Current Status Of EM In MAGHREBYou must be a full Eusem member to view this file Go backCurrent Status of EM in MAGHREBA. BALMAMilitary Hospital TunisTunisian Society of Emergency MedicineSITUATIONSPECIFICITIES REAL ENTITYPopulation characteristicsCulture, Language, Religion, Epidemiology, Diseases .MORROCOMOROCCO : EMSMOROCCONational Strategy :National emergency NetQuality system for EMS and ED controled by a national CenterSpeciality: 5 years training ( since 2003)TUNISIATunisia, Tunis164 150 km2 (1300 km coast) 10 124 900 inhab. - 13 330 physicians 1,34 ph / 1 000 inhab.16 700 public hospital beds 2080 private clinics beds 1 bed / 580 inhabEmergency MedicineMaster of emergency and disaster medicine (2 years training) 1998Tunisian society of Emergency Medicine 2000Annual Congress 2001Speciality (4 years training) 200538 Residents437 Emergency physiciansEmergency MedicineOther trainings:- Nurses, ambulance drivers, Technicians (Paramedics)- first aid (citizens)Ministry of health, CESU, NGOAccess to EM carePATIENTS ACCESS TO EMERGENCY CARE multiple emergency telephone number190 : SAMU, 197 : Fire Men, 198 : PoliceMost people go to public hospitalsEMS transport : SAMU in 6 regions Private Ambulances : in main citiesPre hospital Care6 SAMU (Medicalised EMS)30 000 Calls / yr 18 000 patients / yr198019942008199920012007VISITS / YEAREmergency Hospital Care181 Public ED2.335.608 visits in 1999EMERGENCY DEPARTMENTSType A (< 50 Visits /day) : 108 A- (< 24 Visits /day) : 52Type B ( 50 - 100 Visits /day): 40Type C (100-150 Visits /day) : 21Type D (>150 Visits /day) : 12 D + ( > 200 Visits /day ) : 7Management and Leadership Universitary Hospitals:IntensivistsAnesthesiologistsGeneral surgeonsOrthopedists Regional hospitals:General PractitionersALGERIAALGERIA30 000 visits dailyUniversitary hospitals : 14,8 %General physicians : 79,7%AlgeriaNational strategy :National Committee ( August 2008) 10 EMSEmergency medicine Certificate [2 ans]No specialityMAGHREBSPECIFICITIES REAL ENTITYPopulation characteristitcsCulture, Language, Religion, Epidemiology, Diseases .SPECIFICITIES ED OvercrowdedLack of communicationInsufficient basic training for GPSpecialityWHAT TYPE OF EP WORKS IN ED?Majority are GPEM Diploma = Certificate( 2 years training )Residents in EM ( Morocco,Tunisia )Challenges in EM Care Deliverymain challenges facing EM care deliveryStaff competences ? Funding? Overcrowding?Residents ????Mentality ++++++Discuss and Convince rather than fightPATIENTS ImpatientsEmotiannally excitedED: Going fast (through the health system)Non urgent , Chronic symptoms Dont trust EPPATIENTSMain complaint: tired , very sick ED: Dpt for tired (sick) peopleTV SERIESSPECIALISTSDelayed visitsLack of bedsTransfer patients to the EDUnwanted tasks (dirty job)Hypersensitive reaction towards Emergency ResidentsResidency in Emergency Medicine12 moisMdecine durgenceCycle de formation de base obligatoire: 3 ans12 moisRanimation Polyvalente12 moisAnesthsie4me anne: choix dune option dactivit12 mois de stage: Mdecine durgence ou Ra polyvalente ou AnesthsieActivit Ra PolyActivit UrgenceActivit AnesthsieChang |