INTRODUCTION While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear. We examined the hypothesis that Lean-based reorganization of Fast Track process f...

OBJECTIVE to describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo. METHODS this was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state o...

Trauma is considered a “modern civilized sickness”, and its occurrence substantially affects all of society, as well as individuals. The implementation of trauma emergency systems in cities with young, prosperous, and highly mobile populations is necessary and significant. A complete trauma emergency system includes both low-level trauma centers that offer basic emergency services and high-leve...

In 2007, there were 4 million visits to emergency departments in the United States with a primary diagnosis of cardiovascular disease.1 Current forecasts estimate that the direct medical costs for cardiovascular disease in the United States will triple by 2030 to $800 billion dollars.2 Acute cardiovascular emergencies, including ST-segment–elevation myocardial infarction (STEMI), non-STEMI/unst...

introduction. tb is one of the oldest known diseases in history that has been reappeared as a severe problem for public health and suggest whether the students of medicine in their clinical training period face the patients with tb to the extent that helps them to diagnose and cure these patients in future. methods. this study was descriptive, retrospective, and cross-sectional that carried out...

OBJECTIVE To describe the experience and practices of emergency department pediatricians in the United States related to the diagnosis and management of pelvic inflammatory disease (PID) in adolescent girls and to compare this experience with Centers for Disease Control and Prevention recommended management guidelines. DESIGN National telephone survey. SUBJECTS One hundred four pediatrician...