1. Emergency medicine is a
challenging and rewarding field
that requires quick thinking, and
compassion. Emergency
physicians play a vital role in
providing life-saving care to
patients in need.
emergency medicine 1
2. Emergency medicine is the
medical specialty concerned
with the care of illnesses or
injuries requiring immediate
medical attention. Emergency
physicians, often called ER
doctors, specialize in providing
care for unscheduled and
undifferentiated patients of all
ages. They are trained to
assess and treat a wide range
of medical conditions, from
minor injuries to life-threatening
illnesses.
emergency medicine 2
3. Dominique Jean Larry, a French surgeon and military doctor
practicing in the late 1700s, is often cited as the father of
modern-day Prehospital Emergency Medicine (PHEM). His
vision and commitment to provide care at the point of
wounding, triage his patients on the basis of clinical need and
transport them to battlefield hospitals in his flying
ambulances was the blueprint of present-day PHEM
practice. In the face of adversity, he provided contemporary
medicine where patients needed it most, and at the same time
created innovative practices such as triage . pride for our
emergency medicine 3
4. Such achievements remain
inspirational today. The ‘roots’ of
PHEM by this measure are
admittedly short, especially when
compared to those of hallowed
medical establishments that can
trace their practices and buildings
back nearly 1000 years. With this
comes
a need for PHEM to make up for
lost ground. It is therefore with
huge
emergency medicine 4
5. EMS is the extension of emergency medical care into
the prehospital setting. Today’s EMS systems have
their roots in legislative and clinical
developments of the 1960s and 1970s. The 1966
report “Accidental
Death and Disability—The Neglected Disease of
Modern Society” highlighted the deficiencies of
prehospital care of trauma victims, attributable to
inadequate equipment and training. Until that time,
more than
half of ambulance services were run by funeral
homes because hearses
were among the few vehicles able to transport a
stretcher. The National
Highway Safety Act of 1966 established the
Department of Transportation and made it the lead
agency responsible for upgrading EMS systems
emergency medicine 5
6. A review of the 15
elements of EMS
systems identified by
the EMS Systems Act
of 1973 (Table 1-1)
provides insight into
the structure of EMS
systems and the
challenges they face.
emergency medicine 6
7. focus in emergency medicine:
•Trauma: This includes injuries
caused by
accidents, falls, violence, and
other events. Emergency
physicians are trained to
stabilize patients with traumatic
injuries and provide life-saving
care.
emergency medicine 7
8. Sepsis: This is a
life-threatening
condition that
occurs when the
body's response
to an infection
injures its own
tissues and
organs. Emergen
cy physicians are
trained to
diagnose and
treat sepsis
quickly and
effectively.
emergency medicine 8
9. Burn: Burn injuries
can be very serious
and require
specialized
care. Emergency
physicians are
trained to assess
the severity of burn
injuries and provide
appropriate
treatment.
emergency medicine 9
10. Acute coronary
syndrome: This is a
group of conditions
that affect the blood
flow to the
heart, including
heart attacks and
unstable
angina. Emergency
physicians are
trained to diagnose
and treat acute
coronary syndrome
quickly to prevent
serious
complications. emergency medicine 10
11. Poisoning: Poisoning can
occur from
ingesting, inhaling, or absorbing
a harmful
substance. Emergency
physicians are trained to assess
the type of poisoning and
provide the appropriate antidote
or treatment.
emergency medicine 11
12. Stroke: A stroke is a medical
emergency that occurs when
blood flow to the brain is
interrupted. Emergency
physicians are trained to identify
the signs and symptoms of
stroke and provide immediate
treatment to minimize brain
damage.
emergency medicine 12