The paradigm of Emergency Medicine (EM) is to provide the right care at the right time in the right place by the right professionals. This requires a combination of key service elements to be brought together, including triage, resuscitation, mobile response units (ambulances, trauma helicopters, blue lights) and out of duty services. In Holland, integration of Emergency Medicine has been empha...

BACKGROUND Emergency department access block is a growing problem in emergency departments across Canada. Access block is defined as hospital occupancy >85% causing emergency department overcrowding. Hospital overcrowding leads to prolonged emergency department wait times, and delays in the transfer of admitted patients from the emergency department to inpatient beds. The relationship between e...

Current System of Care Emergency Medical Services System Design Prehospital EMS systems have 3 major components: emergency medical dispatch, public safety (fire and law enforcement) first response, and EMS ambulance response. Each of these operates within a broader emergency care system, which includes acute care facilities and regionalized healthcare services. In most states, an EMS regulatory...

BACKGROUND The municipalities are responsible for the emergency primary health care services in Norway. These services include casualty clinics, primary doctors on-call and local emergency medical communication centres (LEMC). The National centre for emergency primary health care has initiated an enterprise called "The Watchtowers", comprising emergency primary health care districts, to provide...

BACKGROUND Mental health presentations are considered to be a difficult aspect of emergency care. Although emergency department (ED) staff is qualified to provide emergency mental health care, for some, such presentations pose a challenge to their training, confidence, and time. Providing access to relevant and responsive specialist mental health care can influence care and management for these...

BACKGROUND Emergency department-based palliative care services are increasing, but research to develop these services rarely includes input from emergency clinicians, jeopardizing the effectiveness of subsequent palliative care interventions. AIM To collaboratively identify with emergency clinicians' improvement priorities for emergency department-based palliative care for older people. DES...

BACKGROUND Emergency care research is rarely undertaken in low- and middle-income countries. A manageable 'road map' for research in South African (SA) emergency care is needed to address research gaps. OBJECTIVE To identify, collate and prioritise research topics from identified knowledge gaps in emergency care in SA. METHODS Seventy-six individuals were invited to participate in a modifie...

introduction: ambulatory care is an inseparable part of health care system. it is commonly considered as the entrance of the patient to the health care system. high qualify ambulatory care has an important role in reducing mortality and morbidity rates. on the other hand, quality of information has an important role in the quality and safety of ambulatory health care. it is hence necessary to p...