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Emergency rooms need urgent care.(THE CONSUMERS UNION PERSPECTIVE)

Consumer Reports

| July 01, 2007 | COPYRIGHT 2007 Consumers Union of the United States, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The nation's emergency rooms are facing their own crisis.

The Institute of Medicine, a prestigious health-science group, issued a three-volume report in June 2006 titled "The Future of Emergency Care." It's grim reading. Between 1993 and 2003, visits to emergency rooms increased from 90.3 million to 113.9 million. Over the same 10 years, 425 ERs were shut down. It's no wonder that those that are left are jammed, leading to extremely long waits and patients parked on gurneys in hallways waiting for a bed.

The institute also found that, on average, every minute of every day an ambulance somewhere in the U.S. is "on diversion," meaning it's sent to a more distant hospital because the closest one is too crowded or too busy. That delay can mean the difference between life and death for stroke, heart attack, or bleeding victims.

WORTHY IDEAS

Congress is showing an interest in fixing the problem, and Consumers Union strongly supports legislative action. The institute's proposals are common sense and would be cost-effective to put in place. Among them:

* Create better regional coordination and communication to direct ambulances to ERs with enough capacity and the right specialists on duty.

* Ensure that all new or remodeled hospitals use "best practices" in designing their emergency rooms.

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