The Oncologic Emergency Medicine Fellowship

Purcell, Michael; Zahran, Tharwat El

doi:10.1016/j.emc.2018.04.013

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Moreover, the high number of patients referred to the hospital, hospitalized, or deceased on day 30, suggests that cancer patients attending prehospital emergency care may be complex and need a substantial burden of care. Thus, emergency physicians should be trained with a specific curriculum during their university course work focusing on acute care of cancer patients [ 16 ]. Some authors evaluated the benefit of embedding an oncologist in the ED with discordant results on patients’ admission rates [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

Peyrony

Fontaine

Trabattoni

et al. 2021

JCM

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Background: Very little data are available concerning the prehospital emergency care of cancer patients. The objective of this study is to report the trajectories and outcomes of cancer patients attended by prehospital emergency services. Methods: This was an ancillary study from a three-day cross-sectional prospective multicenter study in France. Adult patients with cancer were included if they called the emergency medical dispatch center Service d’Aide Médicale Urgente (SAMU). The study was registered on ClinicalTrials.gov (NCT03393260, accessed on 8th January 2018). Results: During the study period, 1081 cancer patients called the SAMU. The three most frequent reasons were dyspnea (20.2%), neurological disorder (15.4%), and fatigue (13.1%). Among those patients, 949 (87.8%) were directed to the hospital, among which 802 (90.8%) were directed to an emergency department (ED) and 44 (5%) were transported directly to an intensive care unit (ICU). A mobile intensive care unit (MICU) was dispatched 213 (31.6%) times. The decision to dispatch an MICU seemed generally based on the patient’s reason for seeking emergency care and the presence of severity signs rather than on the malignancy or the patient general health status. Among the patients who were directed to the ED, 98 (16.1%) were deceased on day 30. Mortality was 15.4% for those patients directed to the ED but who were not admitted to the ICU in the next 7 days, 28.2% for those who were admitted to ICU in the next 7 days, and 56.1% for those patients transported by the MICU directly to the ICU. Conclusion: Cancer patients attending prehospital emergency care were most often directed to EDs. Patients who were directly transported to the ICU had a high mortality rate, raising the question of improving triage policies.

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Section: Discussionmentioning

confidence: 99%

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

Peyrony

Fontaine

Trabattoni

et al. 2021

JCM

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“…Programs associated with a Comprehensive Cancer Center may benefit from local resources, however, additional support provided by national organizations to help standardize acute oncology education of all EM residents and practicing physicians is warranted. This can be achieved by a variety of approaches: (1) the open publication and sharing of curricular modules that have been previously or are currently in development by residency programs, national interest groups, and current programs that have oncologic EM fellowships [14][15][16]; (2) the adoption of specialty-specific guidelines by national EM organizations [17,18]; and (3) leveraging and recognizing current bedside care as key learning opportunities [19]. In addition to trainees, practicing emergency physicians require additional training opportunities addressing this topic.…”

Section: Standardization and Dissemination Of Educationmentioning

confidence: 99%

The current state of acute oncology training for emergency physicians: a narrative review

et al. 2022

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Patients with cancer represent a growing population of patients seeking acute care in emergency departments (ED) nationwide. Emergency physicians are expected to provide excellent, consistent care to all ED patients; however, emergency medicine (EM) education and training of acute oncology is lacking.To explore this topic, the Society for Academic Emergency Medicine Oncologic Emergencies Interest Group recruited experts in the field to provide a narrative description of the current state of EM education relating to acute oncology. This review of expert opinions explores the current state of acute oncology education in EM and identifies key content gaps that merit early investment.Current emergency physician training and knowledge relating to acute oncology likely reflects the American Board of Emergency Medicine Model of Clinical Practice. Key topics such as immunotherapy are absent from the most recent revision of the Model of Clinical Practice and consequently represent a knowledge gap for large numbers of emergency physicians. Additionally, there is limited penetration of guideline-based care for symptom management in the ED setting. As such, additional attention should be provided to training programs and research efforts to address these knowledge gaps.In conclusion, the current state of acute oncology education and training of emergency physicians is lacking and merits significant investment to assure the ability of emergency physicians to provide superior care for the growing population of patients with cancer.

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“…In addition, the case indicated the importance of the detection of potential gastric cancer in patients with an initial presentation of bone metastasis. [1][2][3][4][5] Contributorship Statement / Declaração de Contribuição DA: Conception, writing of the manuscript and final approval.…”

mentioning

confidence: 99%

Gastric Cancer Initially Presenting as Paraparesis

Antunes,

Pinto

2023

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The Oncologic Emergency Medicine Fellowship

Cited by 6 publications

References 15 publications

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

The current state of acute oncology training for emergency physicians: a narrative review

Gastric Cancer Initially Presenting as Paraparesis

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