Learn about AFEM
The African Federation for Emergency Medicine (AFEM), founded in November 2009, represents a broad coalition of national societies, organisations, and individuals from over 40 countries. AFEM’s membership is comprised of individuals with an interest in African emergency care, including non-clinicians, medics, nurses, and physicians. AFEM is all about promoting and expanding Emergency Care, from many angles, across the entire African continent. Based on priorities identified in regional consensus meetings, AFEM provides data to inform policy-making; offers open-access emergency care training curricula for nurses, midlevel providers, and specialists; coordinates continuing education programs for healthcare providers in emergency care; and much more.
Please take a minute to explore some of our on-going projects:
The African Journal of Emergency Medicine (AfJEM)
AfJEM is an international, peer-reviewed journal, the official journal of AFEM. AfJEM publishes original research, reviews, case reports, reports of scientific investigations, and commentary on topics of importance to emergency care in Africa. The journal also offers free publication support to African researchers through its unique Author Assist program. The journal is in its fifth volume; it is published quarterly and is freely available online. Learn more>
The biennial African Conference on Emergency Medicine is the only scientific conference that brings together stakeholders in emergency care across Africa. The first conference was held in November 2012 in Accra, Ghana, with over 450 delegates from 24 countries: the second was held in November 2014 at the United Nations Conference Centre in Addis Ababa, Ethiopia, with over 500 delegates, and the third will be in 2016 in Cairo, Egypt. AFEM also holds annual consensus conferences where dedicated groups of experienced emergency care professionals are tasked with developing consensus on various aspects and challenges of emergency care in Africa. Prior outputs include an overview manuscript on regional priorities for emergency medical care in Africa, a white paper on emergency nursing care in Africa, and an editorial on Emergency Medical Services (EMS) in Africa.
AFEM has written a handbook of acute and emergency care that is designed to be used by all levels of providers for the care of acutely ill or injured patients. The handbook has topics that match the training curriculum, and provides a quick reference to many emergent conditions. It is unique in that it is the only book to take into account the different skill levels of providers, as well as resource availability and limitations at various sites. The handbook was published in November 2013 (by Oxford University Press), and AFEM has secured 8400 free copies that have been distributed to 44 Sub-Saharan African countries. Learn more>
EFAR: Emergency First Aid Responders
The EFAR system is an adaptable, low-cost and scalable prehospital emergency care system designed specifically for rural communities, in low and middle-income countries. Using an innovative model that gives communities ownership and empowerment over their own emergency care, the EFAR system is also designed to be integrated with existing healthcare structures, and can be used to support an existing EMS. It is operational at numerous sites within the Western Cape province of South Africa, with planned expansion to other provinces and international sites, and to date nearly 2,000 individuals have undergone EFAR training. Please learn more by visiting the EFAR website.
AFEM has successfully developed and implemented a standardized clinical chart for capturing essential information on all trauma patients across several sites in Africa. This standardized trauma form is used both as a means of clinical care and as a database. Clinically, it provides a systematic approach to all trauma patients, thus ensuring a standard of care. The trauma form also allows the same information to be consistently collected from all trauma patients at sites where it is used. Collection of data using the trauma forms will allow for the creation of trauma databases across Africa, and will be an invaluable resource in the future. Currently, AFEM has implemented the trauma forms in Tanzania and the Democratic Republic of the Congo, with proposed expansion this year to Uganda, Ethiopia, Kenya, and South Africa. Stay tuned for more info!
AFEM has successfully completed the development of a curriculum for training local specialists in emergency medicine. This is a three-year curriculum that is designed to teach the accepted standard of practice for specialists across the world, while at the same time tailoring education to reflect the unique aspects of practicing in resource limited settings. The curriculum is currently being taught in Tanzania, where the Muhimbili University of Health and Allied Sciences recently graduated its first group of locally trained Emergency physicians. A second 1-year curriculum is targeted at general doctors, nurses and clinical officers working in acute care settings, and aims to impart basic knowledge of emergency care to make clinicians more comfortable and familiar with treating acute conditions. And, as of February 2015, AFEM is in the consultation phase of an emergency nursing curriculum, designed to provide guidance to lead nurses/nurse academics to aid in development of emergency nursing skills and competence.
AFEM has created a presentation bank of lecture series designed to accompany both the keystone and advanced components of the AFEM training curriculum. These lectures have been developed and reviewed by emergency medicine physicians from across the world. All presentations are then edited by an African editorial board to ensure both quality and clinical utility for the African setting.
Supadel and Author Assist
Support a Delegate (Supadel) and Author Assist are both unique AFEM initiatives aimed at addressing barriers to research access and publication of African acute care providers. Supadel is a peer-to-peer sponsorship program that funds the attendance of qualified practitioners (nurses, students, residents, physicians, or pre-hospital staff) at AFEM-affiliated conferences on African soil. Sponsored delegates would otherwise lack the financial means to attend. The conferences allow them to network with stakeholders in acute care from across the world; participate in workshops and seminars to increase skills competencies; see and present research findings on topics relevent to their practice; and learn valuable lessons in emergency care development to carry back to their home countries. Author Assist is an AfJEM program that pairs African researchers with experienced assistants to aid in publication of original research. Publication support is often lacking or nonexistent for scientists in low income countries, and Author Assist boasts a very high rate of conversion from rejected submissions to accepted and published. Learn more about Author Assist> and Learn more about Supadel>