[Initial problems in an intensive care unit].
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Adult↗
Biomedical subjects
H Delooz
Publications and source records attributed to H Delooz.
Telehealth and communication technologies in health: summary and action plan.
INTRODUCTION: Rapid innovations and improvements in communication technologies have opened many new channels for health education and delivery, as well as disaster management. Theme 2 examined the role and applicability of these technologies to Disaster Medicine and Management and the various issues involved in their use. METHODS: Details of the methods used are provided in the introductory paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. The chairs then presided over a workshop that resulted in the generation of a set Action Plans that then were reported to the collective group of all delegates. RESULTS: Main points developed during the presentations and discussion included harnessing convergence, seeking interoperability, building partnerships and making it appropriate. This group identified four Principles of Action underlying its plan: (1) investigate possibilities, (2) identify stakeholders, (3) invite participation, and (4) involve discussants in activities. DISCUSSION: Action plans were categorized into three areas that included "thinking globally, acting regionally", forming a telehealth advisory group, and increasing corporate partnerships. CONCLUSIONS: Technology is opening many opportunities that have applications in disaster management. To optimize benefits, goals and standards must be agreed upon and implemented.
Cooperative Behavior↗
[Temporary hospitalization: necessity or luxury?].
Emergency medicine is essentially concerned with the diagnosis and the stabilization of the vital system repercussion of acute illness and trauma. This goal cannot always be achieved within the first hours after admission. Therefore facilities for temporary hospitalization are mandatory. This statement is confirmed by experience, figures and practical considerations. Furthermore the facilities for short term intensive care within the hospitalization unit are necessary to assure the presence of competence in critical care medicine. Guidelines for the use of the hospitalization unit and for limiting the duration of admission are discussed. The size of the unit has to be proportional to the size of the hospital. An open unit is preferred as a compromise between security and comfort. The temporary hospitalization unit in the emergency department will be an extra asset in keeping the medical team on the premises and busy, provided the number of emergency departments is limited and regional planning of emergency facilities is assured.
Belgium↗
[Profile and specialization of the chief of emergency medical services].
The specific task of emergency medicine consists of the limitation of mortality and morbidity caused by the repercussion on vital system functioning of acute illness and trauma. This task has to be realized within a structure including the mobile emergency care system and the emergency department. The chief of such a structure has to be a medical doctor. It will be a full-time job, since continuity of service is essential. Emergency medicine is closely related to intensive care, together indicated in the USA as 'critical care medicine'. Nevertheless important differences are obvious, due to the fact that in emergency medicine diagnosis is as important as supportive therapy, while it functions within a specific structure and is handling an as well qualitatively as quantitatively uncontrollable workload. As far, chiefs of emergency departments became experts through self-study and attending postgraduate teaching sessions, as well as through learning from their peers, but the expertise required by the chief of emergency medicine will in the future make a specific curriculum indispensable.
Curriculum↗
[An integrated emergency medical care system at the University of Leuven].
There are three motives to start an organized medical emergency care system: to provide a systematic approach to all admitted medical emergencies in a specific structure in the hospital. to decrease mortality and morbidity by immediate evaluation and treatment of vital functions. to supply adequate emergency care for the region. These motives can only be realized through well-known options: the system must be multidisciplinary. excellence in critical care medicine must be available at all times. a system of mobile medical emergency care must be developed. all available regional emergency care facilities must be integrated. Only this way can the emergency service evolve as the central link of critical care medicine.
Ambulances↗