Potential ; Bale out

We investigated the system of emergency medical service in the Chuno area in Gifu prefecture.It was found that about 20,000 emergency cases were carried into the Emergency Medical Center (EMC) in Chuno Kosei Hospital annually. About 90% were patitents with mild disease or injury. During the past four years an increasing number of severely ill patients such as those acute myocardial infarction and cerebral apoplexy were transfered to our EMC from other hospitals in the Chuno area.We found that many emergency patients came to our EMC, which was not staffed with so many emergency care specialists nor equiped with so many beds for emergency patients. Therefore, we requested residents, family doctors, primary care clinics, common hospitals and administrators in the Chuno area, to contribute their share to emergency medical care together with EMC.In conclusion, we thought it necessary to build a better system of emergency medical care in this area promptly.
Area ; Medical ; Central ; Bale out ; medical care

The purpose of this article is to discuss 'best practice' regarding the management of a trauma victim's upper airway in a remote region of Papua New Guinea (PNG). This article has been written with the trauma patient in mind; however, much of the information would be equally relevant to the acute and chronically ill patient. Therefore the management described should be of use to aid post orderlies, community health workers, nurses and doctors alike who work or patrol in remote regions of PNG. The article is designed to take the reader through a step by step approach. Commentaries to further clarify or expand the text are placed at the end of the article under specific addendum headings, so as not to disrupt the main flow of the subject matter. In addition to upper airway management, this article also details 'ideal' emergency trauma equipment and drug requirements for bush use.
Wounds and Injuries ; Patients ; Papua New Guinea ; Bale out ; Public health service