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Community Oriented Emergency Medicine (COEM) is the clinical practice of emergency medicine / EMS in community
hospitals, combined with a strong Public Health perspective.
Public Health Perspective in emergency medicine:
1)
The understanding that effective emergency medical care increases the overall well being in society improves healthcare manpower
usage and fosters economic growth and social development.
2) Epidemiologic surveillance for emerging infections diseases,
both naturally occurring and bioterroristic in nature.
3) Surveillance of other public health hazards such as bad
intersections (accidents), infusion to the community of pure or contaminated drugs (overdoses) or hazardous materials.
4)
Surveillance of health care manpower needs. A community with few pediatricians will see many more children in the emergency
departments, for example.
5) Health Service Administration screening for occurrences such as returns within 24 hours,
surgical complications, etc.
6) Screening for threats and referral to "safety nets" for high vulnerability targets:
Domestic Violence and Child Abuse, Sexual Assault, Elder Abuse, Children at risk for nutritional deficits, Drug and Alcohol
abuse and interdiction.
7) Injury Prevention and control
8) The development of poison control programs and
poison control prevention programs
9) The development and management Pre-hospital systems of Disaster Management programs
and teams
10) Community based education for lay people in CPR and as first responders as well as for more advanced
emergency medicine training for health care workers using training systems developed and supervised by residency trained emergency
physicians.
11) The development and recognition emergency medicine as department based and a single specialty which
has a central role to play in pre-hospital care, toxicology, and disaster medicine.
12) The development of simple,
effective medical informatics systems which can be used in triage, patient registry, case management and as a medical reference
source.
13) A range of training courses that can be adapted to the needs of a community based on epidemiologic survey and
other community oriented factors.
14) The provision of culturally competent care and knowledge of the culture specific risk factors and various
cultural models of wellness and disease. In the United States, this includes the recognition that Medical Spanish is an essential
acquirable skill
RIDE THE PROPAGATION WAVE!!!
CLICK HERE TO SEE A SUMARY OF PACEMD / MEDSPANISH PROJECTS.
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