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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Thursday, June 16, 2016

The BIG questions in EM

Resultado de imagen de St Emlyn´s
St. Emlyn´s - June 14, 2016 by Simon Carley
"The open door of the emergency department is both a blessing and curse. As emergency physicians we pride ourselves on the ability to see, assess, diagnose and (initially at least) manage whatever the world can throw at us. Our daily census is a reflection of the society that we serve, and not simply the number of people out there, but a combination of the number, age, expectation and disease patterns that develop amongst our patients.
Most importantly we get to see the patients in an unfiltered and typically uncontrolled fashion. Our workflows are not within our personal control with external forces producing significant shifts in our practice..." 
St. Emlyn´s - June 15, 2016 by Simon Carley
"When we think of the future it’s easy to leap to advances in technology as the main driver for change. However, as we have seen in part 1 there are other factors that will drive the practice of emergency medicine, most notably the patient population we serve, but that’s not to say that technology won’t have a place in our future practice. 
This blog explores the different ways that technology might shape the future practice of emergency medicine. I like to think of this as the three Rs; Refinement, Revision and Revolution. Refinement of technologies, where we make small changes to improve the design and function of our diagnostic and therapeutic technologies (think video laryngoscopy). Revision is when we change our practice on the basis of new discoveries that give us more diagnostic or therapeutic power (think introduction of high sensitivity troponin). Revolution takes place when a new disruptive technology enters or practice that revolutionises the practice of emergency medicine (think point of care ultrasound). The three Rs are somewhat arbitrary but I hope reflect the very broad nature of technological change..."
St. Emlyn´s - June 16, 2016 by Simon Carley
"Perhaps the greatest influence on the practice of emergency medicine will be how, where, and to some extent when, we fit into the emergency medicine system. Beyond the doors of the emergency department there are many influences related to the organisation, commissioning and expectations of the emergency service. Some of these can be influenced by the emergency physician, but for others the influence of societal and political factors will be significant drivers to practice in the coming decades..."