Medical research is fundamental for advancing the science of emergency medicine and informing the development of best practice patient management. Clinical research usually involves the active participation of patients and is associated with some patient time commitment, inconvenience, and possibly risk. Following a series of research atrocities, principles of human research ethics have been developed to mitigate this risk and to protect both researchers and research participants.
This White Paper has been submitted to the International Federation for Emergency Medicine
(IFEM) by a multi-specialty group of intensivists and emergency medicine providers from Low
and Low Middle-Income Countries (LMICs) and High-Income Countries (HIC) with the aim of
1) defining the current state of caring for the critically ill in Low-Resource Settings (LRS) within LMICs and
2) highlighting policy options and recommendations for improving the systemlevel delivery of early critical care services in LRS.
This White Paper is the product of the Geriatric Emergency Medicine Special Interest Group (GEMSIG) of the International Federation of Emergency Medicine (IFEM). It highlights that older people are the fastest growing demographic in most countries; that they access emergency services for many different reasons; and that it is essential to consider their multiple needs when developing emergency care systems.
Emergency Department (ED) crowding and access block represent potentially the greatest threats to the core mission of emergency care across the world. The problem is pervasive, massive in scale, and amounts to a public health emergency with potentially lethal consequences. At its core, crowding and access block overwhelm ED resources and prevent the delivery of timely and effective care for patients.
Executive summary of the White paper:
This White Paper has been produced by the International Federation of Emergency Medicine (IFEM) Trauma Special Interest Group (SIG) in order to provide a framework for the assessment and development of Trauma systems. This paper is based on best current international evidence which shows that well developed Trauma Systems improve patient outcomes.