Azazh Aklilu, Teklu Sisay, Woldetsadi Assefu, Seyoum Nebyou, Geremew Haimanot, Busse Heidi, Tefera Girma, Wubben Ryan, Rankin Pete, Tupesis Janis P, Maskalyk James, Landes Megan, Mehari Enawgaw, Derbew Milliard
Ethiop Med J. 2014 Jul;Suppl 2:1-12.
Globally Emergency Medicine (EM) is young discipline and even in developed countries it is about five decades old. In Ethiopia formal pre-hospital care or hospital based Emergency department (ED) development is a recent phenomenon and this article describes development of Emergency Medicine care in Ethiopia before, around and after Ethiopia millennium.
Documents related to emergency medicine development and implementation from different government and nongovernmental data sources are used as a resource for this article.
Emergency Medicine task force (EMTF) has been established in Addis Ababa University (AAU) school of Medicine (SOM) in June 2006 and the taskforce has closely worked with Federal Ministry of Health (FMOH) and Addis Ababa city council Health Bureau (AACCHB). In addition to the main actors many partners have contributed significantly to this initiative. Some of the developments were establishment of emergency departments in Tikur Anbessa Specialized Hospital (TASH) and the restructuring of EM service by FMOH. Emergency care has been considered as a crucial service in hospitals' service along with outpatient and inpatient services. Furthermore, Pre-hospital care initiatives have been commenced in Addis Ababa and expanded to the regions with a arrangement of one or two ambulances to small districts having 100,000 population. There have also been key achievement in human resource development, notably the establishment of EM residency and MSC in EM and critical care nursing. Prehospital care givers training programs in order to produce emergency medicine technicians (EMT) have been started in various regional health professionals training centers. Furthermore, EM module has been included in the current undergraduate medical education. The Ethiopian society of emergency professionals (ESEP) has been established with members from different categories of emergency medicine professionals. In all these developments the emergency medicine training center in the emergency department of AAU has played key role in the training of human resources in different categories.
The recent successes in EM development is due to concerted efforts of the FMOH, AAU SOM and AACCHB along with committed partners. Hence, it is concluded that consistent local efforts and relevant stakeholders support in EM has resulted in successful development of the field in the country.
在全球范围内,急诊医学是一门年轻的学科,即便在发达国家,它也仅有大约五十年的历史。在埃塞俄比亚,正规的院前护理或基于医院的急诊科发展是最近才出现的现象,本文描述了埃塞俄比亚千禧年之前、期间及之后急诊医学护理的发展情况。
本文使用了来自不同政府和非政府数据源的与急诊医学发展和实施相关的文件作为资料来源。
2006年6月,亚的斯亚贝巴大学医学院成立了急诊医学特别工作组(EMTF),该工作组与联邦卫生部(FMOH)和亚的斯亚贝巴市议会卫生局(AACCHB)密切合作。除了主要参与者之外,许多合作伙伴也为这一倡议做出了重大贡献。其中一些发展成果包括在提古瑞·安贝萨专科医院(TASH)设立了急诊科,以及联邦卫生部对急诊服务进行了重组。急诊护理已被视为医院服务中与门诊和住院服务同等重要的关键服务。此外,院前护理倡议已在亚的斯亚贝巴启动,并扩展到各地区,为拥有10万人口的小地区配备了一两辆救护车。在人力资源开发方面也取得了关键成就,特别是设立了急诊医学住院医师培训项目以及急诊医学与重症护理护理学硕士学位项目。为培养急诊医学技术员(EMT),已在各地区卫生专业人员培训中心启动了院前护理人员培训项目。此外,急诊医学模块已被纳入当前的本科医学教育。埃塞俄比亚急诊专业人员协会(ESEP)已经成立,其成员来自不同类别的急诊医学专业人员。在所有这些发展过程中,亚的斯亚贝巴大学急诊科的急诊医学培训中心在不同类别的人力资源培训中发挥了关键作用。
急诊医学发展的近期成功得益于联邦卫生部、亚的斯亚贝巴大学医学院和亚的斯亚贝巴市议会卫生局以及坚定的合作伙伴的共同努力。因此,可以得出结论,在急诊医学方面持续的本地努力以及相关利益攸关方的支持促成了该国该领域的成功发展。