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Table 1 Emergency ambulance data for Brikama region from 14/5/07 until 20/2/10

From: Strengthening the emergency healthcare system for mothers and children in The Gambia

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
  1. Abbreviations: IM = intramuscular injection, IV = intravenous, CS = Caesarean section