The International Journal of Emergency Medicine: a new journal for a new era

Decker, Wyatt W.; Ganti, Latha

doi:10.1007/s12245-008-0017-3

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…Emergency medicine is officially recognized as a specialty in nearly 50 countries around the world including India in 2009. [ 2 3 ] The problems, challenges and practices of emergency are globally similar. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study

Barot

Malhotra

Rana

et al. 2013

J Basic Clin Pharma

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Background and Objectives:The practice of emergency medicine has the primary mission of evaluating, managing and providing treatment to those patients with unexpected injury or illness. Instituting appropriate therapy is necessary for safety of the patients and to decrease mortality and morbidity. The objectives were to study the drug utilization pattern and direct cost of therapy in emergency medicine department of a tertiary care teaching hospital.Materials and Methods:Data of the patients admitted to emergency medicine department was collected prospectively for 48 h from the time of admission over 2 months. The prescriptions were analyzed for drug use pattern and direct cost of therapy was calculated.Results:A total of 156 patients received 1635 drugs with the mean of 9.99 ± 2.55 drugs/patient. Most common diagnosis was acute coronary syndrome 35 (21.79%). Ondansetron 135 (86.53%) was most frequently prescribed drug followed by pantoprazole 133 (85.25%) and furosemide 68 (43.58%). Amongst antimicrobials ceftriaxone 51 (32.69%) was the most commonly prescribed drug. Direct cost of treatment per patient for the first 48 h was र 4051 ± 1641.Conclusion:Ondansetron and pantoprazole were the most commonly prescribed drugs in the emergency department. However, their use in all patients was not justified. Polypharmacy was prevalent. A closer look at the rationality of therapy would help in highlighting issues involved and would be helpful to authorities in deciding prescribing policies.

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Section: Introductionmentioning

confidence: 99%

Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study

Barot

Malhotra

Rana

et al. 2013

J Basic Clin Pharma

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“…Traumatic brain injuries (TBIs) continue to be a twenty-first century scourge that remains subterranean and mostly invisible in our societies [ 1 – 3 ]. These types of injuries represent only one of the myriad of emergency medical challenges faced daily and are ones that require policy redress regionally, nationally, and internationally [ 4 ]. War conflicts, firearms, violent assaults, vehicular dependence, high-risk sports participation, and public values and choices have contributed to this population health challenge with dire implications for health care costs and quality of life for its victims and society [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Towards systemic sustainable performance of TBI care systems: emergency leadership frontiers

Denis

2010

Int J Emerg Med

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BackgroundTraumatic brain injuries (TBIs) continue as a twenty-first century subterranean and almost invisible scourge internationally. TBI care systems provide a safety net for survival, recovery, and reintegration into social communities from this scourge, particularly in Canada, the European Union, and the USA.AimsThis paper examines the underlying issues of systemic performance and sustainability of TBI care systems, in the light of decreasing care resources and increasing demands for services.MethodsThis paper reviews the extant literature on TBI care systems, systems reengineering, and emergency leadership literature.ResultsThis paper presents a seven care layer paradigm, which forms the essence of systemic performance in the care of patients with TBIs. It also identifies five key strategic drivers that hold promise for the future systemic sustainability of TBI care systems.ConclusionsTransformational leadership and engagement from the international emergency medical community is the key to generating positive change. The sustainability/performance care framework is relevant and pertinent for consideration internationally and in the context of other emergency medical populations.

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“…It is still described as ‘new’ and very much seen as a specialty that is evolving, rather than a static domain of knowledge and skills with rigid boundaries. In reality, the fundamentals of emergency treatment in mitigating the effects of acute illness and injury go back to ancient times . This is evidenced by descriptions of the urgent management of acute pain with analgesics, splinting of injured limbs, and more sophisticated procedures, such as the removal of kidney stones and craniotomies.…”

mentioning

confidence: 99%

“…In reality, the fundamentals of emergency treatment in mitigating the effects of acute illness and injury go back to ancient times. 1 This is evidenced by descriptions of the urgent management of acute pain with analgesics, splinting of injured limbs, and more sophisticated procedures, such as the removal of kidney stones and craniotomies. The treatments at that time were limited, but the application of these skills brought relief to many people (and a little pain).…”

mentioning

confidence: 99%

International emergency medicine: Past and future

Cameron

2014

Emerg Medicine Australasia

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Much has been written about the development of emergency medicine (EM) and its impact on the medical system as a whole. It is still described as 'new' and very much seen as a specialty that is evolving, rather than a static domain of knowledge and skills with rigid boundaries. In reality, the fundamentals of emergency treatment in mitigating the effects of acute illness and injury go back to ancient times.1 This is evidenced by descriptions of the urgent management of acute pain with analgesics, splinting of injured limbs, and more sophisticated procedures, such as the removal of kidney stones and craniotomies. The treatments at that time were limited, but the application of these skills brought relief to many people (and a little pain). The practitioners were generalists and did not limit themselves to emergency treatment alone.Over the past half-century, there has been an acceleration of development in emergency medical treatments and a massive explosion in emergency medical system enhancement. This has resulted in a unique body of knowledge and skills, with the evolution of a new medical specialty specific to the delivery of emergency medical care. It is worth reflecting on the drivers for EM specialisation, where the specialty has come from, and what we can expect as the complexity of medical care increases with technological innovation and social changes associated with increasing connectivity.

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The International Journal of Emergency Medicine: a new journal for a new era

Cited by 3 publications

References 3 publications

Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study

Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study

Towards systemic sustainable performance of TBI care systems: emergency leadership frontiers

International emergency medicine: Past and future

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