From the *Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, RI; †Department of Anesthesia Emergency Medicine and Critical Care, University of Rwanda; and ‡Service d'Aide Médicale Urgente, Kigali, Rwanda; §Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; ∥University of Rwanda College of Medicine and Health Sciences; and ¶Department of Surgery, University Teaching Hospital-Kigali, Kigali, Rwanda; and #Department of Surgery, Virginia Commonwealth University, Richmond, VA.
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