Background: Disaster is an acute dysfunction of the existing environment that requires external assistance. Although disaster has had a significant impact in Ethiopia, little is known about KAP of frontline HCW on disaster management in private hospitals. Therefore, this study will be a background for future researches and disaster management plan in private health sectors. The study was conducted to assess the knowledge, attitudes, practices and their influencing factors among frontline healthcare workers on disaster risk management in private general hospitals in Addis Ababa. Methods: The study design was multicenter cross-sectional survey that used structured closed- and open-ended questions. Multi-stage sampling technique was used. The sample size was 270 with a response rate of 98.9%. The study was conducted in frontline HCW of six private general hospitals from July 20-September 30, 2022. Epi-info version 7.0 and SPSS-25 were used for data clearing and statistical analysis. Level of KAP was calculated from the participants’ scores of the questions. Associations were done by using bivariate and multivariate logistic regression. Results: Of the participants, 64% had poor level of knowledge, and 89.10% had poor level of practice while 93.6% had positive attitude. Lack of previous training, inadequate level of practice, and health experience below one year were negatively associated with good level of knowledge. Poor level of knowledge was negatively associated with good practice. Conclusion: Although the majority of the participants had positive attitude, the mean level of knowledge and practice were poor to properly handle disastrous events.

A disaster is an acute decline in society’s functions, leading to extensive harm to people, property, or the environment. Based on the causes, disasters are divided into natural and man-made hazards. Significant long-term worldwide social, economic, and developmental problems may result from these circumstances, particularly if disaster risk management receives less than ideal attention. Both the public and private sectors must devote enough attention to disaster response. A continuum of prevention, readiness, response, and recovery is required for disaster risk management. Although disaster has had a significant impact in all parts of the community, engagement of the private institutions is low. Most countries were focused on the governmental institutions to prevent and provide responses to disasters. As private sectors increase in the world, the number of private employees will increase, and it needs protection and prevention of occupational safety and occupational disease.

Background: 2,4-Dichlorphenoxyacetic acid (2,4-D) is an extremely lethal toxin.Poisoned patients should get urine alkalization & early hemodialysis in addition to supportive care.This report aimed to explain the diagnosis, treatment, and challenges. Case presentation: we reported a case of a 20-year-old male patient who presented to the ED after he ingested an unspecified amount of 2,4-D herbicide & lost consciousness for about 16 hours duration. Associated with this was frequent vomiting of unspecified amounts of ingested matter. Conclusion: Delayed presentation to the ED & delayed hemodialysis had a negative effect on patient outcome.

Background: Despite growing government concerns and interventional efforts in Ethiopia over the last decade to improve utilization of ambulance services, it is still unmet need of the community. Moreover, there is a scarcity of research that has been conducted to assess the utilization of ambulance services in Ethiopia. Thus, this study is aimed at assessing the practice, barriers, perceived solutions, and factors associated with ambulance utilization in Northwest Ethiopia. Methods: A multi-center, institutional-based, cross-sectional study design using a mixed sequential explanatory approach was conducted. Systematic random and purposive sampling techniques were used to select the study participants for the quantitative and qualitativestudies, respectively. Interviewer-administered questionnaires, in-depth interviews, and key-informant interviews were used to collect the data. Data were collected using KoboCollect software and then exported to STATA version 17 for analysis. Numerical descriptive statistics were expressed by using mean and/or median, whereas categorical variables were expressed by percentages. A binary logistic regression model was used, and variables having a p-value < 0.25 in the bivariable analysis were entered into the multivariable analysis model. The model goodness-of-fit test was checked using the Hosmer-Lemshow test. Adjusted odds ratio with 95% confidence intervals (CIs) were used to report the strength of association, and statistical significance was declared at a p-value less than 0.05. The audio records of qualitative data were transcribed, translated, coded, and analyzed using thematic analysis. Finally, the result of qualitative data was summarized with narration. Results: A total of 428 study participants were included in this study. More than half (54.7%) of the study participants were males and about 187 (43.7%) had no formal education. This study found that 16.6 % of the study participants used an ambulance to get to the hospital. Factors positively associated with ambulance utilization were knowing the ambulance call (AOR=2.68; 95% CI: 1.05, 6.82), presenting at the emergency department during the night (AOR=6.60; 95% CI: 3.15, 13.83), having a triage score > 7 (AOR=9.76; 95% CI:4.07, 23.44), and having prior experience of ambulance use (AOR=2.99; 95CI%: 1.28, 6.99). The qualitative findings of this study found that unavailability of road infrastructure, delayed responses from ambulance drivers, and a lack of ambulance vehicles in kebele were the major barriers for ambulance utilization. The participants suggested that increasing the number of ambulances, situating ambulances at health facilities, and resolving of the current conflict were the perceived solutions. Conclusion and recommendations: The utilization of ambulances in the East Gojjam Zone was low. Knowing the ambulance call number, presenting to the ED at night, prior use of an ambulance, and having a higher triage score were determinants of ambulance utilization. Unavailability of road infrastructure, delayed responses from ambulance drivers, and a lack of ambulance vehicles were the major barriers to ambulance utilization. Increasing the number of ambulances, designing ambulance stations at health facilities, and resolving of the current conflict were the perceived solutions. Therefore, increasing the number of ambulances, improving community awareness, and coordination of available resources are essential to improve ambulance utilizations.

Introduction: Ventricular tachycardia is solely originated from ventricular tissues or purkinje fibers. Ventricular tachycardia can be classified as sustained and non-sustained. Sustained ventricular tachycardia is managed with pharmacologic agents, electrical cardioversion or ablation therapy. Case report: A 26 years old male presented with palpitation of one hour and diagnosed as sustained ventricular tachycardia with the rate of 220. After some while the symptom & the abnormal findings were spontaneously terminated. Conclusion: it is known that sustained ventricular tachycardia with unstable signs needs immediate termination. However, sustained ventricular tachycardia in this patient was terminated spontaneously. Key words: Ventricular tachycardia, management, spontaneous termination.

Prehospital care is vital for reducing mortality from traumatic injuries, especially in low- and middle-income countries. This study determined prehospital care utilization and associated factors among trauma patients in referral hospitals in West Amhara, Ethiopia. A concurrent triangulation mixed-methods design was employed from March–August 2024 in Debre Markos, Tibebe Ghion, and Felege Hiwot hospitals. Quantitative data were collected from 518 trauma patients via questionnaire, with proportional allocation based on patient flow, and analyzed using logistic regression to identify factors associated with prehospital care use. Qualitative data were collected through semi-structured interviews with healthcare professionals and trauma patients, reported in line with the Consolidated criteria for reporting qualitative research (COREQ) checklist. Reflexive thematic analysis guided by the WHO Emergency Care System Framework was used, integrating quantitative and qualitative findings while maintaining reflexivity to understand prehospital care utilization. The prehospital care utilization rate was 49.8 %. The majority of patients (84.2 %) arrived at hospitals via taxi or on foot, reflecting reliance on non-EMS transport. Rural residence (AOR = 4.80), lower education (AOR = 0.54), violence/quarrel-related injuries (AOR = 2.60), motor vehicle accidents (AOR = 2.00), gunshot injuries (AOR = 8.61), and penetrating injuries (AOR = 0.34) were significantly associated with prehospital care use. Limited awareness and lack of emergency communication systems during initial contact and dispatch (Scene); scarce ambulances, long response times, and reliance on non-EMS transport in prehospital treatment and transportation (Transport); resource and personnel shortages that indirectly affect prehospital response within facility-based emergency care linkages (Facility); and the need for Advocacy and Public Education. Prehospital care utilization is sub-optimal, influenced by sociodemographic and injury-related factors. Qualitative insights reveal systemic and community challenges that warrant further investigation through larger, more representative studies.