A review and analysis of intensive care medicine in the least developed countries*

Abstract

More studies on the current state of intensive care medicine in least developed countries are needed to provide reasonable aid to improve care of the most severely ill patients in the poorest countries of the world.

Nationwide survey on resource availability for implementing current sepsis guidelines in Mongolia

“…8 Similar shortages of resources to care for acutely and critically ill patients have been reported from other middleor low-income countries. [16][17][18][21][22][23] Such findings and those of the present survey suggest that other international guidelines cannot be fully implemented in Mongolia owing to a lack of the resources required. Although our findings would appear to be intuitively deducible, our study is the first to show that a lack of resources may prevent international treatment guidelines for intensive care medicine from being implemented in non-high-income countries.…”

Emergency, anaesthetic and essential surgical capacity in the Gambia

“…Increased mortality has been correlated with deficits in health infrastructure, 29 medical technology 30 and integration of resources to provide surgical services. 31 The capacity of health facilities to provide basic life-saving interventions must be strengthened.…”

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

“…This raised a concern of the need for a system that prioritizes patients in the order of urgency [8,9,10]. Many hospitals in low-income countries lack a formal triage system [11] in their EDs. In low income countries, emergency care, including triage is often one of the weakest links in health systems as compared to developed countries; but if well-organized it can be life-saving and cost-effective [12].…”