Emergency care in India: the building blocks

Background The Republic of India, the world’s most populous democracy, has struggled with establishing Emergency Medical Care. However, with the recent recognition of Emergency Medicine as a formal specialty in medical training, there has been renewed vigor in the developments in the field. Method and Results We outline here the building blocks of the health care system in India, and the contribution each has made and is capable of making to the growth of emergency medical services. We also provide an account of the current situation of emergency medicine education in the country. Conclusions As we trace the development and status of emergency medicine in India, we offer insight into the current state of the field, what the future holds for the emergency medical community, and how we can get there

Keputusan Masyarakat Bungatan Menjadi Nasabah di BMT NU Jawa Timur

Riset ini mendeskripsikan Keputusan Masyarakat Bungatan Menjadi Nasabah di BMT NU Jawa Timur Cabang Bungatan Situbondo, entitas masyarakat kampung dan nahdiyyin yang  berprofesi kebanyakan sebagai petani, nelayan, buruh dan pedagang. Riset ini menggunakan pendekatan Kualitatif dengan Studi Kasus (feld research). Papulasi penelitian ini diambil dari sebagaian nasabah, Pegawai dan pengamat BMT NU Bungatan,data primer berpusat pada nasabah. Riset dengan pendekatan Kualitatif melalui pengamatan, wawancara mendalam dan observasi lapangan untuk menghasikan data akurat dan autentik. Kesimpulan riset ini bahwa keputusan masyarakat Bungatan menjadi nasabah di BMT NU Jawa Timur didorong oleh kayakinan bahwa teransaksi keuangan dan prodak di BMT NU halal tanpa riba, arahan kebijakan pengurus MWC NU yang merekomnedasikan masyarakat untuk menjadi nasabah, asas kekeluargaan di tubuh BMT NU yang menjadi dasar serta sebagai salah satu jalan untuk memajukan ekonomi umat Nahdiyyin melalui ikut serta berteransaksi di BMT NU Jawa Timur Cabang Bungatan

IFEM white paper on gender diversity and inclusion

The International Federation for Emergency Medicine (IFEM) is a federation of over 70 national and regional emergency medicine organizations whose mission is to advance the growth of high-quality emergency medical care through education and standards, to lead the collaboration and networking necessary to establish universal equality in service and care, and to promote the creation and growth of the specialty of emergency medicine (EM) in every country

Gender Distribution of Organizing Committees and Invited Speakers at the International Conferences on Emergency Medicine

AbstractBackgroundIt has been documented that women are under-represented as speakers at emergency medicine conferences globally. This lack of opportunity is likely contributing to the gender gap of women in academic and leadership positions.MethodsThe Gender-Specific Issues Special Interest Group (GSI-SIG) of the International Federation of Emergency Medicine (IFEM) has analyzed the gender distribution of invited speakers, plenary speakers, and organizing committees from its last three International Conferences on Emergency Medicine in 2016, 2018, and 2019.ResultsMen comprised 75% (range 57-92%) of organizing committees, 69% (67-70%) of plenary speakers, and 78% (range 75-81%) of invited speakers.ConclusionThe percentage of women speakers at IFEM’s International Conferences on Emergency Medicine is low; even below the percentage of women emergency medicine physicians. By understanding these data and their consequences, changes can be made to close this gender gap and create more equitable opportunities for women and their career advancement.Strengths and Limitations of this studyThe gender breakdown of local organizing committee members and invited speakers at three consecutive International Conferences on Emergency Medicine heavily favoured men over women.Having women on the host country’s local organizing committee had no effect on the gender distribution of speakers.As these conferences draw speakers and participants from a diverse, international audience, the results are generalizable.The organizing committee and speakers’ backgrounds (MD, RN, paramedic) were not delineated, and may have skewed the results.Gender non-conforming individuals were not identified.</jats:sec

Use of drones (unmanned aerial vehicles) for supporting emergency medical services in India

Background: Drone technology or correctly termed as unmanned aerial vehicles (UAVs) is the newest advancement of science which has taken the world by storm. India is yet to witness the fantastic work these exciting flying vehicles can do. There are innumerable applications within the domain of both private and public space, especially in health care and emergency medical response. Aerial professional drones are small, portable, and have advanced capabilities which include audio-video broadcast, GPS navigation capabilities, fully automated and predetermined flights, and use of artificial intelligence for decision-making. Methodology: A toy drone bought from an online retailer was fitted with a professional camera connected to portable tablet through WiFi. Two emergency physicians were trained to operate the drone and camera in a simulated disaster scenario, cardiac arrest scenario, as well as transportation of medicines and biological samples within the hospital. Proof of concept for three different applications of drone technology in emergency care was experimented. Observations: (1) Drone as the first response in disaster: The drone was able to fly unhindered, hover over the accident location, and relay details of the crash site, including type of accident, hazards present, number of injured victims, roads leading to/from the location, and the number of bystanders present. (2) Supervision of patient transfers in disaster: The drone was able to send live video feed continuously as each patient was being evacuated. The drone pilots were in constant touch with disaster command and control. (3) Cordoning the disaster site: Based on the drone video feed, the ingress/egress routes for the ambulance vehicles were identified and secured. (4) Basic life support: The drone was able to provide live views of arrest scenarios, get live visuals from the site to the copilot and helped in guiding the first responder for cardiopulmonary resuscitation in a victim of cardiac arrest. (5) Transport of samples: The drone was able to transport samples for the stroke patient from the emergency room to the laboratory in the hospital without any hindrance. (6) Intrahospital transport of medicines: The drones were also able to carry medicines from the inpatient pharmacy to the wards, which were immediate, effective, and with reduction in workforce. Conclusion: This project was clear example of seamless integration of flying drones into existing disaster response protocols. Drones can provide real-time video information about disaster/accident site to the disaster command and control. Drones can supervise the transfer of individual victims from the disaster zone. Emergency physicians can learn to fly drones and use them for supporting emergency medical services disaster response. The DGCA should facilitate the utilization of drones and UAVs for supporting emergency medical personnel when they respond to disasters (natural, chemical, biological, radiation, and nuclear), multicasualty incidents, road accidents, cardiac arrest victims, in hospital use for transport of medicines, samples, and out-of-hospital transport of organs for transplantation