OBJECTIVE To compare perinatal mortality, stratified for risk level, in home births attended by a relative or traditional birth attendant without formal training with births attended by trained personnel in a dispensary or hospital. STUDY DESIGN A prospective community based study in five villages in Northwestern Tanzania during 1990, involving 222 women delivering at home and 199 in a dispen...

background hospital personnel of services related to donation and transplantation process play a fundamental role in the development of transplantation. objectives the aim of this study was to investigate the attitude toward living liver donation (lld) among hospital personnel from services related to donation and transplantation in hospital centers in spain and latin america. materials and met...

Objectives. Studies have demonstrated the adverse effects of emergency department (ED) boarding. This study examines the impact of resource utilization, throughput, and financial impact for psychiatric patients awaiting inpatient placement. Methods. The authors retrospectively studied all psychiatric and non-psychiatric adult admissions in an Academic Medical Center ED (>68,000 adult visits) fr...

BACKGROUND There has been no previous study into the state of emergency medicine in Azerbaijan. As a legacy of the Soviet Semashko system, the "specialty" model of emergency medicine and integrated emergency departments do not exist here. Instead, pre-hospital emergency care is delivered by ambulance physicians and in-hospital care by individual departments, often in specialty hospitals. Emerge...

INTRODUCTION Maternal thoracic trauma during labor is extremely rare. CASE PRESENTATION A woman was presented at the Accident and Emergency Department complaining of pain over the lower thorax bilaterally which started after a difficult delivery when the obstetrician forced her lower thorax. Small right-sided haemothorax and rib fractures bilaterally were diagnosed and she was admitted to hos...

A critical element in the mission of health care organizations is high quality health care. Organizationally, the hospital enterprise is a hierarchical structure that has separate functional charges, lines of authority, and personnel resources for quality improvement and emergency management. The overall umbrella of safety and health care delivery can be viewed to encompass quality improvement ...

OBJECTIVE The objectives of this study were to develop a novel training model for using mass-casualty incident (MCI) scenarios that trained hospital and prehospital staff together using Microsoft Visio, images from Google Earth and icons representing first responders, equipment resources, local hospital emergency department bed capacity, and trauma victims. The authors also tested participants'...

Recent studies conclude that early and specialized prehospital management contributes to emergency case survival. Ambulance personnel, who usually are the first to handle emergency situations, do not have the required theoretical knowledge and experience. Financial and practical reasons do not allow the participation of specialized physicians on ambulance vehicles. We have developed a portable ...

STUDY OBJECTIVE We performed an assessment of hospital preparedness for weapons of mass destruction (WMD) incidents in Federal Emergency Management Agency (FEMA) Region III. METHODS Interviews of hospital personnel were completed in 30 hospitals. Data collected included level of preparedness, mass decontamination capabilities, training of hospital staff, and facility security capabilities. ...