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Emergency medical care in developing countries: is it worthwhile?

Junaid A Razzak1, Arthur L Kellermann

  • 1Department of Surgery, Yale University School of Medicine, New Haven, CT 06512, USA. junaid.Razzak@yale.edu

Bulletin of the World Health Organization
|December 14, 2002
PubMed
Summary
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Developing emergency medical care systems is crucial for improving health outcomes in developing countries. Strengthening these systems addresses life-threatening emergencies and meets population needs for timely treatment.

Area of Science:

  • Public Health
  • Health Systems Research
  • Emergency Medicine

Background:

  • Many developing countries face a significant burden of diseases from time-sensitive illnesses and injuries.
  • Existing health systems often do not prioritize timely treatment for life-threatening emergencies.

Purpose of the Study:

  • To review evidence on the need for developing and strengthening emergency medical care (EMC) systems in developing countries.
  • To argue for the critical role of EMC in improving population health and access to emergency services.

Main Methods:

  • Review of existing evidence on emergency medical care systems.
  • Analysis of EMC across community, transport, and facility-based settings.
  • Identification of obstacles to effective EMC development.

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Main Results:

  • Effective EMC is essential for addressing critical conditions like severe infections, trauma, and postpartum hemorrhage.
  • Obstacles include lack of structural models, inadequate training, cost concerns, and sustainability issues.
  • A basic, effective EMC system can meet community needs and improve health outcomes.

Conclusions:

  • Strengthening emergency medical care systems is a vital component of health system development in developing nations.
  • Addressing barriers is key to establishing sustainable and effective EMC.
  • Accessible and timely emergency care significantly improves population health.