Articles: emergency-services.
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The Committee on Trauma of the American College of Surgeons published a report in 1976 charging hospitals to provide care for seriously injured patients. Implementing an effective emergency care/trauma system in a not-for-profit community hospital was a task that demanded leadership, substantial time, and commitment. The building process could not have begun without a strong commitment from the hospital's board, administration, medical staff, and nursing service. ⋯ Monthly in-service programs were begun for the intensive care unit (ICU) and ED nurses. In each of the past 3 years, a 2-day trauma update program has been provided to the regional Emergency Medical Services (EMS) and medical community. The dedication and commitment of many people during the past 5 years has resulted in a sound system of emergency/trauma care in a community hospital.
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Computer-aided teaching in the emergency department offers an important adjunct to traditional lectures and bedside clinical teaching. Using an integrated software system, lessons and patient simulations were created for the emergency department. ⋯ Acceptance and usage rates are high and remain so even after the initial novelty of the system declined. To be useful, such a system should be accessible over extended hours, and lessons should be brief and simple to execute.
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Sources of ionizing radiation are being used with increasing frequency in a wide spectrum of applications in society. These uses are accompanied by the possible occurrence of accidents resulting in persons exposed to radiation and contaminated with radioactivity. ⋯ Planning should include identification of a radiation emergency area within the hospital, delineation of a radiation emergency response team of individuals knowledgeable about radiation and radioactivity, and development of protocols for the medical care and decontamination of patients involved in radiation accidents. Various agencies, including the Joint Commission on Accreditation of Hospitals, have stressed the need for preparation and periodic testing of radiation emergency response plans for hospitals.