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Development of Emergency Services in Costa Rica: Title and subTitle BreakA Collaborative Project in International Health FREE

David Doezema, MD; David P. Sklar, MD; Paul B. Roth, MD; Michael P. Rodolico, MPH; George Key, MD, MPHTM
[+] Author Affiliations

Reprint requests to Division of Emergency Medicine, University of New Mexico School of Medicine, 620 Camino de Salud NE, Albuquerque, NM 87131 (Dr Doezema).


JAMA. 1991;265(2):188-190. doi:10.1001/jama.1991.03460020038011
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Emergency medicine programs, which have developed in the United States since the 1970s, have opportunities to share their content and growth process with the developing world where technological change has encouraged an interest in emergency medicine.1 Costa Rica has intensive care units capable of sustaining critically ill and injured patients but lacks an adequate emergency medical services (EMS) system to resuscitate and stabilize such patients before entry into intensive care units. From July 1989 to July 1990, the Division of Emergency Medicine at the University of New Mexico School of Medicine, Albuquerque, collaborated with the Costa Rican government and Project Hope (The People-to-People Health Foundation, Inc) to provide educational and technical assistance in developing an EMS system. Our experience highlights some of the benefits and pitfalls of such a collaboration.

Description of Costa Rican Health Care System  Situated between Nicaragua to the north and Panama to the south, Costa

REFERENCES

Sklar DP.  Emergency medicine and the developing world . Am J Emerg Med. 1988;;6:390-393.
 Middle America . In: National Geographic Atlas of the World . Washington DC: National Geographic Society; 1981;:112-113.
Wintemute GJ.  Is motor vehicle-related mortality a disease of development? Accid Anal Prevent. 1985;;17:223-237.
 Causes of death . In: World Health Statistics Annual . Geneva, Switzerland: World Health Organization; 1989;:388-395.
Islami AH, Steele WW, Asper SP.  A fellowship program to advance teaching of the basic sciences in foreign medical schools . JAMA . 1990;;263:3306-3308.
Music SI, Schultz MG.  Field epidemiology training programs . JAMA . 1990;;263:3309-3311.
Alexander RH, Pons P, Krishner J, Hunt P.  The effect of advanced life support and sophisticated hospital systems on motor vehicle mortality . J Trauma. 1984;;24:486-490.
Evans JR, Hall KL, Warford J.  Health care in the developing world: problems of scarcity and choice . N Engl J Med. 1981;;305:1117-1127.
Walsh JA, Warren KJ.  Selective primary care: an interim strategy for disease control in developing countries . N Engl J Med. 1979;;301:967-974.
Taylor CE.  Changing patterns in international health motivations and relationships . Am J Public Health . 1979;;69:803-808.
Schambra PE.  Seeking new dimensions in international health research . JAMA . 1990;;263:3325-3326.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Sklar DP.  Emergency medicine and the developing world . Am J Emerg Med. 1988;;6:390-393.
 Middle America . In: National Geographic Atlas of the World . Washington DC: National Geographic Society; 1981;:112-113.
Wintemute GJ.  Is motor vehicle-related mortality a disease of development? Accid Anal Prevent. 1985;;17:223-237.
 Causes of death . In: World Health Statistics Annual . Geneva, Switzerland: World Health Organization; 1989;:388-395.
Islami AH, Steele WW, Asper SP.  A fellowship program to advance teaching of the basic sciences in foreign medical schools . JAMA . 1990;;263:3306-3308.
Music SI, Schultz MG.  Field epidemiology training programs . JAMA . 1990;;263:3309-3311.
Alexander RH, Pons P, Krishner J, Hunt P.  The effect of advanced life support and sophisticated hospital systems on motor vehicle mortality . J Trauma. 1984;;24:486-490.
Evans JR, Hall KL, Warford J.  Health care in the developing world: problems of scarcity and choice . N Engl J Med. 1981;;305:1117-1127.
Walsh JA, Warren KJ.  Selective primary care: an interim strategy for disease control in developing countries . N Engl J Med. 1979;;301:967-974.
Taylor CE.  Changing patterns in international health motivations and relationships . Am J Public Health . 1979;;69:803-808.
Schambra PE.  Seeking new dimensions in international health research . JAMA . 1990;;263:3325-3326.
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