Abstract Aims Subspecialist emergency surgical care, shared between Upper GI (UGI) and Colorectal (CR), can bring clinical benefits. Currently subspecialist care is provided in around 20% of units but likely to become more common larger with a view driving improvement outcomes. A subspecialty service was introduced our Trust April 2020. The purpose this study assess the impact on laparotomy wor...

This article discusses the identity processes involved in the transition to retirement for emergency service workers, which includes police officers, fire fighters, and emergency medical personnel. The author conducted a study using the Enhanced Critical Incident Technique (ECIT) to determine what helped, hindered and might have helped emergency service workers in making decisions regarding ret...

INTRODUCTION Mental health patients boarding for long hours, even days, in United States emergency departments (EDs) awaiting transfer for psychiatric services has become a considerable and widespread problem. Past studies have shown average boarding times ranging from 6.8 hours to 34 hours. Most proposed solutions to this issue have focused solely on increasing available inpatient psychiatric ...

INTRODUCTION Attendance at emergency departments and unplanned hospital readmissions are common for frail older patients after discharge from hospitals. A virtual ward service was piloted to deliver "hospital-at-home" services by community nurses and geriatricians to frail older patients immediately after their discharge from hospital to reduce emergency services utilization. OBJECTIVES This ...

OBJECTIVES To demonstrate the contribution of community pharmacy from NHS 111 referrals out of hours (OOH) for emergency supply repeat medication requests via presentation of service activity, community pharmacist feedback and lean thinking transformation. DESIGN Descriptive service evaluation using routine service activity data over the pilot period; survey of community pharmacists, and serv...

Only a small proportion of the treatment of mental illness occurs in an institution or hospital. By far the most significant treatment happens in the community and in the patient's own social and family environment. However, de-institutionalisation of mental health services has brought increasing numbers of patients to the emergency department in need of psychiatric assistance. The traditional ...

This document presents a framework for supporting authorized, emergency-related communication within the context of IP telephony. We present a series of objectives that reflect a general view of how authorized emergency service, in line with the Emergency Telecommunications Service (ETS), should be realized within today’s IP architecture and service models. From these objectives, we present a c...

BACKGROUND To determine the advanced life support procedures provided by an Emergency Medical Service (EMS) and a Helicopter Emergency Medical Service (HEMS) for vitally compromised children. Incidence and success rate of several procedures were studied, with a distinction made between procedures restricted to the HEMS-physician and procedures for which the HEMS is more experienced than the EMS...

Introduction: According to the report of the World Health Organization represent-ative in Iran and expressing regret over the increasing and cautionary trend of injuries and deaths due to traffic accidents, road casualties in this country have been increasing since 2017, and they are among the five most important causes of death in Iran. Therefore, the present study aimed to locate the emergenc...

OBJECTIVE To analyze patient satisfaction with nursing care received at a hospital emergency service. METHODOLOGY This is a quantitative, descriptive, cross-sectional study. The sample was composed by 250 patients over 18 years old who used an emergency service in the south region of Brazil. Data were collected using an identification form and the Patient Satisfaction Instrument. RESULTS Re...