A perspective on emergency medicine in the developing world

Morton, Terrence D.

doi:10.1016/0736-4679(92)90279-3

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…Butterfly IV catheters were placed in the hands of each patient, and then adults received a standard IV "recipe" of atropine 1.2 mg, diazepam 10 mg over 1 minute, then ketamine 100 mg over 1 minute. This loading regimen provided 10-15 minutes of complete analge-I FIGURE 3. This Papua New Guinea highlander was struck with a machete.…”

Section: Operating Theatresmentioning

confidence: 99%

Emergency Medicine Expeditions to the Developing World: The Loma Linda University Experience in Papua New Guinea

Clem

Green

1996

Academic Emergency Medicine

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Emergency physicians (EPs) are increasingly participating in international medicine in regions that are chronically medically underserved. In August 1994, a ten‐member emergency medicine team from the Loma Linda University School of Medicine staffed a 70‐bed bush hospital in the primitive highlands of Papua New Guinea, providing both outpatient and inpatient medical care. Typhoid fever, malaria, polio, and numerous other infectious diseases were encountered. Rampant local tribal warfare resulted in regular penetrating injuries from arrows, spears, and machetes. The expedition was judged highly successful, in that 1) substantial medical service was provided to tribespeople accustomed to minimal care, 2) education was provided to local health care providers, and 3) team participants became adept at managing medical conditions uncommon in industrialized societies, and gained valuable ethical and utilitarian perspectives regarding health care delivery in underserved areas. In this article the objectives, organization, and experiences of the team members are described. This information may encourage other EPs to participate in medical expeditions to the developing world, and to provide general principles to assist in their organization and implementation.

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Section: Operating Theatresmentioning

confidence: 99%

Emergency Medicine Expeditions to the Developing World: The Loma Linda University Experience in Papua New Guinea

Clem

Green

1996

Academic Emergency Medicine

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“…8 The most common type of emergency health care facility used in well-established EM systems is having the ED be part of, and physically located within, a multiservice hospital. Under some circumstances, however, it may certainly be appropriate to develop freestanding emergency care facilities, such as those currently operating in China and Croatia.…”

Section: Clinical Ed Developmentmentioning

confidence: 99%

Planning Recommendations for International Emergency Medicine and Out‐of‐hospital Care System Development

Holliman

VanRooyen

Green

et al. 2000

Academic Emergency Medicine

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Abstract.Objectives: To present suggestions on planning for development of emergency medicine (EM) and out-of-hospital care in countries that are in an early phase of this process, and to provide basic background information for planners not already familiar with EM. Methods: The techniques and programs used by the authors and others in assisting in EM development in other countries to date are described. Conclusions: Some aspects of EM system development have applicability to most countries, but other aspects must be decided by planners based on country-specific factors. Because of the very recent initiation of many EM system development efforts in other countries, to the authors' knowledge there have not yet been extensive evaluative reports of the efficacy of these efforts. Further studies are needed on the relative effectiveness and cost-benefit of different EM development efforts. Key words: emergency medicine development; international emergency medicine; system development; EMS systems. ACA-DEMIC EMERGENCY MEDICINE 2000; 7:911-917 T HE specialty of emergency medicine (EM) is only now beginning to develop in a number of countries throughout the world, and in fact is a relatively new specialty even in countries where it is currently well established. For countries considering developing EM and for those just starting this process, to our knowledge there have not been previously published planning recommendations The goal of this article is to present general recommendations for development planning for the specialty of EM 1 that would be applicable to any country considering, or having already started, this specialty. We suggest sequential steps that can be considered by planners interested in developing EM and out-of-hospital care [or emergency medical services (EMS) systems] within any country. Our intended audience includes policy makers, government officials, and educators who may not necessarily already be familiar with EM as a specialty.Our suggestions are based on our collective experience involving assistance with EM system development in more than 20 countries. We acknowledge and emphasize that the content of this article is based solely on our experience, and the results of our development efforts to date have not been validated by published research studies. However, we hope that this paper will be useful in assisting and facilitating EM development in other countries and make the initial process easier and quicker for those involved. We also hope that this article will help planners avoid some of the mistakes and pitfalls that occurred during EM development in INTERNATIONAL EMHolliman et al.• EM DEVELOPMENT RECOMMENDATIONS countries where the specialty is now well established. Our interest in EM system development stems from a desire to promote optimum emergency patient care and quality EM clinical training programs, and not from a desire to promote any particular medical or cultural system. Not all of the features or considerations mentioned here will be applicable to, or adoptable by, all c...

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Conceptual Framework for International Pediatric Emergency Medicine Physician Exchange Programs

Hennes

Bandyopadhyay

2012

Clinical Pediatric Emergency Medicine

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A perspective on emergency medicine in the developing world

Cited by 6 publications

References 4 publications

Emergency Medicine Expeditions to the Developing World: The Loma Linda University Experience in Papua New Guinea

Emergency Medicine Expeditions to the Developing World: The Loma Linda University Experience in Papua New Guinea

Planning Recommendations for International Emergency Medicine and Out‐of‐hospital Care System Development

Conceptual Framework for International Pediatric Emergency Medicine Physician Exchange Programs

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