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16 - Decision-Making in Emergency Medicine

from Section 1 - Decision-Making

Published online by Cambridge University Press:  14 March 2025

Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
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Summary

Imagine what emergency care was like in 1960. Hospitals around the world had “rooms” where patients with acute emergencies were directed. In academic centers, a receptionist would guess at the type of problem and page a resident of an “appropriate” specialty to see the patient. In community hospitals, to obtain hospital privileges, it was necessary to staff the emergency room on rotation. This meant that the internist could be present to handle a major trauma, or that the ophthalmologist might be faced with diagnosing and treating an acute stroke. The founders of emergency medicine saw what medical institutions and the healthcare systems didn’t want to see – the need for a new group of physicians who would get specialty training to handle emergencies of all types, and as a full-time job, 24/7. These new emergency medicine specialists could see Anyone, Anything, and Anytime!

Type
Chapter
Information
Emergency Medicine Thinker
Pearls for the Frontlines
, pp. 118 - 123
Publisher: Cambridge University Press
Print publication year: 2025

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References

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