 14.30

14.30 - 17.30

Abbott Fund Tanzania hosted Cocktail hour§

All speakers welcome

18.30 - 20.00

†Hall Nyungwe‡ Hall Virunga

§Kilimanjaro Ballroom

Speaker details available at www.afcem2018.com/programPoster titles & authors available at www.afcem2018.com/abstracts

18 19#AfCEM18



Medical education in the digital era

Teaching Procedures in EM: 7 Steps to Success

Simulation Education: Simple Solutions for Effective Education

Breaking Barriers in #MedEd: Better Educator

...Better Clinician

Postgraduate EM teaching in Botswana - practical tips and lessons learnt

No more Snores from the Back of the Room:

Transform Your Classroom Teaching for Better Student Retention

and Attention

Novel education methods

- Moderators -Trish Henwood

Emmanuel Acheampong

13h30

13h45

14h00

14h15

14h30

14h45

Stephen RulisaRwanda

Mindi GuptillUSA

Dustin SmithUSA

Janis TupesisUSA

Megan CoxAustralia

Amelia PoussonUSA

James DucharmeCanada

08h20

BREAK 10h00

Opening remarks10h45Ministry Speaker

Rwanda

Heike GeduldSouth Africa

Petra BrysiewiczSouth Africa

Defining and building emergency medicine - using a moving target

11h00

Who we are, where are we going: The identity

(r)evolution of Emergency Care in Africa

11h30

Unpacking the essential elements of Emergency

Nursing in Africa12h00

Early Bird

- Moderators -Janis Tupesis

Lise Mumporeze

Plenary

- Moderator -Gabin Mbanjumucyo

AbstractsEducation

see page 50

Lunch 12h30

Wednesday, November 7 Wednesday, November 7

DAY ONE • Hall AkageraDAY ONE • Hall Akagera

Session Time Title Speaker Session Time Title Speaker


Congratulations! The first graduating class of emergency medicine doctors in Rwanda. From left to right, Bernard Nsengiyumva, Chantal Uwamohoro, Ernest Nahayo, Olivier Felix Umihire, Ezechiel Nteziryayo, Gabin Mbanjumucyo

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AbstractsEmergency Medicine

see page 52

BREAK 10h00

Lunch 12h30

DAY ONE • Hall NyungweWednesday, November 7

Early Bird

- Moderators -Upendo GeorgeAdam Levine

08h20

Plenary 10h45 see page 18 for details

Sepsis in patients with HIV/AIDS: Historical

Review in Rwanda

The current sepsis paradigm: Africa needs

to change the plan, not the goal

The unseen threat: sepsis and bacterial

antimicrobial resistance

Management of septic patients in LMIC ICU

Minelas Nkeshimana

Rwanda

Said KilindimoTanzania

Elisabeth RivielloUSA

Gaston NyirigiraRwanda

13h30

13h45

14h00

14h15

Sepsis & ID

- Moderators -Naz Karim

Steve Dunlop

DAY ONE • Hall AkageraWednesday, November 7

BREAK 15h00

10 commandments of research

15h30

16h30The Top 10 papers in

Emergency Care

Ellen WeberUSA

Adam AluisioJanis Tupesis

USA

Special Session:

Research

- Moderators -Elizabeth DeVosPaulin Banguti



DAY ONE • Hall Nyungwe DAY ONE • Hall NyungweWednesday, November 7 Wednesday, November 7

Systems Development

continued

Health Burden of Emergency Diseases in

Africa and Asia - Knowledge and Investment Gap

Junaid RazzakPakistan

16h45

Please join us for the Conference Gala Dinner!

Wednesday, November 718h00 to 22h00Lounge Chillax

KG 13, Nyarutarama

Transport provided to and from the Marriott Hotel. Departure is at 18h00 with estimated return at 22h00.

Still accepting dinner reservations until 16h00 for $30

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BREAK 15h00

Updates on Ebola Screening and Management

Setting up an emergency service for children

Seeing Beyond the Shortage: The

Importance of Systems in Health Care Improvement

Building Scaleable Emergency Care Systems

Introduction of Acute Care Surgery Services

at Two Referral Hospitals in Rwanda Systems Development and Emergency Care Operations: Successes

and Challenges

Sepsis & IDcontinued

Systems Development

- Moderators -Grace Wanjiku

Adebowale Adesina

Elizabeth MolyneuxUK

Steve DunlopUSA

Andi TennerUSA

Robert MunyanezaRwanda

Bret NicksUSA

15h30

15h45

16h00

16h15

16h30

14h30Adam Levine

USA



BREAK 15h00

DAY ONE • Hall Virunga DAY ONE • Hall VirungaWednesday, November 7 Wednesday, November 7

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AbstractsEmergency Medicine

see page 54

BREAK 10h00

Lunch 12h30

Early Bird

- Moderators -Olivier Felix Umuhire

Alison Heyward

08h20

Plenary 10h45 see page 18 for details

Le Développement de la Médecine d’Urgence en

République Démocratique du Congo: Leçons de

Terrain

Soins Préhospitaliers d’Urgence au Rwanda

Evaluation Nationale du Système des Soins

d’Urgence au Cameroun

Francophone I

- Moderators -Jean Muragizi

Doris Uwamahoro

13h30

13h45

14h00

Muller MundengaMutendi

RDC

Ignace KabarembaRwanda

BonaventureHollong

Caméroun

Projet Intégré Inter-Africain de

Partenariat Pédagogique, de

Management et de Recherche en Santé 2018

Possibles Défis du Praticien de la

Médecine d’Urgence en Afrique: Cas RDC

Francophone I

continued

14h15

14h30

Pitchaki Frédéric Hemou

Togo/France

Diulu KabongoRDC

Francophone II

- Moderators -Sylvain Tshilombo

Chantal Uwamahoro

Impact du Centre des Urgences de Yaoundé

(CURY) dans la Prise en Charge des Urgences

15h30Njouoguep Njoko

RodrigueCaméroun

Geriatrie en Afrique: Ignorance ou indifference?

14h45Mario Longondjo

RDC/UK



DAY ONE • Hall VirungaWednesday, November 7


26 27#AfCEM18



Francophone II

continued

Polytraumatisé: Prise en Charge Pré Hospitalière

Lésions Traumatiques, Etages Graves du Rachis

16h00

16h15

16h30

Eho Kouadjo Sylvestre

Togo

Jean Marie VianneyRwanda

Apports des Infirmiers et Infirmières dans

l’AFEM Francophone: Evaluation et perspective

Cito KaseseRDC

Match Soins d’urgence contre Mortalité en

Afrique: Quel score à la mi-temps?

15h45Ken Diango

DRC

16h45Aperçu de la

communication aux urgences, cas du CHUK.

Laurent KamungaRDC

Early Bird

- Moderators -Adam Levine

Lise Mumporeze

07h30Abstracts

Emergency Medicine

see page 56

BREAK 08h30

Plenary

- Moderator -Heike Geduld

Rwanda Emergency Care Systems Implementation

Support and Science09h00

Rachel MoreskyUSA

Isaie NsanzimfuraRwanda

Tim CoatsUK

Team RwandaRwanda

Breaking barriers in research - lessons from the CRASH studies

09h30

FAME: Freely Accessible Medical Education

for Africa10h00

BREAK 10h30

AFEM Handbook: launch of 2nd edition

Lee WallisSouth Africa

Teri ReynoldsWHO

10h20



DAY TWO • Hall Akagera DAY TWO • Hall AkageraThursday, November 8 Thursday, November 8

28 29#AfCEM18



Resuscitation &

Critical Care

- Moderators -Christine Uwineza

Janvier Hitama

Acute Respiratory Distress Syndrome

in the ICU

Anesthesia, Critical Care &

Emergency Medicine: “A triangle of Life”

Fluids in septic shock: what is the

“just right” amount?

Top 10 causes of mortality in the ICU

ABCDEFFF, a Primary survey

adaptation

11h00

11h15

11h30

11h45

12h00

Kingsley TobiNigeria

Paulin BangutiRwanda

Elisabeth Riviello USA

Jean BonaventureRwanda

Olivier F UmuhireRwanda

Optimizing post-resuscitation care:

interventions for low resourced settings

12h15Clint Hendrikse

South Africa

Lunch 12h30

Training Leaders: Our hidden curriculum in Emergency Medicine

education

Imparting knowledge and skills for minimal cost

Free Open Access Medical Education and Social Media

Freely Accessible Medical

Education for Africa (FAME)

- Moderators -Mindi Guptill

Temesgen Beyene

13h30

13h45

14h00

Keegan CheckettUSA

Robert EagerIreland

Alison HaywardUSA

Social Media in Medical Education and Practice

Faster knowledge translation or greater

eminence based (mis)information?

14h15

14h30

Eric Cioè-PeñaUSA

James DucharmeCanada

EMIT: The world comes to Africa to learn EM!

14h45

Vincent Ndebwanimana

Rwanda

Giles CattermoleUK



DAY TWO • Hall Akagera DAY TWO • Hall NyungweThursday, November 8 Thursday, November 8

Intubation simulation with emergency medicine residents

Partnerships for the SDGs: Joint training

programs in emergency medicine between faith based,

government and private hospitals

in Kenya

11h00Mardi Steere

Australia

Early Bird

- Moderators -Janet Lin


07h30

AbstractsPrehospital care

see page 57

Plenary

BREAK 08h30

09h00 see page 27 for details

BREAK 10h30

Public-private partnerships to build

Emergency Care

Global Partnerships

- Moderators -Annet Ngabirano

Eric Cioè-Peña

11h15Regan Marsh

USA

Global Partnerships in Emergency Medicine

11h30Grace Wanjiku

Kenya

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BREAK 15h00

Special Session:

Raising the standards of care

for children in emergency departments

- Moderators -Hovaire Nsabimana

Michelle NiescierenkoElizabeth Molyneux

15h30 Ffion Davies • Baljit Cheema

16h15Heather Machen • Mardi Steere • Upendo

George • Mike Wells • Michelle NiescierenkoPaediatric Panel



Neurosurgical emergencies: How to

avoid diagnostic errors in the emergency

department?

13h30Janvier Hitimana

Rwanda

DAY TWO • Hall NyungweThursday, November 8

Naz KarimUSA

Global Partnerships

continued

Lunch 12h30

Neurology &

Cardiology

- Moderators -Kilalo MjemaSaadiyah Bilal

Approach to diagnosis and management of

autonomic dysfunction in Guillain-Barre Syndrome(GBS)

13h45Francois

Nshimiyimana Rwanda

The Successes and Challenges of Global

Partnerships

Global Partnerships in Emergency Care

11h45

12h00 Stacey ChamberlinUSA

Lessons from the Rohingya Crisis:

Innovation &Collaboration in

Education.

12h15Najeeb Rahman

UK


32 33#AfCEM18



A diagnostic approach to acute

decompensated CHF

When a child’s heart fails

VT mimics: beware!

Neurology &

Cardiology

continued

14h00

14h15

14h30

Doris UwamahoroRwanda

Augustus KigothoKenya

Management of acute heart failure in

low resource settings14h45

Mark BisanzoUSA

BREAK 15h00

Emergency Medical Services (EMS)

Quality improvement in SAMU through

the cooperation with EM Residents

The need for prehospital training in LMICs

Emergency MedicalServices(EMS)

- Moderators -Florence Mukarugwiza

Najeeb Rahman

15h30

15h45

16h00

Theophile DushimeRwanda

Ignace KabagemaRwanda

Jeanne d’Arc Nyinawankusi

Rwanda

Elizabeth DeVosUSA



DAY TWO • Hall Nyungwe DAY TWO • Hall VirungaThursday, November 8 Thursday, November 8

EmergencyMedicalServices(EMS)

continued

Evolution of a developing emergency care system -

classroom to the road

Emergency Medical Services development

Emergency Care system building: a public health challenge

16h15

16h30

16h45

Joseph KalanziUganda

Tonny LuggyaUganda

Darren WalterUK

Gorilla Statue, Kigali

Early Bird

- Moderators -Halima Adam

Petra Brysiewicz

07h30

AbstractsEmergency Nursing

see page 59

Plenary

BREAK 08h30

09h00 see page 27 for details

BREAK 10h30

Essential Skills in Humanitarian

Disaster Response

Disaster

- Moderators -Bret Nicks

Tony Luggya

11h00Najeeb Rahman

UK

Training to handle major incidents

in Rwanda11h15

Ernest NahayoRwanda

Challenges to Humanitarian Assistance and

Disaster

11h30Saadiyah Bilal

USA

34 35#AfCEM18





DAY TWO • Hall Virunga DAY TWO • Hall VirungaThursday, November 8 Thursday, November 8

36 37#AfCEM18



Disaster

continued

Disaster triage - what does the science

really say?

Approach to disasters/mass casualty in emergency care units

Public Health and Disaster Medicine:

Preventing a Disaster after the Disaster

11h45

12h00

12h15

Lee WallisSouth Africa

Janet LinUSA

Sean KivlehanUSA

Lunch 12h30

Paediatrics

- Moderators -Chance Mukakamali

Christophe Mpirimbanyi

Butterflies in my Chest: selected arrhythmias

in children

Emergency weight estimation in children - what degree of expertise should we expect from healthcare providers?

13h30

13h45

Upendo GeorgeTanzania

Mike WellsSouth Africa

Neonatal resuscitation: Impact on birth asphyxia

of helping babies Breathe Training and continuous practice at

Point of care in Rwanda

Doing more with less - non-invasive ventilation in

the emergency room

Partnering for Pediatric Emergency Medicine

Paediatrics

continued

14h00

14h15

14h30

Hovaire Nsabimana

Rwanda

Heloise BuysSouth Africa

Michelle Niescerenko

USA

Paediatric ECGs in the ED: How

confident are you?14h45

Adebowale AdesinaNigeria

BREAK 15h00

Nursing I

- Moderators -Ivy Muya

Mirimbe Violet

Strategies to manage professional isolation

among emergency nurses in low resource

environments

15h30Mahlomola

KutoaneLesotho



DAY TWO • Hall Virunga DAY THREE • Hall AkageraThursday, November 8 Friday, November 9

Garden gecko

38 39#AfCEM18



Nursing I

continued

Emergency nursing in Rwanda

Resuscitation practice during cardiac arrest in emergency department

of CHUK

Emergency Nursing: Kenya’s experience.

15h45

16h00

16h15

Florence Mukarugwiza

Rwanda

Christine UwinezaRwanda

George DuloKenya

Resuscitation Trolley Checking in the A&E Resuscitation Room

16h30Chance

MukakamaliRwanda

Emergency Nursing development: Actions

for success16h45

Angelina SepekuTanzania

Early Bird:Special Session

08h30WHO resources for

emergency care system development

Special Session:

#BadEM Chats:Evidence at the bedside

- Moderators -Geroge Dulo

Minelas Nkeshimana

09h00Katya Evans • Annet Ngabirano •

Willem Stassen

Annet Ngabirano • Jean Claude Byiringiro • Phil Cotton • Minelas Nkeshima •

Amelia Pousson09h45

BREAK 10h30

Trauma

- Moderators -Ellen Weber

Kingsley Tobi

Buckle up Baby: The Road to Safety

11h00Kilalo Mjema

Tanzania

Keeping it simple - pediatric trauma

in LMIC11h15

Heather MachenUSA

Teri ReynoldsWHO

Education Panel



DAY THREE • Hall Akagera DAY THREE • Hall NyungweFriday, November 9 Friday, November 9

40 41#AfCEM18



Trauma

continued

Transfer of trauma versus emergency general surgery patients to

tertiary referral hospitals in Rwanda.

Changes in Mortality risk in LMIC burn patients

Trauma in LMICs

11h30

11h45

12h00

Christophe Mpirimbanyi

Rwanda

Julie HerskUSA

Sudha JayaramanUSA

Firearm wound ballistics

12h15 Joe BeckerUSA

Lunch 12h30

Plenary

- Moderator -James Ducharme

#FOAM 2 #FAME13h30 Katya EvansSouth Africa

3 best abstracts and awards13h55

Person-centred education14h40 Phil Cotton

UK/Rwanda

Emergency Care Proudly Made in Africa

15h05 Benjamin WachiraKenya

Early Bird 07h00 AFEM North

Emergency care system research: enabling the

next giant step forward in development

ResearchDevelopment

- Moderators -Sudha Jayaraman

Alice Kidder Bukhman

09h00Emilie

Calvello-Hynes USA

Research Development: The role of local

institutions’ collaboration and

partnership

09h15Fidele Byiringiro

Rwanda

AfJEM: promulgating or promoting research?09h30

Mike WellsSouth Africa

Research development: how can research and EM residency can go in parallel?

09h45Temesgen Beyene

Ethiopia

10h00Translating your

research to publicationShada Rouhani

USA



DAY THREE • Hall Nyungwe DAY THREE • Hall NyungweFriday, November 9 Friday, November 9

Entrance to CHUK A&E

42 43#AfCEM18



ResearchDevelopment

continued

10h15

Public Health

- Moderators -Jeanne d’Arc

Nyinawankusi

Mulinda Nyirenda

BREAK 10h30

Motocycle-related injuries: A growing

epidemic in Rwanda

Emergency Care for the Marginalised

Household economic impact of emergency conditions in a rural district of Uganda

11h00

11h15

11h30

Jean Claude Byiringiro

Rwanda

Alison BeadsworthUK

Hani MowafiUSA

Emergency Medicine and Public Health: A

Critical Link11h45

Valerie KrymCanada

Partnership and Propriety: Navigating Ethics

and Collaboration for Research in LMICs

Noah RosenbergUSA Public Health

continued

Understanding the problem: road traffic

injuries research methods12h00

Elizabeth Krebs Ashley Rosenberg

USA

Public Health Impacts From the ED

12h15Adam Aluisio

USA

Lunch 12h30Plenary see page 40 for details13h30


AfCEM SPONSORS!

44#AfCEM18

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DAY THREE • Hall Virunga DAY THREE • Hall VirungaFriday, November 9 Friday, November 9

46 47#AfCEM18



Early Bird 07h00 AFEM South

“...Paying it Forward...” The Global Emergency

Nurse Mentorship Initiative

Nursing II

- Moderators -Angelina Sepeku

Mahlomola Kutoane

09h00Ivy Muya

Kenya

Developing Emergency Nursing

09h15Emmanuel

AcheampongGhana

Continuing care of emergency patients in the hospital beyond

the Emergency Department

09h30Mirembe Violet

Uganda

Emergency Nursing in Rwanda: the burning need

to address

09h45Fraterne Uwinshuti

Rwanda

Experience of running emergency department

as a nurse10h00

Halima AdamUganda

Nursing IIcontinued

The culture of nurses in critical care unit

10h15Judith Kyengo

Rwanda

Appreciating attendants in the

Emergency Department

Humanity &

Technology

- Moderators -Stacy Chamberlain Augustus Kigotho

11h00Derek Harborne

UK

The Tipping Point: Ultrasound at the

Point-of-care11h15

Trish HenwoodUSA

Torts and liability in hospital practice

11h30Emmanuel

RudakemwaRwanda

Emergency Medicine: lessons from history

11h45Henry Guly

UK

WhatsApp phone like you doing in an

ED like this?12h00

Amelia PoussonUSA

BREAK 10h30


ABSTRACTS



DAY THREE • Hall VirungaFriday, November 9

Telereferral systems – networking options in

Africa?

Darren WalterUK

12h15

Humanity &

Technology

continued

Lunch 12h30

Plenary see page 40 for details13h30

CHUK ambulances

4948#AfCEM18

Session Time Title Speaker



50

Emergency Medicine Residency Training in Africa: Overview of Programs, Faculty and Sustainability

Emergency Medicine Residency Training in Africa: Overview of Curriculum

Characterization of Traumatic Musculoskeletal injuries and Outcomes before and after the development of an Emergency Medicine Training Program in Kigali, Rwanda: A retrospective cohort study.

Evaluation of Practice Change After Simulation Based Training for Prehospital Providers in Botswana

Instructing Zambian Healthcare Providers in Basic Emergency Care

Online distant learning module for continuous medical education for emergency medicine technicians; a study in the Ashanti region, Ghana

08h20

08h30

08h40

08h50

09h00

09h10

Abena AkomeahUSA

Abena AkomeahUSA

Ezechiel NteziryayoRwanda

Nicolaus GlombUSA

Morgan BroccoliUSA

Joseph BonneyGhana

Skills and Knowledge Retention After Training in Cardio-Pulmonary Ultrasound in Ghana: An Impact Assessment of Bedside Ultrasound Training in a Resource Limited Setting.

Exploring behavior of users in Africa on one free, open-access medical education website: a descriptive study

A Multidimensional one-year program for frontline emergency healthcare workers in Uganda: the Emergency Medicine Medical Officer (EMMO) Program

Implementation of the WHO-ICRC Basic Emergency Care Course in Tanzania and Uganda

09h20

09h40

09h50

Maxwell Osei-Ampofo

USA

Abena AkomeahUSA

Doreen OkongUganda

Sean KivlehanUSA

09h30


EDUCATION


EDUCATION

Time Title Speaker Time Title Speaker

- Moderators -Janis Tupesis

Lise Mumporeze

51Speaker details available at www.afcem2018.com/programPoster titles & authors available at www.afcem2018.com/abstracts

50 51#AfCEM18





52 53#AfCEM18


EMERGENCY MEDICINE


EMERGENCY MEDICINE- Moderators -Upendo GeorgeAdam Levine

Building It so They Will Come: Factors Contributing to Delays in Seeking Available Emergency Medical Care in Rural Uganda and Surrounding Countries – A Systematic Literature Review

Building It so They Will Come: Factors Contributing to Delays in Seeking Available Emergency Medical Care in Rural Uganda – ED Patient Case Studies

Building It so They Will Come: Factors Contributing to Delays in Seeking Available Emergency Medical Care in Rural Uganda – Community Focus Groups

Improvisations in the Emergency Department of Mbarara Regional Referral Hospital (MRRH)

What are we treating in private emergency medical services? Epidemiology of prehospital calls over the last decade in South Africa

08h20

08h30

08h40

08h50

09h00

Ashley PickeringUSA

Kusasira AdrineUganda

Ndyamwijuka CharlesUganda

Prisca Mary KizitoUganda

Rhodine SmithSouth Africa

Clinical epidemiology, management and outcomes of paediatric patients with respiratory compromise presenting to an emergency medicine department of a tertiary hospital in Tanzania

Clinical characteristics and outcomes of burn patients presenting to a tertiary care facility in east Africa.

Epidemiology and Delays to Presentation of Injury Patients Presenting to a Non-Government Hospital in Western Uganda

The performance of Muhimbili National Hospital Triage Tool among paediatric patients attending emergency department: comparison study

The Clinical Profile and Outcome of Patients with Emergency Complications Of Renal Failure At Emergency Department

09h10

09h20

09h30

09h40

09h50

Muhanuzi BiitaTanzania

Paulina NicholausTanzania

Heather BrownUSA

Nafsa MarombwaTanzania

Erasto SylvanusTanzania





54 55#AfCEM18


EMERGENCY MEDICINE


EMERGENCY MEDICINE- Moderators -

Olivier Felix UmuhireAlison Heyward

Gregory GaskinUSA

Gabin Mbanjumucyo

Rwanda

Erin NosteUSA

Jenn PigogaUSA

Chantal Uwamahoro

Rwanda

Information Technology Supporting Emergency Care in Sub-Saharan Africa: A Scoping Review and Commentary

Airway management via Endotracheal Intubation at Kigali university emergency department: A prospective cohort study

Injury through the years: Clinical characteristics and outcomes by age group of injured patients presenting to a Tanzanian Emergency Department.

Assessing the impact of a low-cost WHO intervention package for emergency units in two hospitals in Uganda.

Evaluation of the Triage Early Warning Score (TEWS) as a predictor of patient disposition at a tertiary hospital in Rwanda

08h20

08h30

08h40

08h50

09h00

The Burden of Hypertension in the Emergency Department and Linkage to Care: a Prospective Cohort Study in Sub-Saharan Africa

Prospective assessment of paediatric medical emergencies and risk factors for traumatic injuries in the Paediatric Emergency Unit of Kenyatta National Hospital, Nairobi

Parental knowledge, perceptions and management of childhood fever in an immunization clinic in Kigali

The Burden and Outcomes of Non-Traumatic Chest Pain (NTCP) among Adults Presenting to an Emergency Department of a Tertiary Hospital in Tanzania: A Prospective Descriptive Study.

Clinical characteristics and outcomes of traumatic brain injury patients presenting to a tertiary care facility in east Africa.

09h10

09h20

09h30

09h40

09h50

Sophie GalsonUSA

Uzoma NwakibuUSA

Aicha UwamahoroRwanda

Amour MohamedTanzania

Hendry SaweTanzania





56 57#AfCEM18

DAY TWO • Hall AkageraThursday, November 8

EMERGENCY MEDICINE


PREHOSPITAL CARE- Moderators -Adam Levine

Lise Mumporeze

- Moderators -Janet Lin


Patient characteristics from an emergency care center in rural western Kenya

Feasibility of a Rapid Response Team in a Resourced-Limited Setting in Rural Kenya

Comparison of clinical profile and outcome of trauma patients presenting during regular versus off hours at Emergency department of urban tertiary hospital in Tanzania.

A comparison of trauma scoring systems for trauma-related injuries presenting to a district-level urban public hospital in Western Cape, South Africa.

Pre-referral stabilization of adult trauma patients referred to emergence department, Muhimbili National Hospital in Tanzania.

Ultrasound Needs Assessment of a Mozambican Emergency Department

07h30

07h40

07h50

08h00

08h10

08h20

Hiren PatelUSA

Hiren PatelUSA

Elly MulesiTanzania

Suzan MukonkoleDRC

Nanyori LucumayTanzania

Carl MickmanUSA

Implementation of a Novel High-Efficiency EMS Training Program in South Africa – Feedback and Experience.

A coronary care network model for patients requiring reperfusion in the North West province of South Africa: recommendations based on optimisation modelling and geospatial analysis

Comparison of accuracy of ultrasound use by emergency medical technicians (EMTs) to trained health professionals for pre-hospital care in Kumasi, Ghana

Implementation Effectiveness of a Novel EMS Trauma Training Program in South Africa

07h30

07h40

07h50

08h00

Michael LeeSouth Africa

Willem StassenSouth Africa

Nana Serwaa QuaoGhana

Nee-Kofi Mould-Millman

Ghana/USA

Provider Perceptions of SATS as a Prehospital Triage Tool in South Africa: A Qualitative Analysis

08h10

Julia DixonUSA




58


PREHOSPITAL CARE

Acceptance of emergency motor-cycle ambulances in Ghana: a socio-cultural survey

08h20 Sonia CobboldGhana

Time Title SpeakerTime Title Speaker Time Title Speaker

5958#AfCEM18

DAY TWO • Hall VirungaThursday, November 8

EMERGENCY NURSING- Moderators -Halima Adam

Petra Brysiewicz

NO ABSTRACT PRESENTATION

Doctor/Nurse team dynamics in the Emergency Department

Assessment of nurses in the application of the Glasgow Coma Scale in the intensive care units and emergency department at Muhimbili National Hospital and Muhimbili Orthopaedic Institute, in Dar Es Salaam, Tanzania.

Care of Critically Ill Patients during Inter-Hospital Transportation: A Descriptive Study in Dar Es Salaam, Tanzania

African Emergency Nursing: transformational initiatives

07h30

07h40

07h50

08h00

08h10

Charmaine Cunningham

South Africa

Jacqueline KimbokaTanzania

Tito KipejaTanzania

Petra BrysiewiczSouth Africa

Pressure ulcers and associated factors of patients admitted in the hospitals in Dar es Salaam, Tanzania

08h20Wedaeli Saria

Tanzania

Kigali Convention Center



60 61#AfCEM18

ACROSSA starchy African dish made from cassavaAntigen associated with Sjögrens

District near GomaSacha Baron Cohen’s lead roleCapital of the francophone worldMen’s room fixture

711

12

13

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by V

inay

Sha

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62

1 2 3 4 5 6 7 8 9 10

11 12

13 14 16 17

18 19 20

21 22

61 23 24 25 26

27 29 30

32 34 35

36 37 39 40

41 42

44 45 46

47 51 52

53 54 55 56 57

58 59 60 61

33

43

504948

28*

TIPS

If the clue is plural, the answer is

plural

If there is an abbreviation in the clue,

the answer is abbreviated

A question clue

indicates a play on

words

*Box 28 contains 2 letters

Italicized clues pertain to Rwanda!

15

38

31

Where to find lions?A western lake To reduceBean exacerbating G6PD deficiency...AUA-GAG..., to a geneticist

15181920

21

1

6

2223

24

2526272829

30

3235

3638

4142444547

5152

5355

57

58

6062

Yes, in MadridCousin of a Land Cruiser, abbr.Early therapy in shock mgmtER hookupHeroin user’s worryPa’s partnerHome for ovariesMain ROA forOTC medsSpelling contest do-over?Lake Kivu IDPoint after deucein tennis on TVHair trimmerHost city of AfCEM 2016ER consult912 med. responder“It’s not you, it’s __”Cow manure artFirst word of Rwanda’s national mottoLtr. addendum1 of 3, with 57-across and 56-down; abbrElephant’s beer?Average monthly rainfall in inches2 of 3, with 52-across and 56-down; abbrWhat wolfram is found in/Main malaria region

12

3

45

678

9

1012

14

16

17222627

27

29

31

32

Fermented honeySpecies sharing 98% of the human genomePart of the border between Rwanda and TanzaniaFetal hairPlace to buy a ticket for RwandAir, abbrAfter doA leaf pilerUgandan opponent of Musanze FCA buffalo, a rhino, a lion, a leopard, and an elephantOn a boatThird word of Rwanda’s national mottoA spaceship’s departureLarge mobile camper, abbrER, in RwandaA knight’s titleBrit. referenceGood morning, to a RwandanBases of the spinal columnProstate CA biomarkerKey ingredient in urwagwaA msg. in a bottle

333437

394043

45

46

48

49

5054

56

575961

Area for critical pts.Hosp. theatre?What gets things started at Pili Pili“Oh my gosh”Congo outbreakHomestate of Detroit, abbrExercise machine made by Apple?Venue of 2016 OlympicsEducation is full of them__ Index, Rwandan org. digitizing the archives of MINEDUC“Hear __, hear __”Official name of the host country of AfCEM 2018, abbr3 of 3, with 52-, and 57-across; abbrFormer Belg. colonyDoc.’s co-workerConservation status of chimps, abbr.

DOWN

AfCEM 2018November 7 to 9Marriott HotelKigali, Rwanda

EMIT 4Emergency Medicine in the Tropics

This packed two-week course covers a diversity of topic relevant to anyone interested in global health and developing emergency care in resource-

contrained settings. Fore more information and registration, visit www.recaonline.com/emit-rwanda or www.bromleyemergency.com/emit-rwanda.

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