Medication storage in Emergency Medical Services : temperature ranges from a South African sample

dc.contributor.authorWylie, Craig A.en_ZA
dc.contributor.authorRambharose, Sanjeeven_ZA
dc.contributor.authorEbrahim, Ismaeelen_ZA
dc.contributor.authorHickman, Nickyen_ZA
dc.contributor.authorWallis, Lee Aen_ZA
dc.contributor.authorStassen, Willemen_ZA
dc.date.accessioned2021-08-04T08:06:54Z
dc.date.available2021-08-04T08:06:54Z
dc.date.issued2021
dc.descriptionCITATION: Wylie, C. A., et al. 2021. Medication storage in Emergency Medical Services : temperature ranges from a South African sample. South African Journal of Pre-hospital Emergency Care, 2(1):2-6, doi:10.24213/2-1-4480.
dc.descriptionThe original publication is available at https://www.journals.ac.za/index.php/sajpec/
dc.description.abstractBackground: Pre-hospital emergency care providers working in emergency medical services (EMS) are licenced to administer medication to the acutely ill and injured. In South Africa, there are significant seasonal variations in temperature, sometimes far exceeding the recommended medication storage temperature. The aim of this study was to determine the summer temperature ranges inside select emergency vehicles and storage facilities in four provinces in South Africa. Methods: A prospective, observational study was conducted in four (Cape Town, Western Cape; Johannesburg, Gauteng; Durban, KwaZulu-Natal; Potchefstroom, North West) provinces during the summer (February – March) months of 2019. A continuous temperature monitoring device was placed in the medication storage room, the response vehicle drug bags, and an ambulance at a single private EMS base in each of the provinces. Temperature data were recorded in fifteen-minute intervals. The data were extracted after six weeks and subjected to descriptive analysis. Data were also analysed in six-hourly strata to account for daily temperature variations. Results: A total of 36 002 temperature readings were recorded during the study period. The mean (range) temperature across the four bases was 25.4°C (13.1–56.8) for ambulances, 25.7°C (13.3–49.1) for primary response vehicles, and 24.4°C (17.3–33.9) for medication storage facilities. The highest mean (range) temperatures, of 33.7°C (20.4–47.9), were recorded in a Johannesburg-based primary response vehicle between 12h00 and 18h00. Conclusion: Current medication storing and transporting practices not maintain temperatures according to the recommended storage conditions. Further investigation should address the implication of temperature fluctuations on medication degradation, and a sustainable, cost-effective solution should be developed to store medication in the pre-hospital setting.en_ZA
dc.description.urihttps://www.journals.ac.za/index.php/sajpec/article/view/4480
dc.description.versionPublisher's version
dc.format.extent5 pagesen_ZA
dc.identifier.citationWylie, C. A., et al. 2021. Medication storage in Emergency Medical Services : temperature ranges from a South African sample. South African Journal of Pre-hospital Emergency Care, 2(1):2-6, doi:10.24213/2-1-4480
dc.identifier.issn2709-3786 (online)
dc.identifier.otherdoi:10.24213/2-1-4480
dc.identifier.urihttp://hdl.handle.net/10019.1/110799
dc.language.isoen_ZAen_ZA
dc.publisherEmergency Care Society of South Africa
dc.rights.holderAuthors retain copyright
dc.subjectMedication storage -- Temperature control -- South Africaen_ZA
dc.subjectEmergency Medical Services (EMS) -- South Africaen_ZA
dc.titleMedication storage in Emergency Medical Services : temperature ranges from a South African sampleen_ZA
dc.typeArticleen_ZA
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