BACKGROUND Although increasing staff numbers during shifts when emergency department (ED) crowding is severe can help meet patient demand, it remains unclear how different types of added staff, particularly junior residents, may affect crowding. METHODS To identify associations between types of staff and ED crowding, we conducted a cross-sectional, single-center study in the ED of a large, te...

1 School of Pharmacy, Section of Experimental Medicine, University of Camerino, P.zza dei Costanti, 63032, Camerino, Macerata, Italy; E-Mails: [email protected] (S.L.); [email protected] (M.B.M.); [email protected] (C.A.); [email protected] (V.F.); [email protected] (M.N.); [email protected] (G.S.) 2 Department of Molecular Medicine, Sa...

Background London’s ‘Major Trauma Network’ was established in April 2010, and comprises four ‘Major Trauma Centres’ (MTCs) – each offering all trauma-related specialties under one roof. Healthcare for London produced an algorithmic ‘Major Trauma Decision Tree’ to help emergency healthcare professionals decide where to convey patients, in order to offer the most suitable care for their needs. Th...

Cancer, fertility and pregnancy: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up G. Pentheroudakis, R. Orecchia, H. J. Hoekstra & N. Pavlidis On behalf of the ESMO Guidelines Working Group* Department of Medical Oncology, Ioannina University Hospital, Ioannina, Greece; Department of Radiation Oncology, European Institute of Oncology and University of Milan, Milan, Italy...

Emergency department (ED) crowding is a serious problem in most tertiary hospitals in Korea. Although several intervention models have been established to alleviate ED crowding, they are limited to a single hospital-based approach. This study was conducted to determine whether the new regional intervention model could alleviate ED crowding in a regional emergency medical center. This study was ...

OBJECTIVES One marker of quality emergency medical services care is measured by meeting an 8-minute response time guideline. This guideline was based on results of paramedic response times for nontraumatic cardiac arrest patients and has not been studied in unselected patients. The objective of this study was to evaluate the effect of paramedic response time on survival to hospital discharge in...

Division of Neurological Surgery, University of California Medical Center, San Diego, California; Division of Neurosurgery, University of Texas Medical Branch, Galveston, Texas; Division of Neurosurgery, The University of Texas Medical School, Houston, Texas; Department of Neurosurgery, Bronx Municipal Hospital Center, Bronx, New York; and Department of Neurological Surgery, Ben Taub Medical Ce...

OBJECTIVES To characterize the beliefs and opinions of nursing home (NH) and emergency medicine providers about communication between NH and emergency departments (ED) during transitions of care of NH residents. DESIGN A cross-sectional study using a mailed and Internet survey. PARTICIPANTS AND SETTING Physicians, nurse practitioners, physicians assistants, and nurses who practice in ED set...

N. Hoogerwerf, MD PhD, Medical Coordinator HEMS, Radboud University Medical Center, Nijmegen. J.P. Valk, MD, Medical Coordinator HEMS, University Medical Center Groningen. R.J. Houmes MD, Medical Coordinator HEMS Rotterdam H.M. Christiaans MD, Medical Coordinator HEMS, VU University Medical Center Amsterdam. L.M.G. Geeraedts jr. MD, Department of Surgery, VU University Medical Center Amsterdam....