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Emergency triage, assessment and treatment at a district hospital in Malawi
  1. Hooi-Ling Harrison1,
  2. Nigel Raghunath2,
  3. Michele Twomey3
  1. 1Emergency Department, College of Emergency Medicine, London, UK
  2. 2Emergency Department, Croydon University Hospital, London, CR7 7YE, UK
  3. 3School of Public Health, University of Cape Town, South Africa
  1. Correspondence to Dr Hooi-Ling Harrison, University Hospital Lewisham, Emergency Dept, London, SE13 6LH, UK; hlingharrison{at}


Rumphi District Hospital in Northern Malawi had no emergency triage, assessment or treatment system for the over 5 year olds. Eighty healthcare workers were trained on the South African Triage Scale, which was then implemented within a modified outpatient department. Provision of medical equipment and construction of an emergency room took place to allow early life saving treatment.

  • Emergency care systems
  • emergency departments
  • airway
  • clinical assessment
  • education
  • teaching
  • triage
  • systems

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  • Funding The project was provided by Irish Aid, Malawi and Mayday Hospital, London, UK.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.