The future of emergency medicine: An evolutionary perspective

David P. Sklar, Daniel A. Handel, James Hoekstra, Jill M. Baren, Brian Zink, Jerris R. Hedges

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Emergency medicine (EM) has grown rapidly over the past 50 years, evolving from a specialty defined by its locational identity-a hospital receiving room-to the specialty picked fourth-most-frequently by graduating U.S. medical students and to being the focal point of clinical care and of research on time-sensitive medical conditions. The authors review the forces that led to the growth of EM and those that will shape its future-in particular, cost, quality, and technology. A balancing of cost and quality considerations will likely drive EM education and research endeavors. The future of the field will be determined in part by resolution of the tension between the current inefficient conditions of emergency departments (EDs), which are crowded because of the temporary boarding of admitted patients for whom a bed is not yet ready, and the desired provision of quality care under emergent conditions. That is, patients with stroke, myocardial infarction, sepsis, or severe injuries from trauma require a working diagnosis and interventions that are initiated shortly after presentation, but ED personnel distracted by the demands of caring for boarded patients are unable to deliver optimal ED care. The reduction or elimination of boarding will enhance education and research within EDs and will contribute to an efficient system of high-quality EM services.

Original languageEnglish (US)
Pages (from-to)490-495
Number of pages6
JournalAcademic Medicine
Volume85
Issue number3
DOIs
StatePublished - Mar 2010

Fingerprint

Emergency Medicine
Hospital Emergency Service
medicine
Point-of-Care Systems
Research
Education
Costs and Cost Analysis
Quality of Health Care
Wounds and Injuries
Emergency Medical Services
stroke
costs
Medical Students
trauma
medical student
Sepsis
education
personnel
Stroke
Myocardial Infarction

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Sklar, D. P., Handel, D. A., Hoekstra, J., Baren, J. M., Zink, B., & Hedges, J. R. (2010). The future of emergency medicine: An evolutionary perspective. Academic Medicine, 85(3), 490-495. https://doi.org/10.1097/ACM.0b013e3181ccb628

The future of emergency medicine : An evolutionary perspective. / Sklar, David P.; Handel, Daniel A.; Hoekstra, James; Baren, Jill M.; Zink, Brian; Hedges, Jerris R.

In: Academic Medicine, Vol. 85, No. 3, 03.2010, p. 490-495.

Research output: Contribution to journalArticle

Sklar, DP, Handel, DA, Hoekstra, J, Baren, JM, Zink, B & Hedges, JR 2010, 'The future of emergency medicine: An evolutionary perspective', Academic Medicine, vol. 85, no. 3, pp. 490-495. https://doi.org/10.1097/ACM.0b013e3181ccb628
Sklar DP, Handel DA, Hoekstra J, Baren JM, Zink B, Hedges JR. The future of emergency medicine: An evolutionary perspective. Academic Medicine. 2010 Mar;85(3):490-495. https://doi.org/10.1097/ACM.0b013e3181ccb628
Sklar, David P. ; Handel, Daniel A. ; Hoekstra, James ; Baren, Jill M. ; Zink, Brian ; Hedges, Jerris R. / The future of emergency medicine : An evolutionary perspective. In: Academic Medicine. 2010 ; Vol. 85, No. 3. pp. 490-495.
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