Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in Thailand is currently not available in a useable form. A care bundle was used to summarise an evidence-based approach to the initial emergency nursing management of patients with severe TBI and was implemented in one Thai emergency department. The aim of this study was to describe Thai emerg...

Pediatric emergency medicine is evolving into a more clearly described area of medical care. The historical development and future challenges of this subspecialty are discussed. In addition, emergency care for children is reviewed closely, citing differences in the pediatric populations seen in pediatric emergency departments and general emergency departments.

Children who require emergency care have unique needs, especially when emergencies are serious or life-threatening. The majority of ill and injured children are brought to community hospital emergency departments (EDs) by virtue of their geography within communities. Similarly, emergency medical services (EMS) agencies provide the bulk of out-of-hospital emergency care to children. It is impera...

OBJECTIVE To investigate whether the reorganisation of out of hours primary care, from practice rotas to GP cooperatives, changed utilisation of primary and hospital emergency care. METHODS During a four week period before and a four week period after the reorganisation of out of hours primary care in a region in the south of the Netherlands all patient contacts with general practitioners and...

Rural populations rely on physicians trained in primary care to provide emergency services. Less is known about primary care’s contribution to emergency services in urban and suburban settings. Two-thirds of family medicine and three-fourths of general internal medicine Medicare claims for emergency care are generated in urban settings, demonstrating primary care’s significant contribution to t...

OBJECTIVES To conduct a systematic review to identify studies that describe factors and interventions at primary care practice level that impact on levels of utilisation of unscheduled secondary care. SETTING Observational studies at primary care practice level. PARTICIPANTS Studies included people of any age of either sex living in Organisation for Economic Co-operation and Development (OE...

There is a growing interest in the interface between emergency medicine and critical care medicine. Previous articles in this journal have looked at the opportunities and advantages of training in critical care medicine for emergency medicine trainees. In the UK there are a small number of emergency physicians who also have a commitment to critical care medicine. This article describes a person...

About the lead author (Dr Krug): I am a professor of pediatrics at the Northwestern University Feinberg School of Medicine and head the division of emergency medicine at Children’s Memorial Hospital in Chicago, Illinois. I currently serve as the chairperson for the American Academy of Pediatrics (AAP) Disaster Preparedness Advisory Council and am past-chair for both the AAP Committee on Pediatr...

urgent eye care services in the uk have been facing increasing number of attendances over the recent years with hospitals struggling to keep up with the demand. the high number of patients presenting to these services poses great challenges for their sustainability. inappropriate referrals, the introduction of the european working time directive for junior doctors, the “never refuse” policy...