The International Federation for Emergency Medicine report on emergency department crowding and access block: A brief summary Academic Article uri icon

  • Overview
  • Research
  • Identity
  • Additional Document Info
  • View All


  • OBJECTIVE: To develop comprehensive guidance that captures international impacts, causes, and solutions related to ED crowding and access block. METHODS: Emergency physicians representing 15 countries from all the International Federation for Emergency Medicine (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.


  • Ducharme, James
  • Javidan, Arshia P
  • Hansen, Kim
  • Higginson, Ian
  • Jones, Peter
  • Lang, Eddy

publication date

  • February 2021