background incomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. discharge against medical advice (dama) in emergency department (ed) is critical for hospitals. this paper aims to explore the underlying reasons behind dama in ed of four teaching hospitals in kerman, iran.   methods this was a cross-sectional study in which the samples were drawn...

introduction: midazolam has turned into a common drug for pediatric procedural sedation and analgesia. however, there is not much data regarding its proper dose and potential side effects in the iranian children population. therefore, the present study was done to compare 2 doses of iv midazolam in this regard. methods:  the present clinical trial was performed to compare 0.1 and 0.3 mg/kg dose...

The Unified Emergency Care System (UECS) provides an integrated system of medical support from point of injury to the time a casualty is handed over to specialist care within hospital. It enables personnel at all skill levels to deliver life-saving support to casualties with a broad range of acute injuries and illness. The UECS facilitates standardised training with each level building upon the...

The paper describes a methodology used for selecting the most relevant clinical features and for generating decision rules based on selected attributes from a medical data set with missing values. These rules will help emergency room (ER) medical personnel in triage (initial assessment) of children with an abdominal pain. Presented approach is based on rough set theory extended with the ability...

Acute abdominal pain in childhood is a common but diagnostically challenging problem facing Emergency Department personnel. Experienced physicians use a combination of key clinical attributes to assess and triage a child, but residents and inexperienced physicians may lack this ability. In order to assist them, we used knowledge discovery techniques based on rough set theory to develop a clinic...

OBJECTIVE This paper assessed the emergency preparedness programs of health facilities for all-risks but focused on Road Traffic Accidents, (RTA) resulting in surge demand. It adopted W. H. O checklist covering hospital preparedness, equipment, manpower and surge capacity planning as best practices for the mitigation of public health emergencies. METHOD This is a cross-sectional study of purp...

BACKGROUND Due to the complexity of health system reform in the post-conflict, post-disaster, and development settings, attempts to restructure health services are fraught with pitfalls that are often unanticipated because of inadequate preliminary assessments. Our proposed Integrated Multimodal Assessment - combining quantitative and qualitative methodologies - may provide a more robust mechan...

Effective seizure management in the school setting is a critical issue for students with seizures, as well as their parents, classmates, and school personnel. The unpredictable nature of seizures and the potential outcomes of experiencing a seizure in school are sources of anxiety for students with seizures. The ability to respond appropriately to a seizure is of concern to parents and school p...

Measles (rubeola) is a highly contagious airborne disease that was declared eliminated in the U.S. in the year 2000. Only sporadic U.S. cases and minor outbreaks occurred until the larger outbreak beginning in 2014 that has become a public health emergency. The "Identify-Isolate-Inform" tool will assist emergency physicians to be better prepared to detect and manage measles patients presenting ...

Emergency rescues require that first responders provide support to evacuate injured and other civilians who are obstructed by the hazards. In this case, the emergency personnel can take actions strategically in order to rescue people maximally, efficiently and quickly. The paper studies the effectiveness of a random neural network (RNN)-based task assignment algorithm involving optimally matchi...