Integrative Biomedical Research

Integrative Biomedical Research (Journal of Angiotherapy) | Online ISSN  3068-6326
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Advancements in Emergency Medicine in Saudi Arabia: Professional Roles, System Contributions, and Evolving Practice Landscapes

Ahmed Abdullah Mohammed Salami 1*, Khaled Hamad Salem Al-Anazi 1, Abdullah Ali Fahad Al-Shehri 1, Khaled Nashi Bajad Al-Otaibi 1, Ahmed Yahya Jaber Haqawi 1, Fahad Naïf Mahmas Al- Otaibi 1, Ahmed Ali Mohammed Alfahimi 1

+ Author Affiliations

Journal of Angiotherapy 8 (8) 1-12 https://doi.org/10.25163/angiotherapy.8810693

Submitted: 04 June 2024 Revised: 12 August 2024  Published: 15 August 2024 


Abstract

Emergency medicine in Saudi Arabia has undergone a striking transformation over the past few decades. What began as a fragmented and largely volunteer-based response to urgent illness and injury has gradually developed into a more organized specialty shaped by national reform, institutional investment, and the broader ambitions of Vision 2030. Yet this progress, while substantial, has not been entirely uniform. Important differences still persist across regions, training environments, and service settings. This review examines the historical evolution of emergency medicine in the Kingdom, with particular attention to prehospital emergency medical services, specialty training, residency structure, professional development, and the changing roles of emergency physicians, nurses, paramedics, and allied personnel. It also considers the realities of current practice, including crowding, workforce shortages, uneven distribution of trained staff, and variability between academic and peripheral emergency departments. The evidence suggests that Saudi Arabia has made meaningful gains in emergency medicine education, simulation-based training, subspecialty fellowships, and mass-gathering preparedness, particularly through the distinctive Hajj rotation. At the same time, regulatory development for EMS, emergency nursing capacity, and equitable access to high-quality care remain works in progress. The review further highlights system-level strategies that may help address these pressures, including strengthening primary and urgent care access, improving hospital flow processes, expanding the trained emergency workforce, and formalizing national EMS standards. Taken together, these developments suggest that Saudi emergency medicine is no longer emerging in a tentative sense; rather, it is evolving into a mature discipline, though one that still faces important structural and workforce challenges.

Keywords: Saudi Arabia; emergency medicine; emergency medical services; workforce development; Vision 2030

References


Aalam, A., Zocchi, M., Alyami, K., Shalabi, A., Bakhsh, A., Alsufyani, A., et al. (2018). Perceptions of emergency medicine residents on the quality of residency training in the United States and Saudi Arabia. World Journal of Emergency Medicine, 9(1), 5–12. https://doi.org/10.5847/wjem.j.1920-8642.2018.01.001

Al Owad, A., Samaranayake, P., Karim, A., & Ahsan, K. B. (2018). An integrated lean methodology for improving patient flow in an emergency department: Case study of a Saudi Arabian hospital. Production Planning and Control, 29(13), 1058–1081. https://doi.org/10.1080/09537287.2018.1494343

Alghanim, S. A., & Alomar, B. A. (2015). Frequent use of emergency departments in Saudi public hospitals: Implications for primary health care services. Asia-Pacific Journal of Public Health, 27(2), NP2521–NP2530. https://doi.org/10.1177/1010539513488682

Aljohani, M. (2012). Emergency department triage in Saudi Arabia: Towards a standardised national triage system. Monash University. https://figshare.com/contact

Al-Nozha, M. M., Abdullah, M., Arafah, M. R., Khalil, M. Z., Khan, N. B., Al-Mazrou, Y. Y., et al. (2007). Hypertension in Saudi Arabia. Saudi Medical Journal, 28(1), 77–84.

Alrazeeni, D. M., Sheikh, S. A., Mobrad, A., Al Ghamdi, M., Abdulqader, N., Al Gadgab, M., et al. (2016). Epidemiology of non-transported emergency medical services calls in Saudi Arabia. Saudi Medical Journal, 37(5), 575–578. https://doi.org/10.15537/smj.2016.5.14480

AlShammari, T., Jennings, P., & Williams, B. (2017). Evolution of emergency medical services in Saudi Arabia. Journal of Emergency Medicine, Trauma and Acute Care, 2017(1), 4. https://doi.org/10.5339/jemtac.2017.4

Arabi, Y. M., & Alhamid, S. M. (2006). Emergency room to the intensive care unit in Hajj: The chain of life. Saudi Medical Journal, 27(7), 937–941.

Armed Forces Medical Services. (2018). Unified admission portal. http://www.psmchs.edu.sa/psmchsreg/psmchsreg-msd/step2.html

Batniji, R., Khatib, L., Cammett, M., Sweet, J., Basu, S., Jamal, A., et al. (2014). Governance and health in the Arab world. The Lancet, 383(9914), 343–355. https://doi.org/10.1016/S0140-6736(13)62185-6

Diercks, D. B., Roe, M. T., Chen, A. Y., Peacock, W. F., Kirk, J. D., Pollack, C. V., Jr., et al. (2007). Prolonged emergency department stays of non-ST-segment-elevation myocardial infarction patients are associated with worse adherence to the American College of Cardiology/American Heart Association guidelines for management and increased adverse events. Annals of Emergency Medicine, 50(5), 489–496. https://doi.org/10.1016/j.annemergmed.2007.03.028

El Bcheraoui, C., Memish, Z. A., Tuffaha, M., Daoud, F., Robinson, M., Jaber, S., et al. (2014). Hypertension and its associated risk factors in the Kingdom of Saudi Arabia, 2013: A national survey. International Journal of Hypertension, 2014, 564679. https://doi.org/10.1155/2014/564679

General Authority for Statistics. (2016). Statistical yearbook of 2016. https://www.stats.gov.sa/en/868

Khalil, M. K., Al-Eidi, S., Al-Qaed, M., & AlSanad, S. (2018). The future of integrative health and medicine in Saudi Arabia. Integrative Medicine Research, 7(4), 316–321. https://doi.org/10.1016/j.imr.2018.09.004

Mahfouz, A. A., Abdelmoneim, I., Khan, M. Y., Daffalla, A. A., Diab, M. M., El-Gamal, M. N., et al. (2007). Primary health care emergency services in Abha district of southwestern Saudi Arabia. Eastern Mediterranean Health Journal, 13(1), 103–112.

Maria. (2015). Largest countries in Asia by area: Brief information. https://www.7continentslist.com/asia/largest-countries-in-asia.php

Mokdad, A. H., Tuffaha, M., Hanlon, M., El Bcheraoui, C., Daoud, F., Al Saeedi, M., Alrasheedy, A. A., Al Hussein, M. A., Memish, Z. A., & Basulaiman, M. (2015). Cost of diabetes in the Kingdom of Saudi Arabia, 2014. Journal of Diabetes and Metabolism, 6.

Pines, J. M., Hilton, J. A., Weber, E. J., Alkemade, A. J., Al Shabanah, H., Anderson, P. D., et al. (2011). International perspectives on emergency department crowding. Academic Emergency Medicine, 18(12), 1358–1370. https://doi.org/10.1111/j.1553-2712.2011.01235.x

Robert, A. A., Al Dawish, M. A., Braham, R., Musallam, M. A., Al Hayek, A. A., & Al Kahtany, N. H. (2017). Type 2 diabetes mellitus in Saudi Arabia: Major challenges and possible solutions. Current Diabetes Reviews, 13(1), 59–64. https://doi.org/10.2174/1573399812666160126142605

Saudi Commission for Health Specialties. (2015). Regulations 2015. http://www.scfhs.org.sa/en/Pages/default.aspx

Saudi Red Crescent Authority. (2018). Authority history. https://www.srca.org.sa/en/About/History

Sebai, Z. A., Milaat, W. A., & Al-Zulaibani, A. A. (2001). Health care services in Saudi Arabia: Past, present and future. Journal of Family and Community Medicine, 8(3), 19–23.

Shujaa, A., & Alhamid, S. (2015). Health response to Hajj mass gathering from emergency perspective: Narrative review. Turkish Journal of Emergency Medicine, 15(4), 172–176. https://doi.org/10.1016/j.tjem.2015.02.003

Wilson, M. J., & Nguyen, K. (2004). Bursting at the seams: Improving patient flow to help America’s emergency departments. The George Washington University Medical Center, School of Public Health and Health Services. https://www.annemergmed.com/contact-us

World Health Organization. (2007). Health systems: Emergency-care systems. http://apps.who.int/iris/handle/10665/22596


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