Emergency medicine is about collaboration, not monopolisation

Wilhelms, Daniel Bjӧrk; Sjöberg, Folke; Chew, Michelle

doi:10.1097/eja.0000000000000755

Cited by 3 publications

(3 citation statements)

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“…However, several authors refuted this concept, suggesting that EPs are essential in assessment and diagnosis of critically ill patients in the ED, especially when overcrowding becomes an issue [33,37,38]. EPs are specifically trained to establish the correct diagnosis among a plethora of possible conditions and are experienced in selecting the appropriate diagnostic work-up, while also being trained in resuscitative interventions [39,40].…”

Section: Critical Emergency Medicinementioning

confidence: 99%

“…Considering that critically ill ED patients benefit greatly from a team approach, inclusion of anesthesiologists, intensivists, and EPs seems ideal, with the criteria of (sub)specialization and extensive training in resuscitation science. In countries in which emergency medicine is not a distinct (sub)specialty, critical emergency medicine can be provided by the acute care anesthesiologist [38]. In such countries, the National Societies of Anesthesiology must embed critical emergency medicine and personalized physiology-guided treatment strategies into their training programs [32].…”

Section: What Lies Ahead?mentioning

confidence: 99%

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Critical emergency medicine and the resuscitative care unit

et al. 2021

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Critical emergency medicine is the medical field concerned with management of critically ill patients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU) overcrowding has a negative impact on patient care and outcome. It has been proposed that implementation of critical care services in the ED can negate this effect. Two main Critical Emergency Medicine models have been proposed, the “resource intensivist” and “ED-ICU” models. The resource intensivist model is based on constant presence of an intensivist in the traditional ED setting, while the ED-ICU model encompasses the notion of a separate ED-based unit, with monitoring and therapeutic capabilities similar to those of an ICU. Critical emergency medicine has the potential to improve patient care and outcome; however, establishment of evidence-based protocols and a multidisciplinary approach in patient management are of major importance.

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Section: Critical Emergency Medicinementioning

confidence: 99%

Section: What Lies Ahead?mentioning

confidence: 99%

Critical emergency medicine and the resuscitative care unit

et al. 2021

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“…However, with the rapid growth of emergency medicine as a specialty in Europe there is an on-going discussion, with differing opinions, on what specialty, i.e. anesthesiologists/intensivist or ED physicians, should be responsible for such procedures in the emergency department [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Airway management procedures in Swedish emergency department patients - a national retrospective study

Wilhelms

2022

BMC Emerg Med

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Background With the on-going debate about which specialty should be responsible for intubations in the emergency department in mind, the aim of this study was to describe the prevalence of endotracheal intubation and other airway management procedures in emergency department patients in Sweden. Methods All patients registered in the Swedish Intensive Care Registry with admission date from January 1 2013 until June 7 2018 and reported admission type “from the emergency department” or “emergency department” reported in the SAPS3 scoring were included. All patients missing codes for procedures were excluded. Results A total of 110,072 admissions from an emergency department to an ICU were registered during the study period. Of these, 41,619 admissions (37.8%) were excluded due to lack of codes for medical procedures. The remaining 68,453 admissions (62.2%) were included, and 31,888 emergency airway procedures (within 3 h from admission time to the intensive care unit) were registered. Invasive emergency airway procedures were the most common type of airway procedure (n = 23,446), followed by non-invasive airway procedures (n = 8377) and high-flow nasal cannula (n = 880). In 2017 a total of 4720 invasive emergency airway management procedures were registered. Conclusions The frequency of invasive airway management procedures in Swedish EDs is low. With approximately 1.9 million adult ED visits per year, this gives an estimated incidence of 2.4 invasive airway management procedures per thousand ED visits in 2017. Trial registration Not applicable.

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