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Concept
Pre-hospital emergency medicine
Résumé
Pre-hospital emergency medicine (abbreviated PHEM), also referred to as pre-hospital care, immediate care, or emergency medical services medicine (abbreviated EMS medicine), is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals. It may be practised by physicians from various backgrounds such as anaesthesiology, emergency medicine, intensive care medicine and acute medicine, after they have completed initial training in their base specialty.
Doctors practising PHEM are usually well-integrated with local emergency medical services, and are dispatched together with emergency medical technicians or paramedics where potentially life-threatening trauma or illness is suspected that may benefit from immediate specialist medical treatment. This may involve travelling by car or air ambulance to the site.
The European Training Requirement curriculum for anaesthesia was updated in 2018 to state that the knowledge, clinical skills and specific attitudes of pre-hospital emergency medicine form part of the core domain of critical emergency medicine and, as such, should form part of postgraduate training for doctors specialising in anaesthesia.
In the United Kingdom, pre-hospital emergency medicine (PHEM) was recognised as a subspecialty of emergency medicine and anaesthetics in July 2011 by the General Medical Council. From February 2015, this was extended to intensive care medicine and acute medicine. The formal PHEM training programme can be entered at ST5, and above, after gaining enough experience in emergency medicine, intensive care medicine, acute medicine and anaesthetics. The training programme offers three schemes including 12 months full-time in PHEM, and 24 months blended with a base speciality. Trainees are expected to complete the DIMC and FIMC exams from the Royal College of Surgeons of Edinburgh. Successful training and TAP leads to a CCT in PHEM as a subspecialty.
Source officielle
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