Organizational Structure, Problem Solving, and Effectiveness: A Comparative Study of Hospital Emergency Services.

1988 ◽  
Vol 17 (4) ◽  
pp. 483
Author(s):  
Mary L. Fennell ◽  
Basil S. Georgopoulos
Keyword(s):  
Problem Solving ◽  
Comparative Study ◽  
Organizational Structure ◽  
Emergency Services ◽  
Hospital Emergency ◽  
Structure Problem

A Comparative Study of the Organization and Performance of Hospital Emergency Services

Medical Care ◽  
1982 ◽  
Vol 20 (4) ◽  
pp. 437
Author(s):  
George M. Neely
Keyword(s):  
Comparative Study ◽  
Emergency Services ◽  
Hospital Emergency ◽  
And Performance

Head trauma in young recreational sledders: helmets are not compulsory in Italian law (Preprint)

2018 ◽  
Author(s):  
Stefania Barbieri ◽  
Elisa Bertoldi ◽  
Giulia Maria Cillo ◽  
Rosa Maria Gaudio ◽  
Rossella Snenghi ◽  
...  
Keyword(s):  
Head Trauma ◽  
Emergency Departments ◽  
Emergency Services ◽  
Mountain Biking ◽  
Hospital Emergency ◽  
Descriptive Data ◽  
Winter Sports ◽  
Helmet Use ◽  
Italian Law ◽  
Almost All

BACKGROUND Helmet use is now viewed as an essential safety measure in almost all sports involving a high risk of impact and head trauma, from horseback riding to mountain biking, rock climbing and winter sports such as skiing and snowboarding. For young skiers and snowboarders under the age of 14, the use of certified helmets is compulsory in Italian law, although no defined regulations exist for recreational sledding OBJECTIVE To review past and current regulations covering winter sports, to explore potential legal discrepancies in appraising factors related to helmet use in recreational activities by children under the age of 14, and to identify hazards connected with various types of sledding accidents METHODS Descriptive data of the cases of 16-year-old or younger adolescents injured while sledding without helmets were gathered from injury reports collected by ski patrols, pre-hospital emergency services and emergency departments, and compared with 53 cases of adolescents and children who went skiing and snowboarding wearing certified helmets, over two winter seasons (December to April, 2011-12 and 2012-13). Sledges were grouped into three categories:1) traditional wooden toboggans (hereafter called ‘traditional sleds’); 2) plastic sleds; 3) newly designed sleds (with inner tubes, plastic and hard foam sleds, snowskates, boardslides, runslides, snowblades, foam slides, etc.) RESULTS Descriptive data of the cases of 16-year-old or younger adolescents injured while sledding without helmets were gathered from injury reports collected by ski patrols, pre-hospital emergency services and emergency departments, and compared with 53 cases of adolescents and children who went skiing and snowboarding wearing certified helmets, over two winter seasons (December to April, 2011-12 and 2012-13). Sledges were grouped into three categories:1) traditional wooden toboggans (hereafter called ‘traditional sleds’); 2) plastic sleds; 3) newly designed sleds (with inner tubes, plastic and hard foam sleds, snowskates, boardslides, runslides, snowblades, foam slides, etc.) CONCLUSIONS Additional investigation of the actual dynamics of the accident, together with information on the sitting position and sled speed are required. Regulations should compel ski slope operators to improve the current level of control on sledding slopes.

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