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Physician / Medical Doctor (MD)
Emergency Department

Physicians in the emergency department

Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.

Confirmed by professionals
Research-based, not yet confirmed by professionals
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Countries with evidence
DE, AT, CH
Evidence records
11
Price per hour, Germany (net)*
226
to
323
€
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Overview

Physicians in the emergency department carry out the initial diagnostics and initial treatment of emergency and acute patients in hospital. They determine the indication for further specialist treatment and coordinate it in interdisciplinary collaboration. Their spectrum ranges from organ-related and symptom-based emergencies through children, pregnant women and geriatric patients to trauma and polytrauma. Core procedures include airway management, ventilation, resuscitation, circulatory support, analgosedation as well as chest drains and pleural puncture. For diagnostics they use ECG and emergency ultrasound and order laboratory tests, X-ray and CT. Organising the emergency department, initial assessment with scores and mass casualty incidents are also part of their remit.

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Profession by country

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Germany
 
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Austria
 
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Switzerland
 

Fields of use and typical tasks

Clinical emergency medicine

Evidence from: DE, AT, CH

  • Admit emergency patients, carry out initial diagnostics, stabilise them and then provide definitive care or discharge them
  • Derive diagnostics and initial therapy from the leading symptom
  • Hand over patients to senior physicians and to the night shift using a fixed scheme
  • Hand over to nursing and physiotherapy using a structured interprofessional scheme
  • Treat critically ill patients in the resuscitation room and review the case in a debriefing
  • Conduct ward rounds to monitor progress on the attached acute ward

Paediatric emergency medicine

Evidence from: DE, AT, CH

  • Provide first-line care around the clock for children and adolescents up to 18 years with acute illness and start urgent investigations and treatment immediately
  • After initial care, decide on inpatient admission or referral to a paediatric practice, specialist outpatient clinic or day clinic
  • Take over children arriving by ambulance with an emergency physician and receive the structured handover from the emergency medical service
  • Treat critically ill and polytraumatised children in the resuscitation room as an interdisciplinary team, using a first impression, the ABCDE approach and work-up by leading symptom
  • Calculate emergency drug doses in advance, establish a working diagnosis and disposition, and review the case in a debriefing
  • Perform analgosedation for minor procedures, wound care and burns, and sedation for MRI and CT

Specializations

Devices and systems they use

Who they work with

  • Emergency medical services
  • Out-of-hours medical service of the Association of Statutory Health Insurance Physicians
  • Physicians of the specialist departments that continue treatment
  • Emergency department nurses who carry out the initial assessment

Frequently asked questions

Which devices do emergency department physicians use themselves?

According to the training content they record and interpret ECGs, perform emergency ultrasound, secure airways by intubation, ventilate and place chest drains. In one described emergency department, arterial punctures for blood gas analysis are also part of this.

Who carries out the initial assessment of patients?

Initial assessment, triage and scores are part of the physicians' training content. In one described emergency department, qualified nursing staff carry out the symptom-based initial assessment using a structured system.

Which patient groups do they deal with?

Patients of all ages and specialties, including children and adolescents, pregnant women, geriatric patients with delirium, dementia or drug interactions, and injured patients up to polytrauma.

How does care in the emergency department end?

They determine the indication for further treatment. In one described emergency department, patients are then admitted to a specialist department or treated further as outpatients.

Is the emergency department staffed by physicians around the clock?

One described emergency department operates as an independent department around the clock on every day of the year (example of one facility).

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