BACKGROUND Burns constitute one of the most important, potentially fatal types of trauma. Appropriate emergency management is essential in the avoidance of complication and the success of treatment. Emergency management and indications of transfer throughout the country were reviewed in the present study. METHODS Charts of 187 patients transferred to the present hospital from other cities bet...

background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

Abstract Background Prehospital care for patients with traumatic brain injury (TBI) varies some emergency medical systems recommending direct transport of moderate to severe TBI hospitals specialist neurotrauma (SNCs). The aim this study is assess variation in levels early secondary referral within European SNCs and compare the outcomes directly admitted secondarily transferred patients. Method...

This is a qualitative survey with a hermeneutic-dialectic frame of reference, designed to identify how parents and caregivers see the attribute 'coordination' in children's healthcare, in terms of resolving problems in children's health. The interview was held with 16 people responsible for care of children under one year of age, served in Emergency Care Units of a municipality in the south of ...

BACKGROUND Pregnancy complications can be unpredictable and many women in developing countries cannot access health facilities where life-saving care is available. This study assesses the effects of referral interventions that enable pregnant women to reach health facilities during an emergency, after the decision to seek care is made. METHODS AND FINDINGS Selected bibliographic databases wer...

BACKGROUND Early detection and appropriate intervention for children with hearing impairment is important for maximizing functioning and quality of life. The lack of ear and hearing services in low income countries is a significant challenge, however, evidence suggests that even where such services are available, and children are referred to them, uptake is low. The aim of this study was to ass...

BACKGROUND This cross-sectional study assessed factors affecting access to antiretroviral therapy (ART) among HIV-positive women from the prevention of mother to child transmission HIV programme in Chitungwiza, Zimbabwe. METHODS Data were collected between June and August 2008. HIV-positive women attending antenatal clinics who had been referred to the national ART programme from January 2006...

Preventable maternal mortality associated with obstetric hemorrhage is a human tragedy that mainly occurs in low and middle-income countries (LMIC). Massive blood loss leads to hypovolemic shock, which decreases blood flow and therefore oxygen to tissues in the heart, lungs, and brain. Women can rapidly develop disseminated intravascular coagulopathy, tissue anoxia, single or multiple organ fai...