Epidemiology and Practice of Emergency Medicine in a Developing Country

Kirsch, Thomas D.; Hilwig, Wilhelmus K; Holder, Yvette; Smith, Gordon S.; Pooran, Suresh; Edwards, Rawle

doi:10.1016/s0196-0644(95)70087-0

Cited by 34 publications

(23 citation statements)

References 8 publications

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“…In some settings, the wait and ED stay times have been found to be short compared with United States experiences without apparent negative impact on outcomes [10]. The National Center for Health Statistics of the Centers for Disease Control published a preliminary report showing an increase in ED visits concomitant with a decreasing number of EDs in the United States [85].…”

Section: Emergency Medicine Systems Developmentmentioning

confidence: 99%

“…This percentage is likely much larger in developing countries than in highly developed countries for a variety of reasons from public education to availability of affordable care. cited by conference presenters from various countries [9] and from topics treated in the literature [10]. This article serves as a brief introduction to the issues and literature around these topics.…”

mentioning

confidence: 99%

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Hot topics in international emergency medicine

Arnold¹,

Fernandez

Altman

2005

Emergency Medicine Clinics of North America

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Section: Emergency Medicine Systems Developmentmentioning

confidence: 99%

mentioning

confidence: 99%

Hot topics in international emergency medicine

Arnold¹,

Fernandez

Altman

2005

Emergency Medicine Clinics of North America

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“…It is most helpful if these physicians understand the scope of EM and have developed their knowledge and skills to encompass broad-based EM practice. 10 It is also important that these core faculty have the responsibility, autonomy, and authority necessary to effectively serve as advocates for emergency patients, and be able to settle interdisciplinary disagreements in the ED.…”

Section: Emergency Health Care Personnel Trainingmentioning

confidence: 99%

“…Establishing an effective EM system might then enable the national health care system to reduce health care expenditures by reducing unnecessary (and expensive) hospital admissions. 10 As part of the planning process to develop EM, detailed analyses of the development costs will need to be done so early financing can be arranged and ensured. 18 The initial EM core faculty could be selected from physicians who are already in practice and would usually already be salaried by the hospitals.…”

Section: Funding Sources For Development Of Emmentioning

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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“…5,6 This trend toward traumatic and vascular disease supports the need for both out-of-hospital and emergency care.…”

Section: History and Development Of Ems In Chinamentioning

confidence: 99%

Emergency Medical Services in China

Thomas

Clem

1999

Academic Emergency Medicine

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Abstract. The objective of this article is to identify and describe Chinese emergency medical services (EMS) components. Chinese EMS system development began in the 1980s with ''importing'' of EMS principles from other systems. China is now attempting to unify these principles. Chinese EMS systems are absent in most rural areas. Urban ambulance dispatch or ''rescue'' centers provide both transport and inpatient care. Ambulances are staffed with either a physician or a driver. There is not extensive overlap between hospital emergency physicians and ambulance physicians and no out-of-hospital providers at the paramedic or emergency medical technician level exist. Access to EMS is accomplished by dialing 1-2-0. Emergency calls go directly to the rescue center and a physician is dispatched. No on-line radio communication between hospitals and ambulances typically takes place. China has assimilated both traditional and unique EMS components and is undergoing development. It remains unclear whether a systematized EMS structure will emerge.

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Epidemiology and Practice of Emergency Medicine in a Developing Country

Cited by 34 publications

References 8 publications

Hot topics in international emergency medicine

Hot topics in international emergency medicine

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

Emergency Medical Services in China

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