The evolution of today's Hospital Emergency Departments : Current problems and challenges.
The announcement of the National Heart Attack Alert Program by the National Heart, Lung and Blood Institute in June of 1991 prompted leaders of the Florida Chapter of the American College of Cardiology to develop a state-wide program to reduce the morbidity and mortality from acute myocardial infarctions within Florida.
It became apparent that the success of such a program would require the prompt institution of thrombolytic agents or other revascularization procedures in appropriate patients.
No longer could the decision regarding institution of therapy await discussion by telephone and/or the arrival at the emergency department (ED) of the patient's primary care physician or cardiologist.
Efforts to establish appropriate protocols for therapy revealed that many of the 25,000 or more physicians currently staffing the 5,600 or so EDs in this country were moonlighting residents or practitioners from a variety of specialties or subspecialties with limited or no formal EM training.
Furthermore, it was learned that there were in the entire country only about 800 postgraduate, year-one Council for Graduate Medical Education accredited training positions.
There were only 21 such training positions in the entire state of Florida.
The reasons for these deficiencies are discussed and a challenge to correct this person power crisis is issued, not principally to the leadership of EM, but to the entire medical profession.
Mots-clés Pascal : Urgence, Service hospitalier, Infarctus, Myocarde, Organisation santé, Qualification professionnelle, Médecin, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Emergency, Hospital ward, Infarct, Myocardium, Public health organization, Professional qualification, Physician, Human, United States, North America, America, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0020963
Code Inist : 002B27B01. Création : 21/05/1997.