physical design of the emergency department (ed) has an important effect on its role and function. to date, no guidelines have been introduced to set the standards for the construction of eds in iran. in this study we aim to devise an easy-to-use tool based on the available literature and expert opinion for the quick and effective assessment of eds in regards to their physical design. for this ...

background incomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. discharge against medical advice (dama) in emergency department (ed) is critical for hospitals. this paper aims to explore the underlying reasons behind dama in ed of four teaching hospitals in kerman, iran.   methods this was a cross-sectional study in which the samples were drawn...

introduction: midazolam has turned into a common drug for pediatric procedural sedation and analgesia. however, there is not much data regarding its proper dose and potential side effects in the iranian children population. therefore, the present study was done to compare 2 doses of iv midazolam in this regard. methods:  the present clinical trial was performed to compare 0.1 and 0.3 mg/kg dose...

objective: to validate the triage ratings performed by the electronic triage system (ets) using hospitalization, length of stay, resource use, in-hospital mortality and patient bills as outcome measures. methods: in this retrospective cross-sectional study the medical records of 387 patients were reviewed in a one-week period. the data included triage category and the outcome measures were hosp...

Objective:  Patient satisfaction is one of the most important indicators for measuring the quality of emergency services and health care. The purpose of this study was to evaluate the patients’ satisfaction in the emergency department (ED)...

Objective: Emergency department is the most important part of a hospital and it seems that 24-hour presence of emergency medicine specialist can be effective in improving the performance of this ward. Therefore, the present study was performed with the aim of studying the effect of 24-hour presence of emergency medicine specialists in the emergency department of Shahid Bahonar ...

conclusions emergency medical services should be considered as a system with its independent components. establishing an independent ems organization, integrating pre-hospital and hospital emergency under single supervision and management, as well as, extending the possibility of providing ems through private sector are essential in order to make fundamental reforms in providing emergency medic...

conclusions the delay time from symptom onset to hospital admission was high in patients with ami. it is necessary to create emergency medical system (ems) stations in suburbs and train the public on the importance of quick contact with the ems when the symptoms of an ami are observed. results the median delay was 129 minutes (mean ± sd, 240.44 ± 295.30). overall, 32.5% of patients were admitte...

introduction: acute coronary syndrome accounts for more than 15% of the chest pains. recently, hess et al. developed north american chest pain rule (nacpr) to identify very low-risk patients who can be safely discharged from emergency department (ed). the present study aimed to validate this rule in eds of two academic hospitals. methods: a prospective diagnostic accuracy study was conducted on...

introduction: despite radiography being the gold standard in evaluation of orthopedic injuries, using bedside ultrasonography has several potential supremacies such as avoiding exposure to ionizing radiation, availability in pre-hospital settings, being extensively accessible, and ability to be used on the bedside. the aim of the present study is to evaluate the diagnostic accuracy of ultrasono...