Since trauma is a growing health problem worldwide,emergency trauma care including emergency medical services(EMS)is becoming an integral part of the healthcare system.The optimal EMS which will improve access to trau...Since trauma is a growing health problem worldwide,emergency trauma care including emergency medical services(EMS)is becoming an integral part of the healthcare system.The optimal EMS which will improve access to trauma care,will be different in each country because of different healthcare systems,trauma etiology,and economic situations.To adopt models that have succeeded in developed countries is not always appropriate.In order to identify the optimal EMS model in developing countries,comparing the systems among many countries in detail and examining their advantages and disadvantages would be necessary.Therefore,this article tries to identify important elements of EMS to achieve mature EMS systems based on comparisons of 7 Asian countries,and discusses the need to conduct more detailed and extensive comparisons.展开更多
International rotations have been an option for young surgeons who face difficulties in obtaining sufficient trauma training in their own countries.One of the authors attended training in trauma surgery in South Afri...International rotations have been an option for young surgeons who face difficulties in obtaining sufficient trauma training in their own countries.One of the authors attended training in trauma surgery in South Africa for 6 months,where there are many trauma caseloads,and could experience the number of emergency operations equivalent to approximately 5 years in Japan.The rotation allows trainees to expose clinical practices intensively and to learn principles and theories of care under experienced academic surgeons.On the other hand,they could contribute to the host hospital as part of the workforce and by assisting young surgical residents.the development of a more systematic and formalized framework for staff exchange between developed and developing countries will provide mutual benefits to both sides.展开更多
文摘Since trauma is a growing health problem worldwide,emergency trauma care including emergency medical services(EMS)is becoming an integral part of the healthcare system.The optimal EMS which will improve access to trauma care,will be different in each country because of different healthcare systems,trauma etiology,and economic situations.To adopt models that have succeeded in developed countries is not always appropriate.In order to identify the optimal EMS model in developing countries,comparing the systems among many countries in detail and examining their advantages and disadvantages would be necessary.Therefore,this article tries to identify important elements of EMS to achieve mature EMS systems based on comparisons of 7 Asian countries,and discusses the need to conduct more detailed and extensive comparisons.
文摘International rotations have been an option for young surgeons who face difficulties in obtaining sufficient trauma training in their own countries.One of the authors attended training in trauma surgery in South Africa for 6 months,where there are many trauma caseloads,and could experience the number of emergency operations equivalent to approximately 5 years in Japan.The rotation allows trainees to expose clinical practices intensively and to learn principles and theories of care under experienced academic surgeons.On the other hand,they could contribute to the host hospital as part of the workforce and by assisting young surgical residents.the development of a more systematic and formalized framework for staff exchange between developed and developing countries will provide mutual benefits to both sides.