Hot topics in international emergency medicine

Arnold, L. Kristian; Fernandez, William G.; Altman, R. Scott

doi:10.1016/j.emc.2004.09.009

Cited by 3 publications

(3 citation statements)

References 65 publications

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“…Doney and Macias examine this recent growth of emergency medicine by region and note the universality of underlying challenges [3,13]. In a comprehensive overview, Arnold et al recently categorised important current topics in international emergency medicine by type of illness, systems development issues and resources needed [5]. While some consider emergency medicine an inefficient use of such limited resources, others argue that the need to provide acute care is undeniable [12].…”

Section: Discussionmentioning

confidence: 98%

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An attempt to measure the spread of emergency medicine internationally

et al. 2007

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A survey of international EM is challenging to achieve because of difficulty in both identifying and in contacting potential respondents. Based on sparse data, population density (urban, rural) appears to be related to both the location to which acutely ill patients are taken for their care and to the level of technology available. The specialty of EM is now recognised internationally and education in EM is common.

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Section: Discussionmentioning

confidence: 98%

“…Formal emergency medical care delivery and educational systems, while relatively new phenomena, are rapidly expanding internationally [3][4][5][6]. Emergency medicine as a specialty appears to be in varying stages of development in different parts of the world [3,6].…”

Section: Introductionmentioning

confidence: 99%

An attempt to measure the spread of emergency medicine internationally

et al. 2007

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“…There is an urgent need to determine key strategies to help guide EM development in the developing world 12 . These must be practical, take into account existing health care systems, and allow direct integration into these systems 8,13 . Although the World Health Organization has published guidelines for the core components of a prehospital service and for trauma care, there are no holistic guidelines for EM services or a roadmap for establishment of emergency services in low‐ and middle‐income countries 7,14…”

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confidence: 99%

Emergency Medicine in the Developing World: A Delphi Study

Hodkinson

Wallis

2010

Academic Emergency Medicine

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Objectives: Emergency medicine (EM) as a specialty has developed rapidly in the western world, but remains largely immature in developing nations. There is an urgent need for emergency services, but no clear guidelines are available on the priorities for establishing EM in the developing world. This study seeks to establish consensus on key areas of EM development in developing world settings, with respect to scope of EM, staffing needs, training requirements, and research priorities.Methods: A three-round Delphi study was conducted via e-mail. A panel was convened of 50 EM specialists or equivalent, with experience in or interest in EM in the developing world. In the first round, panelists provided free-text statements on scope, staffing, training, and research priorities for EM in the developing world. A five-point Likert scale was used to rate agreement with the statements in Rounds 2 and 3. Consensus statements are presented as a series of synopsis statements for each of the four major themes.Results: A total of 168 of 208 statements (81%) had reached consensus at the end of the study. Key areas in which consensus was reached included EM being a specialist-driven service, with substantial role for nonphysicians. International training courses should be adapted to local needs. EM research in developing countries should be clinically driven and focus on local issues of importance. Conclusions:The scope and function of EM and relationships with other specialties are defined. Unambiguous principles are laid out for the development of the specialty in developing world environments. The next step required in this process is translation into practical guidelines for the development of EM in developing world settings where they may be used to drive policy, protocols, and research.ACADEMIC EMERGENCY MEDICINE 2010; 17:765-774 ª

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Iraqi community members' knowledge, attitude and practice of emergency medical care: assessing civilian emergency medicine in an area of conflict

Shanovich

Donaldson

Hung

et al. 2011

Medicine, Conflict and Survival

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The objective of this article is to assess community member knowledge, attitude, and practice of emergency medical care in Baghdad, Iraq. We performed a randomized, cluster-based, household Knowledge, Attitude, and Practice (KAP) survey regarding pre-hospital and hospital-based emergency medical care among Baghdad community members. A total of 1172 individuals participated in the survey. While most (93.5%) understood that for a serious injury, one should go to the hospital within three hours, only half (50.6%) felt that ambulances were beneficial and only 5% knew that there was a number to call in case of medical emergency. Regarding attitudes, only half (50.2%) of those interviewed felt an ambulance would arrive within an hour, while higher proportions of people believed that paramedics (59.1%) and medical staff working in emergency departments were adequately trained (71.5%). In terms of practice, most Iraqis responded that they would seek care in a hospital (84.8-90.0%) by means other than an ambulance (98.0-99.2%). However, if an ambulance arrived, 77% would allow it to transport their friends/family and 73.5% would trust the medical staff in the hospital to appropriately treat them. Our conclusion is that emergency medical care in Iraq is still in the development phase. Although numerous ambulances have been commissioned, scores of paramedics have been trained, and staff working in Baghdad Emergency Departments have undergone updates in their practice, the public does not appear to be fully informed of these changes. Future developments in Iraqi emergency medical care should include targeted efforts to expand the public awareness of such services.

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Hot topics in international emergency medicine

Cited by 3 publications

References 65 publications

An attempt to measure the spread of emergency medicine internationally

An attempt to measure the spread of emergency medicine internationally

Emergency Medicine in the Developing World: A Delphi Study

Iraqi community members' knowledge, attitude and practice of emergency medical care: assessing civilian emergency medicine in an area of conflict

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