key: cord-1023884-8h6cli5d
authors: Wallis, Lee A.
title: African Federation for Emergency Medicine resources for managing COVID-19 in low resourced settings
date: 2020-06-16
journal: Afr J Emerg Med
DOI: 10.1016/j.afjem.2020.06.001
sha: 2af068586b338553a398affe257ef8514fe451a1
doc_id: 1023884
cord_uid: 8h6cli5d

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J o u r n a l P r e -p r o o f the validity of the original Severity Scoring Tool. We have already started the process to build a new Severity Scoring Tool using verifiable data from a smaller, reputable source. The derivation and validation process are likely to take several months to complete. In the meantime, AFEM would like to signpost to the open access, interim WHO Clinical management of COVID-19 guidelines. This document provides direction on the urgent management of acute respiratory distress in adult patients with confirmed or suspected SARS-CoV-2 infection. Practical and realistic strategies are presented for the care of patients of all severity levels, with the assumption that there is no easy access to more advanced testing such as troponin or CT scan.

We know that these resources refer to the need for respiratory interventions, and recognise that most LRS hospitals have few or no ventilators and very limited oxygen supply. In these settings, the number of patients will significantly outweigh available resources. These resources are intended to assist with clinical management in these settings, but we can never replace clinical decision making at the bedside. We are offering these resources to assist you in this battle. These can be downloaded from AFEM website's resources section: https://afem.africa/resources/.

COVID-19) outbreak Geneva: World Health Organization Available from

Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19) Geneva: World Health Organization

Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis

Novel Coronavirus (COVID-19) situation Geneva: World Health Organization Available from

Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study

Lower mortality of COVID-19 by early recognition and intervention: experience from Jiangsu Province

Cross-sectional evaluation of emergency care capacity at public hospitals in Zambia

What resources are used in emergency departments in rural sub-Saharan Africa? A retrospective analysis of patient care in a district-level hospital in Uganda

Jen Pigoga for her tremendous input into curating the AFEM resources.