BACKGROUND AND PURPOSE States and counties in the US began implementing regional systems of acute stroke care in the first decade of the 21st century, whereby emergency medical services systems preferentially route acute stroke patients directly to primary stroke centers. The pace, geographic range, and population reach of regional stroke system implementation has not been previously delineated...

BACKGROUND There is a great variety in how emergency medical communication centers (EMCC) are organized in different countries and sometimes, even within countries. Organizational changes in the EMCC have often occurred because of outside world changes, limited resources and the need to control costs, but historically there is often a lack of structured evaluation of these organization changes....

In rural America, pediatricians can play a key role in the development, implementation, and ongoing supervision of emergency medical services for children. Pediatricians may represent the only source of pediatric expertise for a large region and are a vital resource for rural physicians (eg, general and family medicine, emergency medicine), other rural health care professionals (physician assis...

BACKGROUND Although increasing staff numbers during shifts when emergency department (ED) crowding is severe can help meet patient demand, it remains unclear how different types of added staff, particularly junior residents, may affect crowding. METHODS To identify associations between types of staff and ED crowding, we conducted a cross-sectional, single-center study in the ED of a large, te...

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introduction: emergency department is one of the most important hospital wards that offers emergency services to unstable patients 24 hours a day, 7 days a week. however, the way the services are offered reflects the general status of the hospital since patients with the most serious problems frequently refer to the emergency department. emergency department waiting time is one of the indices u...

conclusions the results indicated that suitable facilities and equipment, human resources, and infrastructure were available in the district hospitals in iran. these findings showed that there is potential for the district hospitals to provide care in a wider spectrum. results in this study, 100% of the studied hospitals had oxygen cylinders, running water, electricity, anesthesia machines, eme...