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...

MEDICINE & HEALTH/RHODE ISLAND Lawrence Proano, MD, DTMH, is Clinical Associate Professor of Emergency Medicine, Department of Emergency Medicine, Division of International Emergency Medicine. Robert Partridge, MD, MPH, is Adjunct Associate Professor of Emergency Medicine ,Department of Emergency Medicine, Division of International Emergency Medicine. Both are at the Warren Alpert Medical Schoo...