Critical emergency medicine and the resuscitative care unit
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Critical emergency medicine is the medical field concerned with management of critically illpatients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU)overcrowding has a negative impact on patient care and outcome. It has been proposed thatimplementation of critical care services in the ED can negate this effect. Two main CriticalEmergency Medicine models have been proposed, the “resource intensivist” and “ED-ICU”models. The resource intensivist model is based on constant presence of an intensivist in thetraditional ED setting, while the ED-ICU model encompasses the notion of a separate EDbasedunit, with monitoring and therapeutic capabilities similar to those of an ICU. Criticalemergency medicine has the potential to improve patient care and outcome; however, establishmentof evidence-based protocols and a multidisciplinary approach in patient managementare of major importance.
Abstract
Critical emergency medicine is the medical field concerned with management of critically illpatients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU)overcrowding has a negative impact on patient care and outcome. It has been proposed thatimplementation of critical care services in the ED can negate this effect. Two main CriticalEmergency Medicine models have been proposed, the “resource intensivist” and “ED-ICU”models. The resource intensivist model is based on constant presence of an intensivist in thetraditional ED setting, while the ED-ICU model encompasses the notion of a separate EDbasedunit, with monitoring and therapeutic capabilities similar to those of an ICU. Criticalemergency medicine has the potential to improve patient care and outcome; however, establishmentof evidence-based protocols and a multidisciplinary approach in patient managementare of major importance.
참고문헌 (46)
- Holliman CJ, "The efficacy and value of emergency medicine : a supportive literature review", Int J Emerg Med, 4, pp.44~ (2011)
- Groenland CN, "Emergency department to ICU time is associated with hospital mortality: a registry analysis of 14,788 patients from six university hospitals in The Netherlands", Crit Care Med, 47, pp.1564~1571 (2019)
- (2020)[URL]
- Suter RE, "Emergency medicine in the United States : a systemic review", World J Emerg Med, 3, pp.5~10 (2012)
- Hillman K, "Critical care without walls", Curr Opin Crit Care, 8, pp.594~599 (2002)
- Reisner-Sénélar L, "The birth of intensive care medicine : Björn Ibsen’s records", Intensive Care Med, 37, pp.1084~1086 (2011)
- Smith G, "ABC of intensive care : criteria for admission", BMJ, 318, pp.1544~1547 (1999)
- Orsini J, "Triage of patients consulted for ICU admission during times of ICU-bed shortage", J Clin Med Res, 6, pp.463~468 (2014)
- Halpern SD, "ICU capacity strain and the quality and allocation of critical care", Curr Opin Crit Care, 17, pp.648~657 (2011)
- O’Callaghan DJ, "An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome", Crit Care, 16, pp.R173~ (2012)
- Long EF, "The boarding patient : effects of ICU and hospital occupancy surges on patient flow", Prod Oper Manag, 27, pp.2122~2143 (2018)
- Halpern NA, "Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs", Crit Care Med, 38, pp.65~71 (2010)
- Rhodes A, "The variability of critical care bed numbers in Europe", Intensive Care Med, 38, pp.1647~1653 (2012)
- Phua J, "Critical care bed capacity in Asian countries and regions", Crit Care Med, 48, pp.654~662 (2020)
- Wallace DJ, "Critical care bed growth in the United States : a comparison of regional and national trends", Am J Respir Crit Care Med, 191, pp.410~416 (2015)
- Christ M, "Modern triage in the emergency department", Dtsch Arztebl Int, 107, pp.892~898 (2010)
- Sprung CL, "Triage of intensive care patients : identifying agreement and controversy", Intensive Care Med, 39, pp.1916~1924 (2013)
- Robert R, "Influence of ICU-bed availability on ICU admission decisions", Ann Intensive Care, 5, pp.55~ (2015)
- Chalfin DB, "Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit", Crit Care Med, 35, pp.1477~1483 (2007)
- Gunnerson KJ, "Association of an emergency departmentbased intensive care unit with survival and inpatient intensive care unit admissions", JAMA Netw Open, 2, pp.e197584~ (2019)
- Carr BG, "Emergency department length of stay : a major risk factor for pneumonia in intubated blunt trauma patients", J Trauma, 63, pp.9~12 (2007)
- Hellyer TP, "The Intensive Care Society recommended bundle of interventions for the prevention of ventilator-associated pneumonia", J Intensive Care Soc, 17, pp.238~243 (2016)
- Samra SR, "Impact of VAP bundle adherence among ventilated critically ill patients and its effectiveness in adult ICU", Egypt J Chest Dis Tuberc, 66, pp.81~86 (2017)
- Guan WJ, "Clinical characteristics of coronavirus disease 2019 in China", N Engl J Med, 382, pp.1708~1720 (2020)
- Cao Y, "Hospital emergency management plan during the COVID-19 epidemic", Acad Emerg Med, 27, pp.309~311 (2020)
- Gordo F, "Intensive care unit without walls : seeking patient safety by improving the efficiency of the system", Med Intensiva, 38, pp.438~443 (2014)
- Devita MA, "Findings of the first consensus conference on medical emergency teams", Crit Care Med, 34, pp.2463~2478 (2006)
- Winters BD, "Rapid-response systems as a patient safety strategy: a systematic review", Ann Intern Med, 158(5 Pt 2), pp.417~425 (2013)
- Goldfrank L, "Emergency center categorization standards", Acad Emerg Med, 6, pp.638~655 (1999)
- Weingart SD, "ED intensivists and ED intensive care units", Am J Emerg Med, 31, pp.617~620 (2013)
- Gerber DR, "Structural models for intermediate care areas : one size does not fit all", Crit Care Med, 27, pp.2321~2323 (1999)
- Scalea TM, "Critical care resuscitation unit : an innovative solution to expedite transfer of patients with time-sensitive critical illness", J Am Coll Surg, 222, pp.614~621 (2016)
- Leibner E, "Anatomy of resuscitative care unit : expanding the borders of traditional intensive care units", Emerg Med J, 36, pp.364~368 (2019)
- Nee P, "Critical care in the emergency department : introduction", Emerg Med J, 23, pp.560~ (2006)
- Søreide E, "Shaping the future of Scandinavian anaesthesiology : a position paper by the SSAI", Acta Anaesthesiol Scand, 54, pp.1062~1070 (2010)
- De Robertis E, "The monopolisation of emergency medicine in Europe : the flipside of the medal", Eur J Anaesthesiol, 34, pp.251~253 (2017)
- Huang DT, "Critical care medicine training and certification for emergency physicians", Crit Care Med, 33, pp.2104~2109 (2005)
- Wilhelms D, "Emergency medicine is about collaboration, not monopolisation", Eur J Anaesthesiol, 35, pp.231~232 (2018)
- Graham CA, "Advanced airway management in the emergency department: what are the training and skills maintenance needs for UK emergency physicians?", Emerg Med J, 21, pp.14~19 (2004)
- Buscher H, "Who takes the lead in critically ill patients?", Eur J Anaesthesiol, 35, pp.232~233 (2018)
- Freund Y, "The challenge of emergency medicine facing the COVID-19 outbreak", Eur J Emerg Med, 27, pp.155~ (2020)
- Aslaner MA, "A reality in emergency medicine : subspecialization", Eurasian J Emerg Med, 16, pp.144~147 (2017)
- Hockberger RS, "The model of the clinical practice of emergency medicine", Ann Emerg Med, 37, pp.745~770 (2001)
- Rivers EP, "Critical care and emergency medicine", Curr Opin Crit Care, 8, pp.600~606 (2002)
- Johnson NJ, "The transition from emergency medicine resident to critical care fellow : a road map", AEM Educ Train, 1, pp.116~123 (2017)
- (2020)[URL]
