Table 1.
Emergency ambulance data for Brikama region from 14/5/07 until 20/2/10
| Patient numbers | Total | Emergency | Resuscitation given | Outcome |
|---|---|---|---|---|
| 1,52,63 | 3 | Obstructed Labour | IV glucose x3, oxygen x1, normal saline bolus x2, CS x3 | 3 mothers alive, 1 infant death |
| 8,12,13,18,19,22,25,29,30,31,32,34,37,41,46,56,57,68,99,103, | 20 | Ante-partum Haemorrhage or miscarriage | CS × 6, IV glucose × 2, IV Normal saline × 19, lateral tilt × 1, oxygen × 2, leg elevation × 2, blood transfusion × 1, IV antibiotics x1 | All mothers alive, 7 infant deaths |
| 3,40,43,45,85,91,94,101 | 8 | Eclampsia and 2 cases of severe pre-eclampsia | IM/IV hydralazine × 4, IV magnesium sulphate x6, CS x2, Diazepam × 1, oxygen x1, airway opening x2, oropharyngeal airway, suction x2 | 7 mothers and infants alive, 1outcome unrecorded |
| 1,2,10, 14,36,45,54,93,100,101,104, | 11 | Pregnancy Induced Hypertension without severe pre-eclampsia or eclampsia | IV hydralazine × 6, IM hydralazine × 2, CS × 3, | 11 mothers and 11 infants alive |
| 4,10,15,16,44,53,59,72,76,77,84,89, | 12 | Twins × 4, breech × 6, or compound presentation × 2 | IV glucose × 5, CS x4, vaginal breech x4, IV normal saline × 5, blood transfusion × 1 | 11 mothers alive, 1 breech fractured femur, 4 fresh stillbirths (one breech head could not be delivered) 1 outcome unrecorded |
| 7,10,16,17,20,26, 27, 28,33,50,66,69,82,86,87,88,90,101,102 | 19 | Prolonged labour | IV glucose × 16, IV antibiotics x1, IV normal saline × 3, ventouse at home × 2, urinary catheter × 1, CS × 9, | 19 mothers alive 1 stillbirth |
| 65,81,83,92,96,97,100,106 | 8 | Postpartum haemorrhage | IV normal saline x5, misoprostol x2, ergometrine × 4, oxytocin IV × 1, blood transfusion × 5, IV antibiotics × 2, repair tear × 1 | 7 mothers alive 1 outcome unrecorded |
| 39, 53,58, 83,97, | 5 | Severe anaemia | Oxygen × 1, blood transfusion × 5, IV normal saline × 3, IV antibiotics × 1 | 5 mothers alive |
| 20,21,36,51,55,62,70,71,73,74,75,87,93,102,107 | 15 | Primagravida | IV 50% glucose × 7, IV normal saline × 4, CS × 4, ventouse × 1 | 15 mothers alive 1 stillborn infant |
| 38,42,47,49,53,66,67,78,79,80,88,90,106,109 | 14 | 4 or more previous births | IV normal saline × 4, IV glucose × 3, blood transfusion × 1 | 13 mothers alive 1 unrecorded 2 stillborn (twins) |
| 26,75,95 | 3 | Infection in pregnancy | IV 50% glucose x1, IV antibiotics × 3, CS x1 | 3 mothers alive 1 stillborn infant |
| 5,29,45,64,84 | 5 | Preterm labour | 5 mothers alive 1 infant stillborn |
|
| 9(3 patients),11(2 patients),108 | 6 | Road accident | Airway opening x3, compression for bleeding x1, IV normal saline x2, Pain control, | 4 survived and 2 died |
| 6(3 years),24(3 weeks),35(8 days), 61(2 years) | 4 | Paediatric emergency | Airway opening × 2, oropharyngeal airway × 1, IV Normal saline x2 IV glucose followed by infusion × 1, IV antibiotics × 1, Assisted ventilation with bag-valve-mask and oxygen x1, compression to stop bleeding × 1, blood transfusion x1 | 4 survived |
| 23,39,48,60,64,98,105 | 7 | Miscellaneous (asthma, loss of consciousness, severe vomiting, retained placenta, dehydration and shock, staff member in labour) | Anti-asthma treatment x2(salbutamol, hydrocortisone, aminophylline), oxygen x1, IV normal saline x2, IV glucose x3, retained placenta removed after urinary catheter x1, IV antibiotics × 1 | 6 pregnant mothers and their infants survived. One man with dehydration and shock died |
Abbreviations: IM = intramuscular injection, IV = intravenous, CS = Caesarean section