Delivery of emergency medical services in Kathmandu, Nepal
Delivery of emergency medical services in Kathmandu, Nepal
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DOI：
10.1016/s0196-0644(97)70355-x
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发表时间：
1997-03-01
影响因子：
6.2
通讯作者：
Berger, L
中科院分区：
文献类型：
--
作者：
Meskin, S;Huyler, F;Berger, L
我们描述了发展中国家尼泊尔提供的紧急医疗服务，并确定了需求领域和潜在的合作。我们采访了急诊科主任和工作人员，分析了急诊室患者记录，并对前往尼泊尔加德满都三个急诊室就诊的患者进行了前瞻性调查。加德满都的三个主要急诊科每年的总就诊量超过 100,000 人次。超过 30% 的就诊原因是受伤； 27% 的 ED 患者入院。急救医学实践所必需的设备和紧急实验室测试往往无法获得。急诊医生没有接受过正规的急诊医学培训，继续医学教育的机会也很有限。我们确定加德满都的三个急诊室提供大容量、高危急度的护理。急诊医生缺乏关键资源来处理所遇到的各种临床问题。加德满都拥有大量的紧急医疗基础设施，可以解决新出现的问题。伤害是目前对公共健康的最大威胁，多层次的国际合作可能会受益。
We describe the delivery of emergency medical services in the developing country of Nepal and identify areas of need and potential collaboration. We conducted interviews with emergency department directors and staff, analyzed ED patient records, and prospectively surveyed a convenience sample of patients visiting three Kathmandu, Nepal, EDs. The three principal EDs in Kathmandu have a collective yearly volume exceeding 100,000 visits. Injury is the reason for more than 30% of all visits; 27% of ED patients are admitted. Equipment and emergency laboratory tests essential to the practice of emergency medicine are often unavailable. Emergency physicians receive no formal training in emergency medicine, and continuing medical educational opportunities are limited. We determined that the three EDs in Kathmandu provide high-volume, high-acuteness care. Emergency physicians lack critical resources to manage the breadth of clinical problems encountered. A substantial emergency medical infrastructure exists in Kathmandu from which to address emerging problems. Injury is currently the single greatest threat to public health and may benefit from a multi-level international collaborative approach.