Environmentally sustainable emergency medicine

2021 ◽  
pp. emermed-2020-210421
Author(s):  
Timothy Spruell ◽  
Hannah Webb ◽  
Zoe Steley ◽  
James Chan ◽  
Alexander Robertson
Keyword(s):  
Climate Change ◽  
Emergency Medicine ◽  
Clinical Practice ◽  
Emergency Care ◽  
Carbon Emissions ◽  
Environmental Sustainability ◽  
Emergency Departments ◽  
Global Economy ◽  
Healthcare Sector ◽  
Environmentally Sustainable

Emergency clinicians worldwide are demonstrating increasing concern about the effect of climate change on the health of the populations they serve. The movement for sustainable healthcare is being driven by the need to address the climate emergency. Globally, healthcare contributes significantly to carbon emissions, and the healthcare sector has an important role to play in contributing to decarbonisation of the global economy. In this article, we consider the implications for emergency medicine of climate change, and suggest ways to improve environmental sustainability within emergency departments. We identify examples of sustainable clinical practice, as well as outlining research proposals to address the knowledge gap that currently exists in the area of provision of environmentally sustainable emergency care.

Pediatric Emergency Medicine: A Developing Subspecialty

PEDIATRICS ◽  
1989 ◽  
Vol 84 (2) ◽  
pp. 336-342
Author(s):  
Marilyn Li ◽  
M. Douglas Baker ◽  
Leland J. Ropp
Keyword(s):  
Emergency Medicine ◽  
Emergency Care ◽  
Emergency Departments ◽  
Life Support ◽  
Pediatric Emergency ◽  
Advanced Trauma Life Support ◽  
Full Time ◽  
Pediatric Emergency Medicine ◽  
Pediatric Hospitals ◽  
Pediatric Emergency Care

Questionnaires were sent to 245 North American institutions with pediatric residency programs. There was a 69% response rate. Pediatric emergency care is provided in three types of facilities: emergency departments in pediatric hospitals, separate pediatric emergency departments or combined pediatric and adult emergency departments, in multidisciplinary hospitals. There are at least 262 pediatricians practicing full-time pediatric emergency medicine. The majority work in pediatric emergency departments, an average of 30.7 clinical hours per week. There are 27 pediatric emergency medicine programs with 46 fellows in training and 117 full-time positions available for emergency pediatricians throughout North America. Varying qualifications for these positions include board eligibility in pediatrics, certification in Basic Life Support or Advanced Trauma Life Support, and a fellowship in pediatric emergency medicine. The demonstrated need for pediatricians, preferably trained in emergency care, clearly indicates that pediatric emergency medicine is a rapidly developing subspecialty of Pediatrics that will be an attractive career choice for future pediatricians.

Environmentally sustainable stochastic procurement model

2018 ◽  
Vol 29 (3) ◽  
pp. 472-498 ◽  
Author(s):  
Harpreet Kaur ◽  
Surya Prakash Singh
Keyword(s):  
Carbon Emissions ◽  
Environmental Sustainability ◽  
Lot Sizing ◽  
Planning Horizon ◽  
Business Environment ◽  
Manufacturing Firms ◽  
Mixed Integer ◽  
Content Type ◽  
Environmentally Sustainable ◽  
Procurement Planning

Purpose Procurement planning has always been a huge and challenging activity for business firms, especially in manufacturing. With government legislations about global concern over carbon emissions, the manufacturing firms are enforced to regulate and reduce the emissions caused throughout the supply chain. It is observed that procurement and logistics activities in manufacturing firms contribute heavily toward carbon emissions. Moreover, highly dynamic and uncertain business environment with uncertainty in parameters such as demand, supplier and carrier capacity adds to the complexity in procurement planning. The paper aims to discuss these issues. Design/methodology/approach This paper is a novel attempt to model environmentally sustainable stochastic procurement (ESSP) problem as a mixed-integer non-linear program. The ESSP optimizes the procurement plan of the firm including lot-sizing, supplier and carrier selection by addressing uncertainty and environmental sustainability. The model applies chance-constrained-based approach to address the uncertain parameters. Findings The proposed ESSP model is solved optimally for 30 data sets to validate the proposed ESSP and is further demonstrated using three illustrations solved optimally in LINGO 10. Originality/value The ESSP model simultaneously minimizes total procurement cost and carbon emissions over the entire planning horizon considering uncertain demand, supplier and carrier capacity.

scholarly journals EVALUATION OF DIAGNOSTIC QUALITY CRITERIA OF EMERGENCY CARE FOR DISEASES OF SURGICAL PROFILE AT EMERGENCY DEPARTMENTS

2020 ◽  
Vol 21 (3) ◽  
pp. 11-17
Author(s):  
R. R. Alimov ◽  
A. G. Miroshnichenko ◽  
E. L. Lataria ◽  
I. A. Turov
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Diagnostic Criteria ◽  
Emergency Care ◽  
Emergency Departments ◽  
Quality Evaluation ◽  
Evaluation Criteria ◽  
Quality Criteria ◽  
Diagnostic Quality ◽  
High Level

The article presents an analysis of diagnostic criteria of quality evaluation for emergency medicine and specialized medical care in emergency departments. The results of the study of emergency medicine care in compliance with quality evaluation criteria showed that in groupe of general criteria for quality evaluation it was achieved in 100 prc cases, in groupe of evaluation criteria of extent of medical aid - in 97,4 prc cases, n groupe of evaluation criteria of timely diagnosis and treatment — 98,2 prc. It also shows the high level of medical care in this department.

Emergency Medicine in the United Kingdom—How It Is Taught

1985 ◽  
Vol 1 (S1) ◽  
pp. 85-86
Author(s):  
Andrew K. Marsden
Keyword(s):  
Emergency Medicine ◽  
United Kingdom ◽  
Emergency Care ◽  
Emergency Departments ◽  
First Aid ◽  
Ambulance Service ◽  
The United Kingdom ◽  
Accident And Emergency ◽  
Recent Developments ◽  
The Way

The staff of accident and emergency departments in the United Kingdom are realizing their increasing role in teaching the elements of emergency care. This paper highlights some recent developments which have influenced the way in which emergency medicine is taught.First Aid instruction aims to impart the universally agreed and accepted principles to a wide ranging audience. Traditionally these principles have been embodied in the combined manual of the St. John Ambulance Service, St.

Financial Markets, Climate Change, and Paradoxes of Coordination and Intervention

2016 ◽  
Vol 15 (5) ◽  
pp. 455-479 ◽  
Author(s):  
Georgina Murray ◽  
David Peetz
Keyword(s):  
Climate Change ◽  
Financial Markets ◽  
Environmental Degradation ◽  
Carbon Emissions ◽  
Environmental Sustainability ◽  
Insurance Companies ◽  
Internal Logic ◽  
Finance Capital ◽  
Different Parts

While capitalism as a system follows a logic that drives it toward environmental degradation, not every corporation blindly follows. Not all capital is opposed to action on climate change as corporations have their own internal logic and agency. This divides different parts of capital. For some corporations their logic promotes long-termism and environmental sustainability as this maximizes their profit (e.g. insurance companies). So ownership and the old divisions between industrial and finance capital are less relevant as corporations become increasingly financialized. The principal cleavage on climate issues is between companies whose profits are enhanced or threatened by carbon emissions.

Financial Activism and Global Climate Change: The Rise of Investor-Driven Governance Networks

2011 ◽  
Vol 11 (2) ◽  
pp. 54-74 ◽  
Author(s):  
Michael MacLeod ◽  
Jacob Park
Keyword(s):  
Climate Change ◽  
Environmental Sustainability ◽  
Global Economy ◽  
Environmental Governance ◽  
Global Climate ◽  
Business Community ◽  
Private Governance ◽  
Global Environmental ◽  
Governance Networks ◽  
Sustain Ability

This article examines the nexus between financial activism and global environmental governance, analyzing the emergence of what we call “investor-driven governance networks” (IGNs). Our paper seeks to probe the significance of IGNs as a particular manifestation of responsible investor activism and more generally as a financial instrument of environmental governance and sustain-ability. We argue that IGNs, many of which are concerned with climate change governance, have become important actors in the global economy and deserve more analysis by scholars concerned with new forms of authority in global environmental politics. As an example of emerging transnational private governance, IGNs utilize the power of the financial sector to shape the discourse on climate change within the business community and to link the long-term viability of environmental sustainability to the core strategic interests of corporations and investors.

Becoming environmentally sustainable in healthcare: an overview

2015 ◽  
Vol 39 (4) ◽  
pp. 417 ◽  
Author(s):  
Maggie Jamieson ◽  
Alison Wicks ◽  
Tara Boulding
Keyword(s):  
Climate Change ◽  
Health System ◽  
Healthcare System ◽  
Health Professionals ◽  
Environmental Sustainability ◽  
Scientific Evidence ◽  
Policy Framework ◽  
Environmentally Sustainable ◽  
Carbon Reduction ◽  
Reduce Carbon Emission

This paper provides an overview of environmental sustainability in healthcare and highlights the need for a policy framework for action. Examples from overseas demonstrate what has effectively enabled mitigation of and adaptation to the threat of climate change. The need to overcome perceived limits and barriers to health professionals’ engagement in sustainable practice is noted. The scientific evidence recommends immediate action. What is known about the topic? Climate change has negative impacts on human health. There are co-benefits in mitigating and adapting to climate change that will benefit both humans and health systems, increasing wellbeing, financial and health system efficiency. There is a need for health professionals to engage with sustainability. Australia’s health policy makers could learn useful lessons about how to be sustainable from the significant policy and legislation work occurring elsewhere. What does this paper add? This paper reports on the context of and need for becoming sustainable in healthcare. It provides brief examples of what has occurred in other countries and advocates for a policy framework to support further action in Australia. What are the implications for practitioners? The significance of this paper is that it notes the need for a consistent, whole-of-country approach to carbon reduction in many aspects of the healthcare system. From an increased preventative focus on population health, coupled with actions in patient care, and developing a whole-of-healthcare-system approach, benefits will be realised that serve to reduce carbon emission, thereby tackling the longer-term effects of climate change. This view is supported by the noted success of increasing sustainable health system actions in the United Kingdom National Health Service and elsewhere.

scholarly journals Why be sustainable? The Australian and New Zealand College of Anaesthetists Professional Document PS64: Statement on Environmental Sustainability in Anaesthesia and Pain Medicine Practice and its accompanying background paper

2019 ◽  
Vol 47 (5) ◽  
pp. 413-422 ◽  
Author(s):  
Forbes McGain ◽  
Scott CY Ma ◽  
Rob H Burrell ◽  
Vanessa G Percival ◽  
Peter Roessler ◽  
...  
Keyword(s):  
New Zealand ◽  
Environmental Sustainability ◽  
Energy Use ◽  
Healthcare Sector ◽  
Supporting Evidence ◽  
Pain Medicine ◽  
Ongoing Research ◽  
Environmentally Sustainable ◽  
Zealand College ◽  
Advocacy Leadership

Healthcare’s environmental sustainability is increasingly an area of research and advocacy focus. The Australian and New Zealand College of Anaesthetists (ANZCA) has produced a professional document, PS64, Statement on Environmental Sustainability in Anaesthesia and Pain Medicine Practice, and a background paper, PS64 BP. The purpose of the statement is to affirm ANZCA’s commitment to environmental sustainability and support anaesthetists in promoting environmentally sustainable work practices. This article presents the main features of PS64 and its background paper, and the associated supporting evidence. The healthcare sector is highly interconnected with activities that emit pollution to air, water and soils, considerably adding to humanity’s collective ecological footprint. As anaesthetists, we are uniquely high-carbon doctors due to our work anaesthetising with greenhouse gases (particularly desflurane and nitrous oxide) and our exposure and contribution to large amounts of resource and energy use and waste generation in operating theatres. Discussion is made of the improving research base of anaesthetic life-cycle assessments—that is, cradle-to-grave studies of how much energy, water and so on a product or process requires throughout its entire life. Thereafter, reducing, reusing and recycling as well as water use are examined. Ongoing research efforts within environmentally sustainable anaesthesia are highlighted. Environmentally sustainable anaesthesia requires scholarship, health advocacy, leadership, communication and collaboration. The focus is placed on practical initiatives within PS64 and the background paper that can be achieved by all anaesthetists striving towards more sustainable healthcare practices that reduce waste, reap financial benefits and improve health.

scholarly journals How Environmentally Sustainable Is the Internationalisation of Higher Education? A View from Australia

2022 ◽  
pp. 103-132
Author(s):  
Hans A. Baer
Keyword(s):  
Climate Change ◽  
Higher Education ◽  
Environmental Sustainability ◽  
Strong Dependence ◽  
Anthropogenic Climate Change ◽  
Environmentally Sustainable ◽  
Overseas Students ◽  
Affluent Country ◽  
Internationalisation Of Higher Education ◽  
The Many

AbstractIn a world of increasing awareness of the many drivers of anthropogenic climate change, all of which fall under the larger rubric of global capitalism with its emphasis on profit-making, economic growth, and a strong dependence on fossil fuels, many universities, particularly in developed societies, have proclaimed a staunch commitment to the notion of environmental sustainability. Conversely, the growing emphasis on internationalisation of higher education, particularly in Australia, entails a considerable amount of air travel on the part of university staff, particularly academics but also support staff, and overseas students and occasionally domestic students. Australia is a generally highly affluent country which is situated in the driest inhabited continent and increasingly finds itself functioning as a “canary the coal mine” with respect to the ravages of anthropogenic climate change. Ironically, climate scientists and other observers often refer to various regions, such as the Arctic, low-lying islands, the Andes, and Bangladesh, inhabited by indigenous and peasant peoples as the canaries in the coalmines when it comes to the adverse impacts of anthropogenic climate change. It is often said that those people who have contributed the least to greenhouse gas emissions are the ones suffering the most from climate change, a more than accurate observation.

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