Articles: emergency-services.
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We have done a prospective study of the emergencies that arrived to a Children's Hospital from 8 to 15 hours in labour day 987 enquires were filled, which represents 53.53% of those who came. Males were predominant and also the younger ones with 24.58% less than 1 year of age, and progressively diminishing with age. Frequency was higher on Mondays, Thursdays and Fridays, with a significant reduction on Tuesdays. ⋯ The socioeconomic status was slightly higher than that of the Madrid Community in which the hospital is situated. Our data show that the majority of children that come to the emergency department present problems that could have been solved in another level of care. We also found indirect signs, may evidentiate that the family members are conscious in many cases that they are making an unjustified use of this level of care.
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Offentl Gesundheitswes · Aug 1989
[Emergency services for crisis intervention--8 years' experience of a social psychiatry service in a rural area].
This is a report on a special around-the-clock service for psychiatric crisis intervention, maintained by social workers of a Sociopsychiatric Service (SpD) in cooperation with a psychiatrist. Only in a few number of cases it is necessary to make use of Federal German psychiatric legislation ("Psych-KG"). ⋯ The introduction of this sociopsychiatric concept which stresses the importance of familiar community environment, has clearly changed quality and quantity of compulsory admission in rural areas also. Only half of the work of this special service for crisis intervention is called for during regular working hours.
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Observation wards have not been discussed in the Australian literature. In the United Kingdom, the few published reports suggest that they are an essential part of the function of emergency departments. ⋯ Nearly half the remaining hospitals wanted to establish an observation ward. Our concept of observation wards is discussed.