The monopolisation of emergency medicine in Europe: the flipside of the medal.

@article{Robertis2017TheMO,
  title={The monopolisation of emergency medicine in Europe: the flipside of the medal.},
  author={E. De Robertis and B. B{\"o}ttiger and E. S{\o}reide and J. Mellin-Olsen and L. Theiler and K. Ruetzler and J. Hinkelbein and L. Brazzi and K. Thies},
  journal={European Journal of Anaesthesiology},
  year={2017}
}
Over the past 20 years, emergency medicine has evolved as an independent medical speciality in Europe. This development was mainly driven by poor access to primary care for patients with acute conditions and a shortage of medical specialists to look after patients presenting to emergency departments out of hours. The introduction of emergency medicine has certainly improved access to care in countries where both factors hampered timely provision of emergency care. However, for countries in… Expand

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References

SHOWING 1-9 OF 9 REFERENCES
Core curriculum in emergency medicine integrated in the specialty of anaesthesiology.
Anaesthesiologists, for their knowledge, skills and expertise, have been playing a key role in the development of emergency medicine. In many countries, anaesthesiologists are today fully involved inExpand
Shaping the future of Scandinavian anaesthesiology: a position paper by the SSAI
TLDR
The Board of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) decided to produce a Position Paper on the future of the speciality in Scandinavia, and thinks that the role of the anaesthesiologists as perioperative physicians is not fully developed. Expand
Anaesthesiologists in emergency medicine: the desirable manpower.
TLDR
The risk of a too wide or vague emer gency medicine definit ion is that emergen cy situation s, which can abruptly deteriorate and requ ire im mediate (minu tes) intervent ion to avoid death or disa bility and disease areas of medici ne wher e only initial care is needed. Expand
Severe head injury in children: emergency access to neurosurgery in the United Kingdom
TLDR
The system of care for severely head injured children in the UK does not achieve surgical evacuation of a significant haematoma within four hours, and the recommendation to use specialist regional paediatric transfer teams delays rather than expedites the emergency service. Expand
Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries
TLDR
Most North, West, and Central European countries used p-PCI for the majority of their STEMI patients, and the lack of organized p- PCI networks was associated with fewer patients overall receiving some form of reperfusion therapy. Expand
Paediatric Brain Injury Study Group and the Paediatric Intensive Care Society Study
  • Emerg Med J
  • 2006
UK Paediatric Brain Injury Study Group and the Paediatric Intensive Care Society Study Group
  • Emerg Med J
  • 2006
In-hospital mortality following stroke', in Health at Glance: Europe
  • OECD