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Updated: Jun 23, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
The International Federation for Emergency Medicine report on emergency department crowding and access block: a brief
A P Javidan1,2, K Hansen3,4, I Higginson5
1Faculty of Medicine, University of Toronto, Toronto, ON, Canada. Arshia.javidan@mail.utoronto.ca.
Objective:
To develop comprehensive guidance that captures international impacts, causes, and solutions related to emergency department crowding and access block METHODS: Emergency physicians representing 15 countries from all IFEM regions composed the Task Force. Monthly meetings were held via video-conferencing software to achieve consensus for report content. The report was submitted and approved by the IFEM Board on June 1, 2020.
Results:
A total of 14 topic dossiers, each relating to an aspect of ED crowding, were researched and completed collaboratively by members of the Task Force.
Conclusions:
The IFEM report is a comprehensive document intended to be used in whole or by section to inform and address aspects of ED crowding and access block. Overall, ED crowding is a multifactorial issue requiring systems-wide solutions applied at local, regional, and national levels. Access block is the predominant contributor of ED crowding in most parts of the world.
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