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Critical Emergency Medicine
Critical emergency medicine (CREM) refers to the acute (medicine), acute medicine, medical care of patients who have medical emergency, 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 emergency medicine, pre-hospital as well as hospital settings". It describes the roles and competencies of anaesthesiologists and intensive care medicine, 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 ac ...
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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 (pediatrics), cancer (oncology), laboratory medicine (pathology), or primary care (family medicine). After completing medical school or other basic training, physicians or surgeons and other Clinician, clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency (medicine), 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 ...
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Triage
In medicine, triage (, ; ) is a process by which care providers such as Health professional, medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers (known as a mass casualty incident), or when there are more injured individuals than supplies to treat them. The methodologies of triage vary by institution, locality, and country but have the same universal underlying concepts. In most cases, the triage process places the most Major trauma, injured and most able to be helped as the first priority, with the most Terminal illness, terminally injured the last priority (except in the case of reverse triage). Triage systems vary dramatically based on a variety of factors, and can follow specific, measurable me ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services, pre-hospital care 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, 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 (such as 911 in the United States) which puts them in contact with a dispatching centre, which will then dispatch suitable resources for the call. Ambulances are the primary vehicles for delivering EMS, though Nontransporting EMS vehicle, squad cars, Motorcycle ambulance, motorcycles, Air medical services, aircraft, Water ambulance, boats, Firefighting apparatus, fire appara ...
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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 poison ...
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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 fir ...
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Hyperbaric Medicine
Hyperbaric medicine is medical treatment in which an increase in barometric pressure of typically air or oxygen is used. The immediate effects include reducing the size of gas emboli and raising the partial pressures of the gases present. Initial uses were in decompression sickness, and it also effective in certain cases of gas gangrene and carbon monoxide poisoning. There are potential hazards. Injury can occur at pressures as low as 2 psig (13.8 kPa) if a person is rapidly decompressed. If oxygen is used in the hyperbaric therapy, this can increase the fire hazard. Hyperbaric oxygen therapy (HBOT), is the medical use of greater than 99% oxygen at an ambient pressure higher than atmospheric pressure, and therapeutic recompression. The equipment required consists of a pressure vessel for human occupancy ( hyperbaric chamber), which may be of rigid or flexible construction, and a means of a controlled atmosphere supply. Treatment gas may be the ambient chamber gas, or delivered ...
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CBRN Defence
Chemical, biological, radiological, and nuclear defense (CBRN defense) or Nuclear, biological, and chemical protection (NBC protection) is a class of protective measures taken in situations where chemical, biological, radiological, or nuclear (including terrorism) hazards may be present. CBRN defense 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 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 team incidents. A 2011 forecast concluded that worldwide government spending on CBRN defense products and services would reach US$8.38 billion that year. Etymology In English, the 1990s term ''CBRN'' (Chemical, Biological, Radiological, and Nuclear) was created as a replacement for the 1960s–1980s te ...
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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. The key difference from a mass c ...
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Medical Emergency Team
A rapid response system (RRS) is a system implemented in many hospitals designed to identify and respond to patients with early signs of clinical deterioration on non-intensive care units with the goal of preventing respiratory or cardiac arrest. A rapid response system consists of two clinical components, an afferent component, an efferent component, and two organizational components – process improvement and administrative. The afferent component consists of identifying the input early warning signs that alert a response from the efferent component, the rapid response team. Rapid response teams are those specific to the US, the equivalent in the UK are called critical care outreach teams, and in Australia are known as medical emergency teams, though the term rapid response teams is often used as a generic term. In the rapid response system of a hospital's pediatric wards a prequel to the rapid response team known as a ''rover team'' is sometimes used that continuously monitor ...
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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. History 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. The decision to merge these three societies into a single international European anaesthesia organisation resulted from discussions in 1998. The leadership of the three societies signed the agreement for amalgamation on April 19, 2004, after receiving approval from the General Assemblies of all three organisations. In 2020 the name was changed to the European Society of Anaesthesiology and Intensive Care (ESAIC), reflecting the e ...
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European Board Of Anaesthesiology
European, or Europeans, 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 ** European Union citizenship ** 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 (other) * The Europ ...
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