1 Departments of Emergency and Surgery, Emergency Surgery and Trauma Surgery Unit, Trauma Center, Maggiore Hospital–Bologna Local Health District, Bologna, Italy, 2 Department of Radiology, Maggiore Hospital–Bologna Local Health District, Bologna, Italy, 3 Department of Emergency and Transplant Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy, 4 Addington Hospital, Durban, KwaZul...

BACKGROUND Emergency departments (EDs) are increasingly overcrowded by walk-in patients. However, little is known about health-economic consequences resulting from long waiting times and inefficient use of specialised resources. We have evaluated a quality improvement project of a Swiss urban hospital: In 2009, a triage system and a hospital-associated primary care unit with General Practitione...

Abstract Aims Ever increasing number of A&E attendance and admissions cause immense strain on hospital beds with drainage our finite health resources. This prompted the need for implementation review alternative schemes: Surgical Emergency Assessment Unit (SEAU) ‘Emergency Surgeon Week’ (ESW) its impact depleted system. Patients Method Retrospective analysis a prospectively collected data f...

The functional and structural reordering of the accident and emergency services is a priority for hospital management staffs. A true reordering must be based on the following questions: 1.Demand for accident and emergency care is predictable. 2.The way the hospital deals with this can be improved. 3.Hospitals have the responsibility of setting up patient control mechanisms as an alternative to ...

From the Clinical Research Unit, Kaiser Permanente Colorado, the Department of Preventive Medicine and Biometrics, and the Division of Emergency Medicine, University of Colorado Health Sciences Center, Denver, CO (Magid); the Department of Emergency Medicine, Regions Hospital and HealthPartners Research Foundation, and the Department of Emergency Medicine, University of Minnesota Medical School...

OBJECTIVES This study aimed to determine the reasons for long stays in monitoring units and to propose a solution. METHODS The patients who were followed in monitoring units of emergency service and the factors affecting the length of their hospital stay were analyzed retrospectively. Demographic features, their initial complaint that lead to monitoring, diagnosis, their means of arrival to e...

This qualitative empirical study discusses the material and organizational conditions of work by pediatricians in a public emergency service, with the aim of identifying factors that affect care. The work was studied using group interviews and direct observation in the emergency unit. The results were compared with statistical and historical data from documental research. Forty-four pediatricia...

To determine number, demographic characteristics and presenting symptoms of patients admitted to Emergency ophthalmologic department of Zagreb University hospital centre. Prospective analysis of data of 743 patients admitted to Emergency ophthalmologic department of University hospital centre Zagreb during period of 10 month. Main presenting symptoms at admission were red eye, pain and foreign ...

OBJECTIVE To delineate the clinical features of traumatic adrenal haematoma, to help emergency physicians recognise the condition early and so to prevent adrenal crisis. METHODS Review of the records of all patients admitted to Chi-Mei Medical Center, Tainan, Taiwan, with traumatic torso injuries, between 1 August 2003 and 31 August 2005. Of the 305 patients reviewed, 8 had adrenal haematoma....

OBJECTIVE To determine whether introducing chest pain unit care reduces emergency admissions without increasing reattendances and admissions over the next 30 days. DESIGN Cluster randomised before and after intervention trial. SETTING 14 diverse acute hospitals in the United Kingdom. PARTICIPANTS Patients attending the emergency department with acute chest pain during the year before and ...