Table 2.
Continued findings of selected studies (part 2).
| Author / Year | Study Design | Aim | Strengths | Challenges & Recommendations | |
|---|---|---|---|---|---|
| Mohamed et al.15 (2020) | Review | Outline the development of emergency medicine in Egypt, including infrastructure, education, specialty certification, and future challenges | Outline the following: • Hospital systems • The prehospital system • Evolution of the specialty of emergency medicine • Training and education • Collaborative resuscitation training efforts • Emergency departments • Societies and organization |
• Address challenges: "brain drain"; immigration of th highly qualified emergency physicians in addition t Low salaries offered to specialists. • Consistent and balanced education for trainee: including standardization of the training experienc across institutions, and greater oversight. • Increased support for emergency medicine research i critical. • Lack of reliable data sources for emergency patient: such as trauma or cardiac arrest registries. |
|
| Saleh et al.16 (2017) |
Cross-sectional | • To measure the time interval between injury and presentation to the emergency department of university hospitals • To identify possible causes of these delays. |
• • | The average reported transport time for patients from injury to hospital arrival was 3.8 hours, while the mean ambulance response time was 45 minutes Referral from other hospitals was revealed to be a significant cause of delay (P=0.004), while ignorance of the local ambulance phone number couldn't be confirmed as a cause (P=0.2) | • The additional nationwide analysis is needed t estabhsh the clear causation or association of thes causes with the delay intervals. • Hospital-to-hospital pathway for hospital-to-hospit; transfer and improve ambulance services an compliance |
| Mostafa et al.11 (2016) | Descriptive | Evaluation of the effectiveness of prehospital management of adult poly traumatized patients in a university hospital | • • | Arrival delay is strongly related to the percent of mortality, as it was 14.3% with time arrival >2 hours. 30% higher in emergencies arriving from rural areas | Prominent relationship between number of mortality an absence, ineffective or delayed pre-hospital care for adu polytrauma patients. |
| KhaliUfa/.18 (2021) | Cros s-sectional | To assess the factors affecting the prehospital time delay of the injured patients arriving at the emergency department. | The patie rura leve | prehospital time delay (>one hour) of the injured nts was positively associated with age >60 years and residence but inversely associated with consciousness L. |
The prehospital time delay of the injured patients arriving < the emergency department was associated with old age, rur; residence, and consciousness level. |
| Al-Tehewy et al.19 (2016) | Observational | Evaluate the timeliness of the emergency room cycle time which is measured from patient registration to patient disposition in a tertiary hospital in Egypt. | • • | The time to physician assessment in different categories of patient severity by the Canadian triage and acuity scale (CTAS) was noted to meet the target duration for each category of the CTAS. The longest phase was the initial physician assessment with a median of 16 minutes and an interquartile range of 47 minutes. | Hospitals should start developing triage systems and shoul keep their excellent performance in keeping the timeframe for different Canadian triage and acuity scale categorie patients in line with the recommended durations |