Emergency rooms function as a public ?safety net,? providing care to patients who have unexpected illness or injury that may result in death, disability, or severe pain if not cared for immediately. Unfortunately, emergency rooms worldwide are now being faced with the ever-increasing challenge of overcrowding.Overcrowding in an emergency room (ER) occurs when there is an extreme volume of patients in ER treatment areas, forcing the ER to operate beyond its capacity. This puts an added level of workload and responsibility on ER staff that is now expected to work beyond their usual level of capacity.HOW DOES OVERCROWDING OCCUR?This phenomenon is a reflection of the capacity of the hospitals since overcrowding in the emergency rooms means that bed capacities of the hospitalsDr. Zulfikar Buxhave been maximized. As a result, admitted patients are kept in the ER until space becomes available on wards. The ER staff is expected to continue to provide care for incoming patients and the bedded admitted patients. The main cause of overcrowding is the increase in patient presentations to a particular hospital. Every hospital has a capacity limit and when this is over-utilized, overcrowding will occur. Patients tend to seek care at ER where they feel care is best. Their condition may not be a medical emergency,Cheap Jerseys China, but in their minds it is and it warrants care at an ER of their choice. There is a new trend to ?go to the ER once you are sick?. It is not always warranted since ERs are designed for true medical emergencies. Outpatient medical centres are designed for non-urgent medical care but are often not utilized to their maximum.WHAT HAPPENS TO THE PATIENTS?It?s very unfortunate that patients have to be exposed to the overcrowding in ERs. They may be admitted for days in an ER awaiting care but will receive their medical treatment in the interim. Since the ER is crowded with admitted patients, the incoming patients may face delay in care while the ER staff rearranges resources to accommodate their needs. The BBC health report on January 23 2015 highlights the effect of overcrowding on patient times in the UK. Although they have managed to decrease patient waiting times to 4 hours in the UK, they have still not achieved their target because of the overcrowding.ARE THERE SOLUTIONS FOR THE OVERCROWDING?The obvious solution that may come to mind is to continue to build more hospitals. The reality is that it is not the most resource efficient solution.Studies have found that solutions such as activating a full capacity/surge plan for overcrowding, educating the public about hospital utilization, triaging patients to appropriate centres and providing care to only emergencies, expanding the hospital and ER capacity, improving primary health care which will decrease the disease burden and implementing early discharge plan for patients, can help to minimize overcrowding in the ER.These are solutions that need multidisciplinary support before they can be implemented and may need modification to suit the individual needs of the respective institution.THANK YOU TO THE GPHC ACCIDENT & EMERGENCY STAFFSimilar to what is occurring worldwide, The Accident & Emergency Department of the Georgetown Public Hospital Corporation (GPHC A&E) is faced with the daily challenge of overcrowding. The staffers of this emergency room work tirelessly and often go beyond their means to ensure that medical care is delivered to each patient that is in the ER. They are not perfect, but then again none of us are. What makes me proud of them is their ability to save all the lives they have saved and their will to keep trying to improve on their imperfections. I thank each and every team member of the GPHC A&E and wish to remind them ?what you do matters, and what matters is what you should always do.(Dr Zulfikar Bux is an Assistant Professor of Emergency Medicine at the Vanderbilt University and Medical Center and holds the position of Head of the Georgetown Public Hospital?s Accident and Emergency Department.)
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The Guyana Revenue Authority yesterday confirmed that a search has been launched for a smuggler?s boat that mysteriously disappeared from the Customs Boat House wharf on June 16.But a GRA release said that officials were ?immensely dissatisfied? with a Kaieteur News June 10 story on the incident.In its statement, the GRA accused this publication of carrying a ?one sided report?, which it said ?failed to commend the dedicated officers for the seizure of the vessel and the prosecution of those involved in the illegal activities.?Moreover, the citing of information provided by an unnamed source (third party) and failure to verify the veracity of the information leave much to be desired and contribute to the jeopardising of the investigation.?However, Editor in Chief Adam Harris,nfl jerseys china, said that the GRA is expected to apprehend smugglers. ?To praise the workers for their job and ignore the glaring mistakes would be counterproductive.?According to the release, employees of the Law Enforcement and Investigation Division (LEID) on May 28, 2010 responded to information,Cheap NFL Jerseys China, provided by an informant, and successfully located the wooden vessel which was at the time transporting a quantity of uncustomed goods at No. 7 Beach area, West Coast Berbice. At the time of the seizure, the boat was in the possession of Eric Mootoo, Boodram and Mangar Outar, all of the West Coast of Berbice.These men have since been prosecuted in relation to breaches of section 218 (d) of the Customs Act Chapter 82:01, GRA stated.?Meanwhile,Wholesale NFL Jerseys China, the Law Enforcement and Investigation Division of the Guyana Revenue Authority (GRA) and the Guyana Police Force continue to work in close collaboration in investigating the alleged disappearance of the smuggler?s boat from the Customs Boathouse Wharf on June 16, 2010. Further, the Commissioner-General is challenging all media houses to work with the GRA to avoid compromising ongoing investigations.He says,NFL Jerseys Cheap, ?In seeking to curb illegal activities the lives of dedicated officers are jeopardised when information provided by third parties is not treated responsibly.In the execution of their duties, the Law Enforcement Officers at the GRA are daily confronted with dangerous criminals yet they persist in the diligent performance of their responsibilities.?According to the release, ?it is the view of the Commissioner-General that the least that can be done for the courageous officers is the show of appreciation for their dedication and efficiency.?To this end, media practitioners are urged to exercise patriotism in their reporting by focusing on the positives.?If being patriotic is to hide irregularities and shortcomings then Kaieteur News would have none of that,Jerseys NBA Cheap China, Harris said.Kaieteur News had reported that the smuggler?s boat was unloaded and taken to the Customs Boat House,Wholesale Baseball Jerseys, from where it mysteriously disappeared.This newspaper confirmed that several Customs officers in civilian attire had visited Riverview after being informed that the boat was there.They focused their attention on a recently-painted boat and questioned a resident,Cheap Jerseys, who revealed that he had bought it about three weeks ago.The original owner was contacted and the Customs ranks eventually left after confirming that the boat was not the one that they were looking for.When Kaieteur News contacted the Customs officers at the scene, the officers denied that a vessel had disappeared from Customs House.However, this information was confirmed by a Riverview resident whose vessel was checked.
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Minister of Health, Bheri Ramsarran, yesterday congratulated four women after they would have successfully completed their Bachelors Degree in Dental Surgery at the University of Guyana (UG).The new dentists are Zoe Perreira, Rehanna Ali, Sulan Fung andThe four new dentistsJamaican,Andre Branch Dolphins Jersey, Simone Brady.The UG Dental Programme started since 2006 and according to the Minister of Health, it is a successful Guyanese programme.He said every year there are a number of dentists who are graduating from the programme. Some five persons graduated last year.?The University of Guyana Dental Programme is young, it is one of the programmes that we are proud of and it will allow young people coming out of the secondary school system, to directly go to UG and be trained for five years to become a dentist,? Ramsarran said.He added that the programme is seeing a rapid number of new admissions every year. Currently there are 40 students at various stages of the programme to become dentists.
?thousands dead but millions more need help – Manickchand The Guyana National Committee for Haiti Relief has set no ceiling to the amount of aid that it intends to collect for the earthquake ravaged island.This was pointed out by the Chairperson of the Committee Human Services and Social Security Minister Priya Manickchand who is urging Guyanese to give generously to the relief effort.According to Manickchand, while there are tens of thousands of people that have died,Cheap Nike Air Max Shoes, there are millions more that need help.According to Manickchand, ?It does not matter how little you have. I am sure than you can find something that could help others.?The Minister emphasised that while Guyana may not have the resources that a first world country has, it would be an indictment, ?on us if we did not help our brothers and sisters in Haiti?we are all our brothers keeper?we have a civic/human responsibility to take care of those in need.?She noted too that stakeholders are also in the process of working out a mechanism that would determine logistically how the aid from Guyana will reach Haiti.It was pointed out that the airport has been taken over by the US Military and at present is overwhelmed, while the ports in Haiti are closed and the roads.The last reported figures coming out of the committee representing cash-in-hand totaled some $213.6 Million and growing.This amount was realised through Government?s initial donation of $205.9 M (US $1m) as well as those realised from two telethons aired on NCN among other fund raising drives.As at Friday last,Air Max 1 Atmos For Sale, the other deposits totalled $4.5M while the cash and cheques delivered to the CDC amount to $779,Wholesale Adidas Hockey Jerseys,000. In addition, the cash received from the NCN telethons amounts to $2.4 M.According to Manickchand,WBC Jerseys 2017, the other figures announced remain pledges for now and she is urging those that made the commitments to make good on their pledges.GT&T has also pitched in making available its SMS platform to raise funds via text messaging that collects $100 per message and as at yesterday more than 8000 were received.The company has offered its telecommunication equipment to facilitate local relief efforts. The GT&T number to text to make a donation is 6204488(GIVE) and the message is ?Help Haiti?.?We have pledges from Courts Guyana Limited,Cheap NFL Jerseys Authentic, Banks DIH, DDL and Just Water as well as $6M in pharmaceuticals from the New GPC. The Pomeroon Oil Mill has also pledged $500,Jerseys Wholesale,000 worth of cooking oil to be shipped to the country with other supplies when that becomes possible.Donations are also still being accepted at the CDC on Thomas Lands and NCN as well as at any Republic Bank branch.The Minister also stated that contrary to public opinion,Jerseys NFL Cheap, the committee has no issues with the Guyana Red Cross but noted that the effort remains a national joint effort that includes the organisation on the committee.
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The release of Standard Operating Procedures for the Special Organised Crime Unit (SOCU) has been extended yet another week.According to Minister of Public Security Khemraj Ramjattan, a Draft of the Protocols is set to be presented to the Cabinet and National Security Committee before it is circulated to the relevant bodies and made public. Ramjattan said that the Commissioner of Police Seelall Persaud was tasked with drafting the procedures in which SOCU will be guided.The Public Security Minister disclosed that he has since seen the guidelines drafted by the Top Cop.?It is in my opinion well done,? Ramjattan added. He noted however that there may be a bit of fine tuning of the document, hence the delay.During last month?s budget debates, Minister Ramjattan announced that protocols had been already drafted for the unit. He told the National Assembly that the document consisted of six pages of standard operating procedures.According to Ramjattan, the protocols are aimed at ensuring that SOCU, which comes under the purview of the Guyana Police Force, comes in line with the Force?s Standing Orders.Public Security Minister Khemraj RamjattanSOCU was established under the then People?s Progressive Party Civic (PPPC) administration, but the regime failed to implement the protocols for that specialised unit that is tasked with probing financial crimes.However a call for the standard operating procedures to manage the affairs of the SOCU intensified following the deaths of Guyana Defence Force (GDF) Sgt. Robert Pyle, his wife Stacy, and Canter truck driver, Linden Eastman. They died in an accident on December 30.The Guyana Police Force (GPF) had stated that Pyle, driving motor car PRR 9118, was in pursuit of another vehicle during a ?Special Operation? on behalf of the Special Organized Crime Unit (SOCU),Aaron Ramsey Arsenal Jersey UK, when he lost control of his vehicle and crashed into an oncoming Canter truck on Carifesta Avenue.According to reports, Pyle was part of a team that was carrying out an operation in the vicinity of the residence of embattled head of the National Industrial and Commercial Investments Limited, (NICIL), Winston Brassington.