External Source:
Handbook of Acute & Emergency Care | AFEM This article is behind a paywall.

“Prioritizing an integrated approach to early resuscitation and stabilization has been shown to reduce the morbidity of a range of medical, surgical, and obstetric conditions. The Disease Control Priorities Project estimates that nearly half of deaths and over a third of disability in low and middle-income countries could be mitigated by proper emergency care — the provision of initial resuscitation, stabilization, and treatment to acutely ill and injured patients, and delivery of those patients to the best available definitive care.”



The African Federation for Emergency Medicine (AFEM) has created a handbook that is accessible, easy to use, stratified by resource level, and appropriate to both the burden of disease and the diagnostic and treatment modalities available in most clinical settings in sub-Saharan Africa. This handbook is the first to offer doctors, nurses, and clinical officers management strategies based on available resources. It leads providers through a rapid systematic and integrated approach to stabilization and resuscitation of patients that has been stratified to three resource levels; where there are no available resources, where there are minimal resources, and where there are full resources.


  • Provides diagnostic and management strategies for the most common emergency care problems faced by providers in sub-Saharan Africa
  • Facilitates early recognition and stabilization of life-threatening conditions
  • Articulates diagnostic and care strategies that are adaptable to a variety of settings
  • Provides highly usable information by organizing material such that management can be directed by clinical syndromes even when diagnosis is unknown
  • Includes syndrome-based Rapid Assessment Protocols that facilitate rapid intervention for undifferentiated critically ill patients
  • Is aimed at a range of Emergency Care providers, including doctors, nurses, clinical officers, EMS staff, and students