Objective: To develop comprehensive guidance that captures international impacts, causes, and solutions related to emergency department crowding and access block.

Methods: Emergency physicians representing 15 countries from all IFEM regions composed the Task Force. Monthly meetings were held via video-conferencing software to achieve consensus for report content. The report was submitted and approved by the IFEM Board on June 1, 2020.

Results: A total of 14 topic dossiers, each relating to an aspect of ED crowding, were researched and completed collaboratively by members of the Task Force.

Conclusions: The IFEM report is a comprehensive document intended to be used in whole or by section to inform and address aspects of ED crowding and access block. Overall, ED crowding is a multifactorial issue requiring systems-wide solutions applied at local, regional, and national levels. Access block is the predominant contributor of ED crowding in most parts of the world.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7807403PMC
http://dx.doi.org/10.1007/s43678-020-00065-9DOI Listing

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