A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Science in Medicine in Emergency Medicine Dubai, 2017 / Introduction: The month of Ramadan is characterised by changes in dietary and lifestyle habits by those fasting, which could result in medical issues that may have an impact on the utilisation of the Emergency Department (ED) over this time period. Methods: ED attendance was compared during the Ramadan period to a specified Control period, and included a comparison of demographic and clinical features of patients, nationalities, diagnosis profile, time of admission and number of ED admissions. This was a retrospective, observational study set in a private hospital in Dubai, UAE, which included patients aged 16 years and older. Results: A total of 1766 patients presented to the ED, of which 822 (46.5%) were admitted during Ramadan, and 944 patients (53.5%) during the Control period. Although significantly more female patients attended the ED during the Control period, there were no differences in the ages nor the nationalities of the patients. Only one significant difference was noted in diagnoses, which was in the skinrelated category (p = 0.0012). Significantly more patients were seen per day during the Control period compared to Ramadan (p = 0.0057). A significant change in the time of ED attendance for MENA region patients was noted during Ramadan (p=0.0036) with more patients presenting during the night-time, which was not observed in non-MENA region patients. Conclusions: The significant shift in presentation towards the night was most notable in patients from the MENA region, and therefore most likely to be due to fasting. In addition, changes in certain diagnoses and gender distribution over the study period may assist in future ED management planning during Ramadan. / MT2017

Thesis (M.A.)--Georgia State University, 2007. / Title from file title page. Greg Lisby, committee chair; Yuki Fujioka, Merrill Morris, committee members. Electronic text (69 p.) : digital, PDF file. Description based on contents viewed Mar. 27, 2008. Includes bibliographical references (p. 53-57).

Thesis (Ph. D.)--University of Tennessee, Knoxville, 2008. / Title from title page screen (viewed on Sept. 23, 2009). Thesis advisor: Russell L. French. Vita. Includes bibliographical references.

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Abdominal/pelvic pain is one of the most common reasons that patients present to hospital emergency departments (ED). With 129.8 million emergency department visits per year nationally, efficient triage and admission of these patients from the ED is essential. At the New York Methodist Hospital (NYMH) ED, patients presenting with abdominal/pelvic pain are evaluated based on a series of factors such as pain scores, past medical history, physical exam, and laboratory tests. Depending on these factors, clinicians observe, evaluate, and treat their patients requiring varying lengths of stay in the emergency department before either being discharged or admitted to the hospital. Physicians must weigh the benefits and risks of each evaluation they perform knowing that their resources may be needed more urgently by other patients. Determine the quantitative factors correlated with an increased length of stay for adults presenting to the emergency department with abdominal or pelvic pain. Increases in factors such as age, pain, BMI, and vital signs will correlate with an increased length of stay in the emergency department as well as an increased rate of admission to the hospital. Data regarding the above factors were abstracted from a sample of adult patients (n=347) presenting to the New York Methodist hospital emergency department from June 1st, 2013 to May 31st, 2014. The review of patients presenting to the emergency department with abdominal/pelvic pain demonstrated that patients with lengths of stay greater than four hours had a significantly higher value for age, weight, BMI, and blood pressure compared to those with lengths of stay less than four hours. Additionally, patients that were admitted to the hospital had a statistically significantly higher value for age, pain scores, systolic blood pressure, and heart rate. The identification of factors associated with longer lengths of stay provides the first step in identifying how to improve patients’ access to care in a more time efficient manner. Understanding what factors account for delays in care and discharge will allow for more efficient allocation of time and resources to the patients that need it most.

Patients present daily to the emergency department of Ceza hospital, Kwazulu Natal for medical treatment. Some of these patients are self-referral or referred by other health care workers. Analysis of demography of patients presenting to the emergency department from 1st January to 31st December 2010 was conducted to provide a general overview and characteristics of the studied population. It was a retrospective, transverse and descriptive study that involved patients’ records reviewed from a hospital register. The results showed that the commonest primary diagnosis was assault with a patient population of 81 (16.9%) followed by gastroenteritis (12.3%) and soft tissue injuries (8.5%) respectively. Most patients were single (94.6%), black (100%) and mostly males (57.7%). The highest number of the patient population seen at the emergency department was in February (14.8%) and the patients seen were mostly in the age range of 21 to 30 years. Most cases that presented to the emergency department were non-emergencies that constituted 67.2% of the cases seen and the emergency cases were only 32.8%. The highest patient population at the emergency department of Ceza hospital was 34.83% in summer with presentation peaking from 8.00 am until 11.59 am. The highest proportion of patients’ presentation was found to be during the weekends.

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Helicopter EMS (HEMS) is a critical tool in the safety net for medical emergencies around the world. It incorporates a team working in precise unison to both safely operate the aircraft and provide high quality and state of the art care to critically ill and injured patients. Crew Resource Management (CRM), the planning and implementation of allocating flight resources, has been recognized by the HEMS industry to be a critical factor in the safety of HEMS operations. There is no question that there is a risk associated with every flight and as studies have shown, the danger of an accident has not decreased but increased dramatically over the past ten years. The HEMS community is working diligently to surmount obstacles in the path of change to making HEMS operations safer while continuing the research and advancement of medical care. Change is on the horizon for HEMS and there is no better time than now to find and fix the flaws in our system. The leaders in the HEMS community are researching and investigating how and where these changes must be made, but their reviews and evaluations are being done exclusively here in the United States. In attempts to approach this issue at a different angle, a project was initiated at the University of Pittsburgh through the Center for Emergency Medicine of Western Pennsylvania (CEM) and the University of Pittsburgh Honors College (UHC). This project attempts to examine the variance in CRM methods employed by HEMS programs outside the United States, the efficacy of implementing those methods, and some of the best practices applied by these programs. By looking at the techniques, methods, and cultures of these services selected, we may expand our understanding of CRM and our own safety culture in Helicopter EMS to advance the industry to a new standard.

Thesis (M.A.)--Kent State University, 2009. / Title from PDF t.p. (viewed Dec. 11, 2009) Advisor: David Kaplan. Keywords: hazards; disaster; urban; public policy; government; emergency management; city; local. Includes bibliographical references (p. 88-92).

Thesis--PlanB (M.S.)--University of Wisconsin--Stout, 2001. / Includes bibliographical references.

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