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International Field Work in Romania


We have been working in Mures County, Romania, in partnership with Serviciul Mobil de Urgenţǎ, Reanimare şi Descarcerare (SMURD) since 2000. SMURD operates the country’s only mobile intensive care unit, as well as the major Emergency Department based at Mures County Hospital.

The major objectives of the partnership are improving the quality of emergency medical education, creating public health outreach initiatives in the Emergency Department setting, and creating a system that provides more advanced training in medical toxicology and ultrasound.

More than 100 American and Romanian health care professionals have participated to date. During this time, the residency training program at Mures County Hospital has grown to a five year program with ten residents per class. American program participants - attending physicians, residents, nurses and paramedics - generally spend four week blocks in TIrgu Mures in clinical, educational and research efforts that have led to significant professional and personal ties between the two partners.


Baystate emergency medicine resident doing field work in Romania Emergency room triage in Romaniz Roma patients wait for ED in Romania
Baystate resident Yalonda Phillips working with SMURD, Targu Mures Romania Romanian Emergency Medicine staff perform a triage assessment Roma patients await care at the SMURD Emergency Department in Targu Mures Romania

Program Achievements

  • Establishment of the first residency training program in Emergency Medicine in Romania (2001)
  • Establishment of the first Poison Control Center in Romania (2002)
  • Numerous research publications including investigations of the use of high dose nitroglycerine for the treatment of acute decompensated heart failure, the relationship between hypertension and epistaxis, and identification of epidemic methanol and carbon monoxide exposures in Central Transylvania
  • Establishment of an Emergency Department-based social work program to identify and treat under-recognized social issues
  • Numerous conferences and presentations on core Emergency Medicine topics such as pediatric care, ultrasound and toxicology