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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Essential Emergency and Critical Care: A consensus among global clinical experts
BMJ Global Health, Volume 6, No. 9, Article e006585, Year 2021
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Description
Background Globally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients are often overlooked in health systems. Essential Emergency and Critical Care (EECC) has been devised as the care that should be provided to all critically ill patients in all hospitals in the world. EECC includes the effective care of low cost and low complexity for the identification and treatment of critically ill patients across all medical specialties. This study aimed to specify the content of EECC and additionally, given the surge of critical illness in the ongoing pandemic, the essential diagnosis-specific care for critically ill patients with COVID-19. Methods In a Delphi process, consensus (>90% agreement) was sought from a diverse panel of global clinical experts. The panel iteratively rated proposed treatments and actions based on previous guidelines and the WHO/ICRC's Basic Emergency Care. The output from the Delphi was adapted iteratively with specialist reviewers into a coherent and feasible package of clinical processes plus a list of hospital readiness requirements. Results The 269 experts in the Delphi panel had clinical experience in different acute medical specialties from 59 countries and from all resource settings. The agreed EECC package contains 40 clinical processes and 67 requirements, plus additions specific for COVID-19. Conclusion The study has specified the content of care that should be provided to all critically ill patients. Implementing EECC could be an effective strategy for policy makers to reduce preventable deaths worldwide. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Authors & Co-Authors
Schell, Carl Otto
Sweden, Stockholm
Karolinska Institutet
Sweden, Uppsala
Uppsala Universitet
Khalid, Karima
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Tanzania, Ifakara
Ifakara Health Institute
Wharton-Smith, Alexandra
United Kingdom, London
London School of Hygiene & Tropical Medicine
Oliwa, Jacquie Narotso
Kenya, Nairobi
Wellcome Trust Research Laboratories Nairobi
Kenya, Nairobi
University of Nairobi
Sawe, Hendry Robert
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Roy, Nobhojit
Sweden, Stockholm
Karolinska Institutet
Australia, Sydney
George Institute for Global Health
India, Mumbai
Bhabha Atomic Research Centre
Sanga, Alex
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Marshall, John C.
Canada, Toronto
University of Toronto
Rylance, Jamie
Malawi, Blantyre
Malawi-liverpool-wellcome Trust Clinical Research Programme
Hanson, Claudia William
Sweden, Stockholm
Karolinska Institutet
United Kingdom, London
London School of Hygiene & Tropical Medicine
Kayambankadzanja, Raphael Kazidule
Malawi, Blantyre
Queen Elizabeth Central Hospital Malawi
Malawi, Blantyre
Kamuzu University of Health Sciences
Wallis, Lee A.
South Africa, Cape Town
University of Cape Town
Jirwe, Maria
Sweden, Huddinge
Swedish Red Cross University College
Baker, Tim
Sweden, Stockholm
Karolinska Institutet
Tanzania, Ifakara
Ifakara Health Institute
United Kingdom, London
London School of Hygiene & Tropical Medicine
Asghar, A. K.
Unknown Affiliation
Laytin, Adam D.
Unknown Affiliation
Holloway, Adrian J.
Unknown Affiliation
El Adib, Ahmed Rhassane
Unknown Affiliation
Michaelides, Alexia
Unknown Affiliation
Munoz, Álvaro Coronado
Unknown Affiliation
Muzuka, Amos
Unknown Affiliation
Fernández, Analía
Unknown Affiliation
Pembe, Andrea Barnabas
Unknown Affiliation
Wellhagen, Andreas
Unknown Affiliation
Smith, Andrew Gerald
Unknown Affiliation
Gadgil, Anita
Unknown Affiliation
Hvarfner, Anna
Unknown Affiliation
Abayadeera, Anuja Unnathie
Unknown Affiliation
Agulnik, Asya L.
Unknown Affiliation
Godard, Aurélie
Unknown Affiliation
Venkatesh, Balasubramanian
Unknown Affiliation
Yousif, Bargo Mahamat
Unknown Affiliation
Morton, Ben
Unknown Affiliation
Sarang, Bhakti S.
Unknown Affiliation
Vijayaraghavan, Bharath Kumar Tirupakuzhi
Unknown Affiliation
King, Bobby
Unknown Affiliation
Rice, Brian T.
Unknown Affiliation
Thwaites, Catherine Louise
Unknown Affiliation
Tai, Chian Wern
Unknown Affiliation
Owoo, Christian
Unknown Affiliation
Sendagire, Cornelius S.
Unknown Affiliation
Petersen, Dan Brun
Unknown Affiliation
Tatay, Daniel
Unknown Affiliation
Skinner, David Lee
Unknown Affiliation
Kinyua, Dennis
Unknown Affiliation
Ghosh, Dhruva Nath
Unknown Affiliation
Aryal, Diptesh
Unknown Affiliation
Mlombwa, Donald
Unknown Affiliation
Bui, Duyen Thi Hanh
Unknown Affiliation
Lugazia, Edwin Rwebugisa
Unknown Affiliation
Riviello, Elisabeth D.
Unknown Affiliation
Molyneux, Elizabeth M.
Unknown Affiliation
Heyns, Ellena
Unknown Affiliation
Nsutebu, Emmanuel Fru
Unknown Affiliation
Montalvo, Erika
Unknown Affiliation
Moreno, Ernesto Gerardo
Unknown Affiliation
Kanyangira, Esther Banda
Unknown Affiliation
Muttalib, Fiona
Unknown Affiliation
Mupeta, Francis
Unknown Affiliation
Díaz, F. R.
Unknown Affiliation
Bulamba, Fred B.
Unknown Affiliation
Pascal, Furaha Nzanzu Blaise
Unknown Affiliation
Wooldridge, Gavin
Unknown Affiliation
Mwakisambwe, Gibonce
Unknown Affiliation
Richards, Guy Antony
Unknown Affiliation
Ammar, Hala
Unknown Affiliation
Mangat, Halinder S.
Unknown Affiliation
Ghali, Hasanein H.
Unknown Affiliation
Shah, Hiral Anil
Unknown Affiliation
Shum, Hoiping
Unknown Affiliation
Abdullahi, Ibrahim Salim
Unknown Affiliation
Martín-Loeches, Ignacio
Unknown Affiliation
von der Osten, Ingrid T.
Unknown Affiliation
McKnight, Jacob
Unknown Affiliation
Lee, James S.
Unknown Affiliation
Namagga, Jane Kasozi
Unknown Affiliation
Eriksen, Jaran
Unknown Affiliation
Armour-Marshall, Jasmine
Unknown Affiliation
Kellett, John G.
Unknown Affiliation
Metcalfe, John Z.
Unknown Affiliation
Moore, Jolene Nina
Unknown Affiliation
Blixt, Jonas
Unknown Affiliation
Langton, Josephine
Unknown Affiliation
Mejia, Juan Gutierrez
Unknown Affiliation
Silesky-Jiménez, Juan Ignacio
Unknown Affiliation
Soni, Kapil Dev
Unknown Affiliation
Köhne, Karl Martin
Unknown Affiliation
Rowan, Kathryn M.
Unknown Affiliation
Yokobatake, Kazuhiro
Unknown Affiliation
Rudd, Kristina E.
Unknown Affiliation
Akuamoah-Boateng, Kwame Asante
Unknown Affiliation
Irestedt, Lars E.
Unknown Affiliation
Losonczy, Lia Ilona
Unknown Affiliation
Zhang, Lina
Unknown Affiliation
Kurland, Lisa
Unknown Affiliation
Guinness, Lorna
Unknown Affiliation
Bains, Lovenish
Unknown Affiliation
Nyaika, Margaret
Unknown Affiliation
Castegren, Markus
Unknown Affiliation
Reinikainen, Matti T.
Unknown Affiliation
Cox, Megan
Unknown Affiliation
Mer, Mervyn
Unknown Affiliation
Jaung, Michael Senyu
Unknown Affiliation
Lipnick, Michael S.
Unknown Affiliation
English, Michael C.
Unknown Affiliation
Khajanchi, Monty Uttam
Unknown Affiliation
Ulisubisya, Mpoki M.
Unknown Affiliation
Nyirenda, Moffat J.
Unknown Affiliation
Cobb, Natalie L.
Unknown Affiliation
Adhikari, Neill K.J.
Unknown Affiliation
Vlok, Neville
Unknown Affiliation
Risko, Nicholas
Unknown Affiliation
Kissoon, Niranjan “Tex”
Unknown Affiliation
Kobuh, Ntogwiachu Daniel
Unknown Affiliation
Sonenthal, Paul D.
Unknown Affiliation
Baker, Peter A.
Unknown Affiliation
Bjurling-Sjöberg, Petronella
Unknown Affiliation
Relan, Pryanka
Unknown Affiliation
Towey, Raymond M.
Unknown Affiliation
Branson, Richard D.
Unknown Affiliation
Kojan, Richard
Unknown Affiliation
von Rahden, Richard Peter
Unknown Affiliation
Gundo, Rodwell
Unknown Affiliation
Mndolo, Samson Kwazizira
Unknown Affiliation
Akech, Samuel O.
Unknown Affiliation
Rouhani, Shada
Unknown Affiliation
Massawe, Siriel Nanzia
Unknown Affiliation
Peterson, Stefan Swartling
Unknown Affiliation
Webb, Steve A.R.
Unknown Affiliation
Touray, Sunkaru
Unknown Affiliation
Kortz, Teresa Bleakly
Unknown Affiliation
Aslanidis, Theodoros
Unknown Affiliation
Weiser, Thomas G.
Unknown Affiliation
Bashford, Tom
Unknown Affiliation
Wolbrink, Traci A.
Unknown Affiliation
Lalla, Usha
Unknown Affiliation
Kannan, Vijay Christopher
Unknown Affiliation
Waweru-Siika, Wangari
Unknown Affiliation
Mwafulirwa, Wezzie Kumwenda
Unknown Affiliation
Obeng, William K.A.
Unknown Affiliation
van Damme, Wim
Unknown Affiliation
Omer, Yasein O.
Unknown Affiliation
Banda, Zione
Unknown Affiliation
Statistics
Citations: 45
Authors: 143
Affiliations: 16
Identifiers
Doi:
10.1136/bmjgh-2021-006585
ISSN:
20597908
Research Areas
Covid
Health System And Policy