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.
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.
Profession by country
Fields of use and typical tasks
Specializations
Paediatric emergency medicine: field of use of the target group Physicians in the emergency department, 6 evidence records from DE, AT, CH, US.
View profile →Clinical emergency medicine: field of use of the target group Physicians in the emergency department, 5 evidence records from DE, AT, CH, US.
View profile →Devices and systems they use
- Point-of-care ultrasound device
- Blood gas analyser
- Manual defibrillator
- Intensive care ventilator
- Hospital Information System (HIS)
- Patient monitor
- Fingertip pulse oximeter
- Fixed X-ray system
- Resting 12-lead ECG machine
- Manual resuscitator (bag-valve mask)
- Non-invasive ventilation (BiPAP) device
- Surgical suture
- Computed tomography (CT) scanner
- Electronic health record (EHR)
- Intraosseous access device
- Capnograph
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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Related target groups
Same work area
Same specialty
Sources
- Zusatz-Weiterbildung Klinische Akut- und Notfallmedizin (Weiterbildungsordnung, Richtzahlen), Ärztekammer Westfalen-Lippe (DE)
- Begrüßungsschreiben und Curriculum für Studierende im Praktischen Jahr, Zentrale Notfallaufnahme, Klinikum Wolfsburg (DE)
- Praxisunterricht Manual, Praxisblock der Klinik für Notfall- und Akutmedizin, Heinrich-Heine-Universität Düsseldorf, Medizinische Fakultät, mit der Klinik für Notfall- und Akutmedizin des Florence-Nightingale-Krankenhauses Düsseldorf (DE)
- Die neue ZINA am Klinikum Kempten: Infobroschüre für Rettungsdienste, Klinikverbund Allgäu, Klinikum Kempten (DE)
- 7. Medizinische Abteilung: Innere Medizin mit Notfallmedizin, Wiener Gesundheitsverbund, Klinik Hietzing (AT)
- Ausbildungsplan KPJ Tertial C, Innere Medizin und Intensivmedizin (Notfallmedizin), Medizinische Universität Wien (AT)
- Weiterbildungskonzept Notfallzentrum, Luzerner Kantonsspital (CH)
- Pädiatrische Notfall- und Intensivmedizin, Philipps-Universität Marburg, Fachbereich Medizin, Klinik für Kinder- und Jugendmedizin am Universitätsklinikum Marburg (DE)
- Versorgungsalgorithmus für die Behandlung nichttraumatologisch kritisch kranker Kinder und Jugendlicher im Schockraum: der Päd(PR_E-)AUD2IT-Algorithmus, Notfall + Rettungsmedizin (Springer Medizin), Autor:innen aus deutschen Kliniken und den DGINA-Arbeitsgruppen Schockraum und Kindernotaufnahme, Repositorium der Universität Augsburg (DE)
- Jahresbericht 2023 der Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Universitätsklinik für Kinder- und Jugendheilkunde (AT)
- Fordernde Eltern und Deeskalation durch Triagesysteme in Notfallambulanzen, Vortrag der Leitung der Universitätsklinik für Kinder- und Jugendheilkunde Wien, veröffentlicht vom Institut für Ethik und Recht in der Medizin der Universität Wien (AT)
- Facharzt für Kinder- und Jugendmedizin, Anhang 12: Schwerpunkt Kindernotfallmedizin, Schweizerisches Institut für ärztliche Weiter- und Fortbildung (SIWF), FMH (CH)
- Schwerpunkt Kindernotfallmedizin, Notfallzentrum für Kinder und Jugendliche, Inselspital Bern (CH)
- Meine Weiterbildungsstelle Kinder- und Jugendmedizin am Kinderspital Aarau, Kantonsspital Aarau, Kinderspital (CH)
- Emergency Medicine Residency, Program at a Glance, Baystate Health, Springfield, Massachusetts (US)
- Emergency Medicine Residency, About the Program, Virginia Commonwealth University, Department of Emergency Medicine (US)
- Pediatric Emergency Medicine Fellowship, Children's Minnesota (US)
- Pediatric Emergency Medicine Fellowship, Overview, Atrium Health, Levine Children's Hospital, Charlotte, North Carolina (US)
- Pediatric Emergency Medicine Fellowship, Education and Training, University of Arkansas for Medical Sciences, Department of Pediatrics (US)