RESUMO
The Bahamas is an archipelago of 700 islands with the majority of the population concentrated on just 2 islands: New Providence and Grand Bahama. Most emergency medical services are provided by Princess Margaret Hospital and Rand Memorial Hospital located respectively on those 2 islands. A detailed description of the delivery, training, and organization of emergency medicine, as well as out-of-hospital care, is provided. Furthermore, disaster preparedness and the future direction of emergency medicine are discussed.
Assuntos
Serviços Médicos de Emergência/organização & administração , Medicina de Emergência/educação , Bahamas , Atenção à Saúde/organização & administração , Planejamento em Desastres/organização & administração , Serviço Hospitalar de Emergência/organização & administração , Humanos , Intercâmbio Educacional Internacional , Internato e Residência , Especialização , Estados UnidosRESUMO
Nicaragua is one of the poorest nations in the Western Hemisphere. The health of the population suffers as a result of poor nutrition, epidemic diseases, natural and manmade disasters, sporadic violence, urban industrial growth, and inadequate government funding for even basic medical equipment and supplies. Within this environment, emergency services development has been recognized as an important and cost-effective public health intervention. In recent years, government and nongovernmental agencies working together have had a dramatic positive impact on the quality of emergency care provided.