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Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation

Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external provid...

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Autores principales: Mills, Jody-Anne, Gosney, James, Stephenson, Fiona, Skelton, Peter, Norton, Ian, Scherrer, Valerie, Jacquemin, Geraldine, Rau, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050053/
https://www.ncbi.nlm.nih.gov/pubmed/30050723
http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce
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author Mills, Jody-Anne
Gosney, James
Stephenson, Fiona
Skelton, Peter
Norton, Ian
Scherrer, Valerie
Jacquemin, Geraldine
Rau, Barbara
author_facet Mills, Jody-Anne
Gosney, James
Stephenson, Fiona
Skelton, Peter
Norton, Ian
Scherrer, Valerie
Jacquemin, Geraldine
Rau, Barbara
author_sort Mills, Jody-Anne
collection PubMed
description Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external providers, including local services and international organizations, to provide services. Low- and middle-income countries, which often have limited rehabilitation capacity within their health system,  are particularly vulnerable to disaster and are usually  ill-equipped to address the increased burden of rehabilitation needs that arise. The resulting unmet needs for rehabilitation culminate in unnecessary complications for patients, delayed recovery, reduced functional outcomes, and often impede return to daily activities and life roles. Recognizing the systemic neglect of rehabilitation in global emergency medical response, the World Health Organization, in collaboration with key operational partners and experts, developed technical standards and recommendations for rehabilitation which are integrated into  the WHO verification  process for EMTs. This protocol report presents: 1) the rationale for the development of the standards and accompanying recommendations; 2) the methodology of the development process; 3) the minimum standards and other significant content included in the document; 4) challenges encountered during development and implementation; and 5) current and next steps to continue strengthening the inclusion of rehabilitation in emergency medical response.
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spelling pubmed-60500532018-07-25 Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation Mills, Jody-Anne Gosney, James Stephenson, Fiona Skelton, Peter Norton, Ian Scherrer, Valerie Jacquemin, Geraldine Rau, Barbara PLoS Curr Discussion Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external providers, including local services and international organizations, to provide services. Low- and middle-income countries, which often have limited rehabilitation capacity within their health system,  are particularly vulnerable to disaster and are usually  ill-equipped to address the increased burden of rehabilitation needs that arise. The resulting unmet needs for rehabilitation culminate in unnecessary complications for patients, delayed recovery, reduced functional outcomes, and often impede return to daily activities and life roles. Recognizing the systemic neglect of rehabilitation in global emergency medical response, the World Health Organization, in collaboration with key operational partners and experts, developed technical standards and recommendations for rehabilitation which are integrated into  the WHO verification  process for EMTs. This protocol report presents: 1) the rationale for the development of the standards and accompanying recommendations; 2) the methodology of the development process; 3) the minimum standards and other significant content included in the document; 4) challenges encountered during development and implementation; and 5) current and next steps to continue strengthening the inclusion of rehabilitation in emergency medical response. Public Library of Science 2018-07-09 /pmc/articles/PMC6050053/ /pubmed/30050723 http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce Text en © 2018 Mills, Gosney, Stephenson, Skelton, Norton, Scherrer, Jacquemin, Rau, et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Discussion
Mills, Jody-Anne
Gosney, James
Stephenson, Fiona
Skelton, Peter
Norton, Ian
Scherrer, Valerie
Jacquemin, Geraldine
Rau, Barbara
Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title_full Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title_fullStr Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title_full_unstemmed Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title_short Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
title_sort development and implementation of the world health organization emergency medical teams: minimum technical standards and recommendations for rehabilitation
topic Discussion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050053/
https://www.ncbi.nlm.nih.gov/pubmed/30050723
http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce
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