Emergency Medicine History and Expansion into the Future: A Narrative Review

Huecker, Martin; Shreffler, Jacob; Platt, Melissa; O'Brien, Dan; Stanton, Ryan; Mullıgan, Terrence; Thomas, Jennifer

doi:10.5811/westjem.2022.2.55108

Cited by 9 publications

(3 citation statements)

References 45 publications

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“…[1][2][3][4] Access and distribution to these places are as important as the increase in the number and efficiency of emergency services. [5][6][7][8] For this reason, it is vital that emergency services are effectively communicated to all subgroups within the country, from population density to purchasing power, from technological opportunities to other public services.…”

Section: Introductionmentioning

confidence: 99%

The relationship between regional inequalities in the provision of emergency health services and other health services

Boğa

2023

Medicine

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In this research, it was aimed to examine relationship between regional inequalities in the provision of emergency health services and other health services in Turkey. The values of the number of emergency services and the population per emergency service for the years 2002-2021 were taken from the most up-to-date database published by the Ministry of Health in 2022 and were chosen as the dependent variables of the study. The “regional price level indices for consumption expenditures (PLI)” and “gross domestic product per capita, Statistical Regions Level 2 (PcGDP)” data compiled by TURKSTAT were used as independent variables. Number of emergency stations were significantly correlated with TR31 (İzmir) (r = 0.903; P < .01), TR32 (Aydin, Denizli, Muğla) (r = 0.771; P < .01), TR42 (Kocaeli, Sakarya, Düzce, Bolu, Yalova) (r = −0.798; P < .01), TR62 (Adana, Mersin) (r = 0.837; P < .01), TR63 (Hatay, K.Maraş, Osmaniye) (r = −0.749; P < .01), TR72 (Kayseri, Sivas, Yozgat) (r = −0.719; P < .01), TR83 (Samsun, Tokat, Çorum, Amasya) (r = 0.873; P < .01), TRA2 (Ağri, Kars, Iğdir, Ardahan) (r = −0.873; P < .01), TRB2 (Van, Muş, Bitlis, Hakkari) (r = −0.736; P < .01), TRC2 (Şanliurfa, Diyarbakir) (r = 0.697; P < .01), and TRC3 (Mardin, Batman, Şirnak, Siirt) (r = 0.574; P < .01). In total, 11 of 26 were significantly correlated with inequalities. Although the number of emergency services has increased since 2002 and the population density per emergency room has tended to decrease, regional inequalities also have an impact on the delivery of emergency services today.

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Section: Introductionmentioning

confidence: 99%

The relationship between regional inequalities in the provision of emergency health services and other health services

Boğa

2023

Medicine

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“…Decision fatigue is a concept that has attracted increasing attention within healthcare, particularly in the context of emergency medicine. Emergency physicians are at the forefront of medical care, making rapid, high-stakes decisions in an environment where lives hang in the balance [ 1 ]. The very nature of their work necessitates a continuous series of decisions, from diagnostic choices to treatment plans, often under conditions of extreme stress [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Yadav,

Rawal,

Jeyaraman

2023

Cureus

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Emergency physicians face a relentless stream of complex, high-stakes decisions in a fast-paced and dynamic environment. The concept of decision fatigue, a phenomenon characterized by a decline in the quality of decision-making after a long sequence of choices, has garnered increasing attention within healthcare. Several investigations show that the number and complexity of decisions made during prolonged shifts correlate with increased self-reported fatigue; however, the effect on clinical decision quality is uncertain. Conversely, a subset of studies found no clear relationship between decision fatigue and errors in clinical judgment. Importantly, some researchers argue that decision fatigue may be mitigated by factors such as experience, training, and support systems. This narrative review highlights the existing literature on decision fatigue among emergency physicians and explores whether this concept holds as a valid concern or remains a myth in the context of their practice.

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“…Emergency medicine is at the intersection of acute medical care at the individual level and public health at the population level. Moreover, the specialty is relatively new within the field of medicine, developing its specific training and areas of expertise only in the mid-to-late 20th century (3,4). As such, the field of emergency health services faces both great challenges and unique opportunities as the specialty continues to grow and expand its impact.…”

Section: Introductionmentioning

confidence: 99%