Emergency medicine clinics of North America
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Emerg. Med. Clin. North Am. · Feb 2005
ReviewRegional highlights in global emergency medicine development.
There are a number of notable trends in the development of EM that have been highlighted at the regional level globally. From the establishment of formal EM training as the standard of care to practice in an ED to the influence of transnational regulatory bodies and financing mechanisms on specialty development and the broad-based issues of health security that affect EM, the specialty continues to grow around the world. ⋯ The regions presented here are as distinctive as the people who practice our specialty; however, in many respects the highlights and challenges are universal. This recognition is perhaps what motivates the appeal for collaboration in international EM development.
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Emerg. Med. Clin. North Am. · Feb 2005
ReviewUnderstanding diversity among prehospital care delivery systems around the world.
Understanding the diversity in EMS systems around the world isa daunting challenge. It is difficult to describe or categorize these complex systems, but examination of whether a country has an informal or formal system is a starting point. Further understanding of access within the system allows additional insight into the care available. ⋯ The focus of an EMS system can help gauge its development and role in the community. Clear descriptions of each of these dimensions allows for better communication and understanding of a country's prehospital care system. This dimensional analysis enhances communication regarding the existing system and provides an opportunity to understand where improvements and interventions might be effective.
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Emerg. Med. Clin. North Am. · Feb 2005
ReviewDeveloping and implementing emergency medicine programs globally.
International EM development requires a comprehensive assessment of the current system and careful planning to ensure that the most important needs are addressed. Modeling a country's EM system after an existing foreign system underestimates the complex needs for instituting appropriate system interventions. Planning must include all stakeholders. With appropriate planning, international interventions can contribute to health system advancement.
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Emerg. Med. Clin. North Am. · Feb 2005
ReviewReflections on becoming a specialty and its impact on global emergency medical care: our challenge for the future.
International emergency medicine development includes many activities. Among them are efforts to establish and support the development of the specialty of emergency medicine. In carrying out such activities, it is important for emergency physicians to be aware of the story of the establishment and development of the specialty of emergency medicine in the United States and to seek ways to support similar efforts in other countries. The benefits of specialty development toward improving emergency care globally are likely to be immense.
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Emerg. Med. Clin. North Am. · Feb 2005
ReviewLessons learned from international emergency medicine development.
The lessons learned from development of EM around the world span several key areas including general development, systems comparisons, models of EM practice, and education and training. Neither definitive nor exhaustive, these lessons learned are intended to be viewed as sign posts along the road traveled at this point in international EM development. It is hoped that future participants in international EM development can assimilate these lessons learned, adopt the most relevant ones, and add their own insight and wisdom to this growing list. Most importantly, it is hoped that by whichever path future development takes, we all reach the same destination of providing the best possible emergency medical care for the people of the world.