Cuba has developed a programme of quality improvement of its health services, which includes an extramural emergency care system in which polyclinics and general practitioner networks play an important role. Using routine health information from the decentralised first line emergency units (FLES) and from the hospital emergency service (HES) for the period 1995-2000, we evaluated the effects of...

normal 0 false false false en-us x-none ar-sa background: acute kidney injury (aki) is commonly occurred in intensive care unit (icu) patients. the aim of the study was a comparison of rifle (risk of renal injury/injury to the kidney/failure of kidney function/loss of kidney function/end stage disease) classification with other scoring systems in the evaluation of aki in icus. materials and met...

introduction: increasing costs of health and treatment services has led health economics specialists and even physicians in all countries to seek new methods for controlling and reducing costs in medical and health services. the present study was aimed to estimate the costs of a cardiac care unit (ccu) in a governmental hospital in iran. methods: in order to determine the end cost, a stepwise p...

OBJECTIVES To assess the burden of emergent illnesses and emergency care system usage by Yaoundé residents and to evaluate unmet needs for emergency care and associated barriers. DESIGN A cross-sectional study using a community-based survey. SETTING Yaoundé, Cameroon. PARTICIPANTS All residents living in Yaoundé were selected as the target population to investigate the needs and usage of ...

OBJECTIVE This review aims to assess the impact of implementing dedicated emergency surgical services, in particular acute care surgery, on clinical outcomes. BACKGROUND The optimal model for delivering high-quality emergency surgical care remains unknown. Acute Care Surgery (ACS) is a health care model combining emergency general surgery, trauma, and critical care. It has been adopted across...

BACKGROUND The regulation of emergency care has featured prominently in Brazil's federal health agenda since the 2000s. The aim of this study was to review up to the present day the implementation of the National Emergency Care Policy. METHODS The methods employed were documental review, analysis of official data and 11 interviews conducted with federal, state and local managers. The results ...

Law enforcement agencies in the 21st century face an increase in terrorist threats and new challenges, including organized opposing forces, military-type weapons, direct fire, hostage and barricade situations, and potential toxic hazards. As these threats have increased, so has the recognition of the need for integrated medical support of tactical operations. Tactical emergency medical support ...

BACKGROUND Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan Africa and southern Asia. In sub-Saharan Africa, Ghana is one of the countries still facing particular challenges in reducing its maternal morbidity and mortality. Access to emergency obstetric care (EmOC) interventions has been identified as a means of improving maternal health outcomes....

OBJECTIVES To determine the quality of care provided by midwives in Soroti district; and specifically, to identify training needs, gaps in knowledge and other barriers to accessibility of emergency obstetric care (EmOC) services in Soroti district. DESIGN Cross-sectional descriptive study. SETTING One regional hospital, one district hospital, two health centres and four dispensaries, all he...