title: Implementing an emergency medical services system in Kathmandu, Nepal: a model for "white coat diplomacy".
abstract: Wilderness medicine providers often visit foreign lands, where they come in contact with medical situations that are representative of the prevailing healthcare issues in the host countries. The standards of care for matters of acute and chronic care, public health, and crisis intervention are often below those we consider to be modern and essential. Emergency medical services (EMS) is an essential public medical service that is often found to be underdeveloped. We describe our efforts to support development of an EMS system in the Kathmandu Valley of Nepal, including training the first-ever class of emergency medical technicians in that country. The purpose of this description is to assist others who might attempt similar efforts in other countries and to support the notion that an effective approach to improving foreign relations is assistance such as this, which may be considered a form of "white coat diplomacy."
authors: Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Walker, Auerbach, and Mahadevan, and Mr Kelley).
authors: Rebecca
authors: R
authors: Walker
authors: Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Walker, Auerbach, and Mahadevan, and Mr Kelley). Electronic address: psauerbach@aol.com.
authors: Paul S
authors: PS
authors: Auerbach
authors: Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Walker, Auerbach, and Mahadevan, and Mr Kelley).
authors: Benjamin V
authors: BV
authors: Kelley
authors: Patan Hospital, Kathmandu, Nepal (Dr Gongal).
authors: Rajesh
authors: R
authors: Gongal
authors: Vanderbilt University School of Medicine, Nashville, TN (Mr Amsalem).
authors: David
authors: D
authors: Amsalem
authors: Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Walker, Auerbach, and Mahadevan, and Mr Kelley).
authors: Swaminatha
authors: S
authors: Mahadevan
mesh_terms: D004632:Emergency Medical Services / Q000458:organization & administration; D004634:Emergency Medical Technicians / Q000193:education; D004635:Emergency Medicine / Q000193:education / Q000379:methods*; D009390:Nepal
keywords: EMS; Nepal; diplomacy; emergency medical services; out-of-hospital care; prehospital care