The ongoing changes the system of emergency care (EC) in the Russian Federation (RF), especially its in-hospital component, require modifications of applicable laws. This paper analyzes past development and evaluates the current state of regulations pertinent to hospital-based EC in RF. We have reviewed and analyzed the regulatory statutes that governed hospital-based emergency care in Russia between 1735 and 2013. The study traces the development of past regulations (legal and normative acts) applicable to EC in RF. Main regulations currently in effect are characterized. At present, there already exists a body of laws supporting further modernization of hospital-based EC in Russia. Most recently, the legal foundation has been laid for previously novel concepts such as short-term observation, and for the creation of hospitalbased centers of EC. Work in progress involves active steps towards clinical recommendations and protocols for the envisioned new structure of EC in the RF. The paper will be of interest to professionals studying global emergency medicine development. It will help researchers and clinical practitioners in the fields of emergency medical care and healthcare management by understanding the link between regulatory deficiencies and barriers to improving emergency department operations.
developed a comprehensive management system which includes a database concerning patients, infrastructure, and personnel. "Meuhedet" also prepared the expansion of clinics' opening hours, personnel, and identified alternative sites for service provision. A computerized toolbox was developed that enables provision of primary care during disasters, to individuals not insured by the HMO. SOPs were developed to guide medical and management teams in using the system, and caregivers' documentation sets were prepared for electronic/ manual documentation of care given. Results: The computerized system is used by national, regional, and local administrations to control and monitor activities during crisis, as well as a vital toolbox for physicians and other health professionals to provide care for evacuated populations. Data concerning each patient and staff member can be accessed from every work site via internet connection, processed, and integrated as part of the treatment in any location in which medical care is being provided. Conclusion: Provision of effective medical care to evacuated populations requires access to information concerning the medical backgrounds and needs of the patients. The qcreation of a comprehensive information system in tandem with organizational SOPs, facilitates decision making, and improves the ability of primary care health care workers to provide efficient and continuous medical care to displaced populations. (SOP), specifically tailored to the unique situations in the NPS. The University of California, San Francisco-Fresno (UCSF Fresno) has provided EMS oversight to the Parkmedic program since its foundation, and serves as National EMS medical advisors to the NPS. Parkmedic level providers have an expanded SOP including drug administration and procedures that are uniquely tailored to NPS needs. To achieve this designation, an EMT must attend a 6-week course at UCSF Fresno. At the end of this course, they achieve an NPS Parkmedic and AEMT certification. To maintain Parkmedic certification, these providers must attend 72 hours of Continuous Education (CE) every two years. Continuous Quality Improvement is integral to the Parkmedic system. Some Parkmedic rangers will see less than ten patients in an entire season. In many parks, it is possible to review 100% of the EMS patient encounters to provide remediation, continuing education, and address system improvement issues. This poster presentation summarizes the NPS EMS system and provides an overview of continuing education, operations, and continuous quality improvement. Specific case studies will highlight the unique challenges that NPS EMS providers face, and how the NPS and Parkmedic program have adapted the SOP to address these challenges.
Virtual communities of practice (VCoPs) facilitate distance learning and mentorship by engaging members around shared knowledge and experiences related to a central interest. The American College of Emergency Physicians and Emergency Medicine Residents' Association's Global Emergency Medicine Student Leadership Program (GEM-SLP) provides a valuable model for building a VCoP for GEM and other niche areas of interest. This VCoP facilitates opportunities for experts and mentees affiliated with these national organizations to convene regularly despite barriers attributed to physical distance. The GEM-SLP VCoP is built around multiple forms of mentorship, monthly mentee-driven didactics, academic projects, and continued engagement of program graduates in VCoP leadership. GEM-SLP fosters relationships through (1) themed mentoring calls (career paths, work/life balance, etc); (2) functional mentorship through didactics and academic projects; and (3) near-peer mentoring, provided by mentors near the mentees' stage of education and experience. Monthly mentee-driven didactics focus on introducing essential GEM principles while (1) critically analyzing
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.