ED intensivists and ED intensive care units

Weingart, Scott D.; Sherwin, Robert; Emlet, Lillian L.; Tawil, Isaac; Mayglothling, Julie; Rittenberger, Jon C.

doi:10.1016/j.ajem.2012.10.015

Cited by 49 publications

(48 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this model, the EDI can easily shift the abilities of this resuscitation area to allow for the care of critically ill patients beyond the first hour and provide a similar intensity of care to that available in the ICU. 1 Our department adopts a mixed resource intensivist and hybrid model of care. Three of the four qualified EDIs in Hong Kong work in the department and act as resource intensivists.…”

Section: Hybrid and Resource Intensivist Modelsmentioning

confidence: 99%

“…Emergency department intensivist refers to a dually qualified emergency medicine (EM) and intensive care fellows who practises ED critical care as part of their clinical role. 1 The development of an intensive care subspecialty under the umbrella of emergency medicine is increasing rapidly around the world. In our region, emergency physicians in mainland China, Taiwan, Singapore, Japan, and Macau are providing a critical care service in their EDs and some are even running their separate Emergency-ICU as well.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A paradigm shift in the provision of improved critical care in the emergency department

Yim¹,

Accident²,

Ko³

et al. 2018

Hong Kong Med J

View full text Add to dashboard Cite

With Hong Kong's ageing population, advancement of medical technologies and hospital congestion, it is not uncommon for emergency physicians to encounter complicated critically ill patients in daily practice. It becomes a fundamental role of emergency physicians to initiate timely diagnostic and therapeutic interventions to save a patient's life and improve their prognosis. It is the reason a critical care service has been developed in emergency departments worldwide over the last decade. This article shares how emergency department intensivists can contribute to this novel model of care with some illustrative cases. Advanced airway and peri-intubation management, difficult mechanical ventilation, treatment of shock, circulatory arrest, and metabolic disturbances can be safely and efficiently handled in the current emergency department setting. Obstacles, barriers, and the road ahead will be discussed.

show abstract

Section: Hybrid and Resource Intensivist Modelsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A paradigm shift in the provision of improved critical care in the emergency department

Yim¹,

Accident²,

Ko³

et al. 2018

Hong Kong Med J

View full text Add to dashboard Cite

show abstract

“…Following critical care fellowship, some EM‐trained physicians choose to practice exclusively EM or exclusively critical care. Additionally, a few institutions have developed ED‐ICUs, which will be other areas for the EM intensivist to seek employment . Staffing models of these units can vary by institution, depending on whether the hospital requires a board‐certified intensivist or an EM provider with extra training.…”

Section: Postfellowship Considerationsmentioning

confidence: 99%

Destination Critical Care: A Roadmap for Academic Clinicians, Educators, and Mentors

Hoffman

Mayer

2018

AEM Education and Training

View full text Add to dashboard Cite

The purpose of this article is to provide a framework for academic clinicians, educators, and mentors to advise the emergency medicine (EM) resident with an interest in the field of critical care medicine. Prior articles have detailed the prerequisites and specific training curricula of the distinct critical care pathways, but an approach for the advising faculty member in this climate of increased interest in critical care training has yet to be disseminated. In this article, we assume a starting point of EM residency and focus on pivotal training and decision points that occur along the path to matriculation into a critical care fellowship program. These decision points are described in stepwise fashion with aligned questions to help the EM resident evaluate individual strengths and desires that may help the decision-making process. We also describe considerations of the postfellowship job market, as this also plays a role in the fellowship decision-making process.

show abstract

“…Emergency department–based critical care units represent another emerging, unique career opportunity for EM‐CCM physicians . The Resuscitation and Acute Critical Care (RACC) Unit at Stony Brook University and the Emergency Critical Care Center (EC3) at the University of Michigan are examples of this effort .…”

Section: Career Considerationsmentioning

confidence: 99%

The Transition From Emergency Medicine Resident to Critical Care Fellow: A Road Map

Johnson

Maher

Badulak

et al. 2017

AEM Education and Training

View full text Add to dashboard Cite

Emergency medicine (EM) residents now have a number of opportunities for fellowship training in critical care medicine (CCM). The aim of this review is to help EM residents navigate the application process, transition to fellowship, and start planning their careers beyond fellowship. Pathways to advanced training in CCM available for EM residents include internal medicine-CCM, anesthesiology-CCM, surgical critical care, and neurocritical care. Each has unique prerequisites, application timelines, and training requirements. EM residency graduates generally already have well-developed crisis management and team leadership skills and excel with procedures such as airway management, vascular access, and bedside ultrasound. Potential areas for growth for EM trainees include critical care physiology, end-of-life care, longitudinal inpatient care, and perioperative medicine. Career opportunities for physicians trained in EM and CCM are diverse and include options in community or academic settings. Some choose EM or CCM exclusively or engage in a mix of both. Academic positions with joint opportunities in EM and CCM are desirable, but can be challenging to negotiate. Many EM-CCM physicians serve as topic experts in their respective groups for clinical care, quality improvement, education, or research involving the interface between the ED and intensive care unit. As career paths in critical care continue to grow in popularity, EM residents, as well as CCM faculty and program directors, should be aware of the available fellowship options, as well as training and career development needs specific to EM residents. E mergency physicians (EPs) are experts at resuscitating critically ill patients. 1 On this foundation, many graduates of emergency medicine (EM) residency programs have developed an interest in critical care beyond the walls of the emergency department (ED). 1-3 The reasons for this, while varied, likely include a desire to engage in longitudinal care and delve more deeply into critical care pathophysiology. In the past, some EPs pursued training via combined EM-internal medicine (IM) pathway or certification by sitting for the European Diploma of Intensive Care. Others trained via unaccredited paths and lobbied for years for defined training and certification opportunities. 1,3,4 Because of these efforts, over the past 5 years, a number of training and board certification opportunities have become available.In this article, we describe a road map for EM residents who are interested in pursuing critical care training and for faculty who might advise them. We begin by reviewing steps for preparation for critical care medicine (CCM) fellowship during residency training, including rotation selection, scholarly work, and mentorship. We also discuss the various training pathways, including prerequisites and application timelines. We review the limited available literature, supplemented with the experiences of our trainees and faculty. We then examine some special considerations for the EM-trained CCM fellow, ...

show abstract

ED intensivists and ED intensive care units

Cited by 49 publications

References 32 publications

A paradigm shift in the provision of improved critical care in the emergency department

A paradigm shift in the provision of improved critical care in the emergency department

Destination Critical Care: A Roadmap for Academic Clinicians, Educators, and Mentors

The Transition From Emergency Medicine Resident to Critical Care Fellow: A Road Map

Contact Info

Product

Resources

About