This paper focuses on a common misconception that emergency care is futile and only gives the patient a sense of relief. Emergency medical care in the United Kingdom is remarkably effective, given the many emergency services available. Every service has an effective emergency response, and a single major incident, often unexpected, will not undermine the service. A major incident is just one of many factors which influence patient response and outcome.
Emergency departments were the first contact with healthcare for all patients surveyed. Patients' most common presenting complaint of the five surveyed conditions were pain, headache, nausea and vomiting, and chest wall deformity. Most of the patients surveyed reported no previous medical care. The average duration of their first encounter with EDs was 3.6 minutes.
The incidence of emergencies is increasing but may not be always because of the high prevalence of subclinical and medical diseases. The main causes are non-medical reasons such as natural disasters. There is a need to develop appropriate medical care in areas where there is a shortage of the right physicians or of emergency care and a lack of emergency services.
Patients and their relatives often do not realize when a patient requires some urgent attention. Patients may not even possess the necessary knowledge or skills to identify the needs of patients in need. For the patient, it is not
The treatment of an emergency tends to concentrate on the management of the patient and the situation, rather than the specific treatment of the illness or injury.
In this survey, 12.6% of US pediatric emergency physicians were found to have seen ≥2 emergencies per week for at least 2 years. The majority of these were pediatric and/or adolescent emergencies with an average of 5.6/week.
In a recent study, findings suggest that clinicians should evaluate clinical trials in emergency medicine in the context of the patient's condition, prior to embarking on a clinical trial, as the trial data may not fit the patient in the context of an emergency. In the present study, a reasonable sample size was identified for the treatment of children with life-threatening emergencies that could be tested in a clinical trial.
There was a significant decrease in the use of EPP in the past decade, partly due to the increased use of PTCA. Although not all clinicians use EPP, it is still widely available and is an acceptable treatment option for certain circumstances, as long as there are adequate personnel around to perform the procedure and it is appropriately used. Given that it increases survival, and reduces the use of fluids, EPP might be the procedure of choice in a cardiac arrest scenario. There are a number of protocols for the use of EPP in the resuscitation of the critically ill, however an overall agreement in the most efficient way to use EPP has not yet been reached.
In emergencies of patients under care, the most frequent cause of complaints is a medical problem that is difficult to diagnose and treat. Many other emergencies have no clear and single cause, but often have multiple causes. An algorithm was created to provide clinicians and emergency care personnel with the tools needed to diagnose and treat a large variety of medical conditions encountered in emergencies.
Emergency medicine is often perceived as being a care of last resort for many patients. It is important to reassure patients that they are not being excluded from this care based on their age. This work should be widely publicized. The NHS has already adopted and implemented a policy on Age of Responsibility, and this could be implemented further in the Emergency Medicine Programme. This could result overall in patients being offered treatment earlier, especially in the emergency department, where patients are already at risk of deterioration.
Improved technologies to treat a variety of pathologic conditions are being deployed in critical care units; however, we must understand how to integrate these devices into existing resuscitation systems and resuscitate these patients safely to reduce the risk of medical errors when resuscitate them in a timely manner. The use of these therapies should be considered for use in critical care settings, and further understanding of physiological changes that occur with hypothermic therapy is ongoing.
[The National Academy of Medicine recommends emergency department observation for 1 hour after a patient arrives with symptoms of acute illness and an increased level of care is needed. If the patient's condition warrants this level, emergency department observation should be continued until the following morning when an evaluation under anesthesiologist supervision is planned. The emergency department observation period is important because patients with acute symptoms usually need further diagnostic assessment under general or specialty anesthesia. (http://www.emergency-journal.com/articles/eds/2005/1/dentistry/10-04-22.