W O R L D P A R T N E R S
T U R K E Y :
EMEDEX members have strong affiliations with the pioneers of EM in Turkey, and several of our faculty have worked in different EDs in that country, observing as clinicians and conducting lecture series on the core curriculum of EM. Turkey has one of the strongest training programs in EM outside the US, with approximately 18 residency programs at different hospitals throughout the country.
EM was declared a medical specialty in 1993. The first residency was formed in 1994 in Izmir, and since that time, roughly 200 EM residents have graduated from their training programs. In addition, the different departments have hosted US visitors over the past 11 years, establishing a solid foundation for exchange.
We are developing an exchange with Akdeniz University Hospital in the city of Antalya and with Eskisehir Osmangazi University Medical Center in the city of Eskisehir, and are working closely with their EM directors. The four-week exchange involves all aspects of EM, including pre-hospital work, ED clinic duties, administration and teaching. With our close ties to the hospital, and Turkey's well-established EM programs and long history of international exchange, we look forward to this ongoing rotation with our Turkish colleagues.
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J A M A I C A :
Over the past five years, EMEDEX members have helped to establish the first volunteer-based ambulance corps in the country, and oversee an ongoing pre-hospital service in St. Elizabeth parish, the first of its kind in the country. More than 170 community members have been trained in water rescue, CPR, first aid and spinal immobilization skills. The Treasure Beach Response Unit now operates a fully stocked ambulance that is always on call for this rural community.
In addition, this January we shipped an ultrasound machine to the residency program at the University of the West Indies in Kingston, and trained more than 50 doctors in emergency ultrasound skills. The machine is now used daily in the care of the acutely ill and injured in Kingston's primary teaching hospital.
We have also established an ongoing educational exchange with our Jamaican colleagues and our grant recipients spend two weeks in Kingston, splitting their time between the ED at Kingston Public Hospital (KPH) and the University of West Indies/Mona campus (UWI) where they experience first-hand a high level of acuity and a thriving trauma practice. The program is conducted in conjunction with the Jamaican Ministry of Health and the dean of UWI/Mona Campus. We have also hosted visiting doctors from Jamaica so that they can learn firsthand from our system of practice. Given the large West Indian community within and around the hospital in Brooklyn, this program will have the additional benefit of offering an opportunity to enhance community relations.
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S O U T H A F R I C A :
The State University of New York at Downstate Medical Center (SUNY), EMEDEX International in partnership with The New York Institute for All Hazard Preparedness (NYIAHP) conducted a web-based Long Distance Table-top drill (LDTT) designed to identify vulnerabilities in safety, security, communications, supplies, incident management, and surge capacity for a number of hospitals. The tabletop simulated a stampede and crush type disaster at the Green Point Stadium in Cape Town, South Africa in anticipation of 2010 FIFA World Cup. The LDTT, entitled "Western Cape-Abilities", was conducted between May and September 2009 and encompassed nine Hospitals in the Western Cape of South Africa.
The main purpose of this exercise was to gather information about the emergency preparedness status of both the individual hospitals and the region as a whole. Players in the exercise were expected to respond to a particular stimulus on a weekly basis. The stimulus was tied to a specific scenario that would prompt Health Care Centres to integrate and practice emergency response plans and protocols specific to the stimulus. Evaluators monitored for efficient management of critical physical plants, personnel and material resources. Another goal was to test the feasibility of a long distance virtual tabletop exercise and its ability to assess emergency preparedness.
In developing the exercise objectives, important capabilities were selected for evaluation: Communication, Equipment, Major Incident Plan, Public Relations, Risk Communications, Patient Care Capacity, Surge Capacity, Safety and Security (Supplies and Fire). These activities were approved by the Exercise Design Team and trusted agents and form the basic framework for this exercise. This report will summarize the objectives of the exercise, how the players of the exercise met these objectives and improvements.
S W E D E N :
For the past four years, EMEDEX has been in partnership with the Swedish Society for Emergency Medicine (SWESEM).
Based on outstanding original research in the field, a SWESEM physician is selected annually to participate in an all-expenses paid rotation in NYC emergency departments. Based at Kings County Hospital, the physicians see first hand how EM is practiced at an academic, level-one trauma center. In addition, they rotate at the New York City Poison Control Center, participate in ride-alongs with hospital-based ambulance services, and can tailor their experience to suit their own academic interests.
The educational aspects of this exchange are directed by EMEDEX with the goal of offering Swedish physicians exposure to, and training in, various aspects of emergency medicine. In 2006, emergency medicine was awarded conjoined specialty status in Sweden, and EMEDEX is proud to contribute to the ultimate development of EM as an independent specialty there.
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