Regan Marsh

Dear panelists, Thanks again for your comments. In your experiences, have EMS programs by run primarily by hospitals/teaching institutions or by governments (local or national)? And given resource limitations, and often transport difficulties, what processes were in place to 'triage' the use of the EMS services to the most appropriate? ...

Thank you to the discussants for their thoughts. I am an emergency physician in Boston and have worked in Haiti, Malawi and Zambia. In my experience, EMS in resource-poor settings is limited to the wealthy, who can pay for private insurance and medical care; or, to intrafacility transfers, taking patients ...