Emergency medicine and intensive care medicine: the missing link

G. Karlis, T. Xanthos, Anastasia Kotanido
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Abstract

Despite the fact that the principles of treating emergencies and acute diseases have been well described as far back as ancient times (1), emergency medicine (EM) as a recognized medical specialty has a life of less than 20 years. Indeed, according to the European Society of Emergency Medicine (EUSEM) website, in 2001 the United Kingdom and Ireland first recognized in Europe the specialty under the heading “Accident and Emergency Medicine”. Despite the remarkable progress in EM during the last decade, there are still huge diversities regarding the curriculum, the training, and the setting of the emergency departments (ED) around Europe. Some European countries have developed EM as a stand-alone specialty, others as a supra-specialty while a few have EDs that function with physicians from several specialties, such as internal medicine, cardiology, general surgery, anesthesiology, pediatrics etc.
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急诊医学与重症监护医学:缺失的环节
尽管治疗急诊和急性疾病的原则早在古代就有很好的描述(1),但急诊医学作为公认的医学专业,其寿命不到20年。事实上,根据欧洲急诊医学会(EUSEM)网站,2001年,英国和爱尔兰首次在欧洲承认了“事故和急诊医学”这一专业。尽管EM在过去十年中取得了显著进展,但欧洲各地的课程、培训和急诊科设置仍存在巨大差异。一些欧洲国家已经将EM作为一个独立的专业发展起来,另一些国家则将其作为一个超专业,而一些国家则拥有与内科、心脏病学、普通外科、麻醉学、儿科等多个专业的医生合作的ED。
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