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Critical Emergency Medicine
Critical emergency medicine (CREM) refers to the acute medical care of patients who have medical emergencies that pose an immediate threat to life, irrespective of location. In particular, the term is used to describe the role of anaesthesiologists in providing such care. The term was introduced in 2010 in a position paper by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine, who defined it as "immediate life support and resuscitation of critically ill and injured patients in the pre-hospital as well as hospital settings". It describes the roles and competencies of anaesthesiologists and intensive care physicians in caring for patients with life-threatening illness or injury who require resuscitation or support of their vital functions, particularly in Scandinavia and other parts of Europe. One reason the term was introduced was to distinguish these core activities from the broader internationally recognised medical specialty of emergency medicine; the latter ...
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Medical Specialty
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (paediatrics), cancer (oncology), laboratory medicine (pathology), or primary care (family medicine). After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a specialist. History of medical specialization To a certain extent, medical practitioners have long been specialized. According to Galen, specialization was common among Roman physicians. The particular system of modern medical specialties evolved gradually during the 19th century. Informal social recognition of medical specialization evolved before the formal legal system. The particular subdivision of the practice of medicine into various specialt ...
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Triage
In medicine, triage () is a practice invoked when acute care cannot be provided for lack of resources. The process rations care towards those who are most in need of immediate care, and who benefit most from it. More generally it refers to prioritisation of medical care as a whole. In its acute form it is most often required on the battlefield, during a pandemic, or at peacetime when an accident results in a mass casualty which swamps nearby healthcare facilities' capacity. Triage always follows the modern interpretation of the Hippocratic oath, but otherwise there is plenty of leeway in interpretation, leading to more than one simultaneous idea of its nature. The best settled theories and practical scoring systems used in here come from the area of acute physical trauma in an emergency room setting; a broken bone obviously counts for less than uncontrolled arterial bleeding, apt to lead to death. But no current principle carries too well over to mental health, reproductive hea ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other acronym, initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use Nontransporting EMS vehicle, squad cars, Motorcycle ambulance, motorcycles, Air medical services, aircraft, or Water ambulance, boats. EMS agencies may also operate a non-emergency patient transpo ...
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Poison Control Centre
A poison control center is a medical service that is able to provide immediate, free, and expert treatment advice and assistance over the telephone in case of exposure to poisonous or hazardous substances. Poison control centers answer questions about potential poisons in addition to providing treatment management advice about household products, medicines, pesticides, plants, bites and stings, food poisoning, and fumes. In the US, more than 72% of poison exposure cases are managed by phone, greatly reducing the need for costly emergency department and doctor visits. History After World War II there was a proliferation of new drugs and chemicals in the marketplace, and consequently suicide and childhood poisonings from these agents drastically increased. Around this time up to half of all accidents in children were poisonings with a substantial number of fatalities. These factors led to the medical community developing a response to both unintentional and intentional po ...
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Burn Centre
A burn center, burn unit, or burns unit is a hospital specializing in the treatment of burns. Burn centers are often used for the treatment and recovery of patients with more severe burns. Overview The severity of a burn, and therefore whether a referral will be made after the patient is treated and stabilized, differs depending upon many factors, among them: the age of the victim (burns to infants and toddlers or to those over age 65 are generally more serious, particularly if the face, head, respiratory system, chest, abdomen, groin, or extremities are burned; those who are not in these age groups can be more affected if they are or were already ill, injured, or immunocompromised), the total body surface area that is burned (the rule of nines), if proper treatment and referrals are delayed or the wrong treatments are given, if the burns are of the 2nd, 3rd, or 4th degree (the bigger and deeper, the worse it is), the source (if it was due to a chemical, or from a scald, or fi ...
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Hyperbaric Medicine
Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. The treatment comprises hyperbaric oxygen therapy (HBOT), the medical use of oxygen at an ambient pressure higher than atmospheric pressure, and therapeutic recompression for decompression illness, intended to reduce the injurious effects of systemic gas bubbles by physically reducing their size and providing improved conditions for elimination of bubbles and excess dissolved gas. The equipment required for hyperbaric oxygen treatment consists of a pressure chamber, which may be of rigid or flexible construction, and a means of delivering 100% oxygen. Operation is performed to a predetermined schedule by trained personnel who monitor the patient and may adjust the schedule as required. HBOT found early use in the treatment of decompression sickness, and has also shown great effectiveness in treating conditions such as gas gangrene and carbon mo ...
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CBRN Defence
Chemical, biological, radiological and nuclear defence (CBRN defence) are protective measures taken in situations in which chemical, biological, radiological or nuclear warfare (including terrorism) hazards may be present. CBRN defence consists of CBRN passive protection, contamination avoidance, and weapons of mass destruction mitigation. A CBRN incident differs from a hazardous material incident in both scope (i.e., CBRN can be a mass casualty situation) and intent. CBRN incidents are responded to under the assumption that they are intentional and malicious; evidence preservation and perpetrator apprehension are of greater concern than with HAZMAT incidents. A 2011 forecast concluded that worldwide government spending on CBRN defence products and services would reach US$8.38bn that year. Etymology In English the term ''CBRN'' is a replacement for the 1960s–1980s term ''NBC'' (nuclear, biological, and chemical), which had replaced the term ''ABC'' (atomic, biological, and ...
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Mass-casualty Incident
A mass casualty incident (often shortened to MCI) describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. However the key difference from ...
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Medical Emergency Team
A rapid response team (RRT), also known as a medical emergency team (MET) and high acuity response team (HART), is a team of health care providers that responds to hospitalized patients with early signs of deterioration on non-intensive care units to prevent respiratory or cardiac arrest. The health care providers are trained in early resuscitation interventions and advanced life support and may include a physician, nurse, pharmacist, or respiratory therapist. The RRT, medical emergency team (MET), critical care outreach team (CCOT), and rover team are all different forms of the outgoing component of the rapid response system. The team responds to calls placed by clinicians or families at the bedside who have detected deterioration. Some teams may also provide care during transport between hospitals, acting as a critical care transport team. Effectiveness Rapid response teams appear to decrease the rates of respiratory and cardiac arrest outside the intensive care unit. They also a ...
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European Society Of Anaesthesiology
The European Society of Anaesthesiology and Intensive Care is a European professional association of anaesthetists and anaesthesiologists. It is also active in the fields of emergency, intensive care, pain and perioperative medicine It was formed in 2005 as the European Society of Anaesthesiology through the merger of three previous organisations: the European Academy of Anaesthesiology, dating from 1978; the European Society of Anaesthesiologists, established in 1992; and the Confederation of European National Societies of Anaesthesiology. In 2020 the name was changed to European Society of Anaesthesiology and Intensive Care, reflecting the expansion of the activities of the organisation into intensive care medicine, particularly in the context of the COVID-19 pandemic. The ''European Journal of Anaesthesiology'', the academic journal of the society, was established in 1983; it is published by Wolters Kluwer, as is an open-access journal Open access (OA) is a set of pri ...
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European Board Of Anaesthesiology
European, or Europeans, or Europeneans, may refer to: In general * ''European'', an adjective referring to something of, from, or related to Europe ** Ethnic groups in Europe ** Demographics of Europe ** European cuisine, the cuisines of Europe and other Western countries * ''European'', an adjective referring to something of, from, or related to the European Union ** Citizenship of the European Union ** Demographics of the European Union In publishing * ''The European'' (1953 magazine), a far-right cultural and political magazine published 1953–1959 * ''The European'' (newspaper), a British weekly newspaper published 1990–1998 * ''The European'' (2009 magazine), a German magazine first published in September 2009 *''The European Magazine'', a magazine published in London 1782–1826 *''The New European'', a British weekly pop-up newspaper first published in July 2016 Other uses * * Europeans (band), a British post-punk group, from Bristol See also * * * Europe (disam ...
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