INTRODUCTION An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. METHODS Prospective observational study was carried out on 1964 patients attending Emergency Department at Patan Hospital during one month period of September 2006. The patients were specificall...

AIM OF THE STUDY Quality of cardiopulmonary resuscitation (CPR) is a critical determinant of outcome following out-of-hospital cardiac arrest. The aim of our study was to evaluate the quality of CPR provided by emergency medical service providers (Basic Life Support (BLS) capability) and emergency medical service providers assisted by paramedics, nurse anesthetists or physician-manned ambulance...

Background: Value of Corticosteroid Randomisation after Significant Head Injury (CRASH) prognostic model has not been assessed in children with traumatic brain injury (TBI). This study is designed to examine the value of CRASH model in prediction of 14-day mortality and 6-month unfavourable outcome of pediatric TBI. Materials and Methods: </stron...

Objective: Pregnancy is an important psychological and biological phenomenon in women’s life. Pregnancy has many complications jeopardizing the well-being of the mother and the child. Methods: In this retrospective study, the data including demographic information, chief complaint, the initial diagnosis, referral decision, final diagnosis, hospitalization...

OBJECTIVE To investigate the use of emergency and non-urgent ambulance transport services by people aged 65 years and over. SETTING The study was undertaken in Queensland where the Queensland Ambulance Services (QAS) is the sole provider of emergency pre-hospital and non-urgent ambulance services for the entire state. METHODS The age and sex of 351,000 emergency and non-urgent cases treated...

Emergency situations where lives are at stake, such as natural disasters, accidents, or serious fire, require low reaction times. Especially in sparsely populated areas the distance between the nearest emergency station and its disaster location may be quite large. In order to minimize reaction times, emergency communication is to be prioritized with respect to other network services. For enabl...

NHS 111 is a telephone-based advice service that employs nonclinical call-handling staff to triage calls using computerised clinical decision support software. The safety of the service is contested, particularly for children and younger people, and there have been concerns that its introduction has increased emergency department utilisation. We examined predictors of emergency department atten...