Emergency

Emergency

What are emergencies?

Emergency medicine refers to the management of a wide variety of illnesses, anomalies, or acute injuries, in all age groups.

Children preferably go to pediatric emergencies, where they will receive appropriate care.

In addition to his medical specialty, the emergency physician must assume important medico-administrative responsibilities relating to the various emergency response systems.

Note that a doctor specializing in emergency medicine is called an emergency physician in France, and an emergency physician in Canada.

When should you go to the emergency room?

The emergency physician takes care of a wide spectrum of illnesses or injuries. People going to the emergency room go there for the following reasons:

  • persistent pain in the chest or left arm (possible signs of myocardial infarction);
  • a difficulty breathing ;
  • change in behavior, confusion, difficulty walking;
  • persistent or severe vomiting;
  • a hemorrhage, heavy bleeding;
  • partial or total paralysis;
  • a severe burn;
  • a traffic accident;
  • the presence of a foreign body in a part of the body;
  • intoxication, ingestion of dangerous products;
  • a sudden allergic reaction;
  • or a sudden sharp pain.

Note that emergency services are often saturated. So it is important to go to the emergency room for the right reasons. Calling ahead can help decide whether or not to go.

What does the emergency doctor do?

The emergency medicine specialist practices in an emergency department in the hospital. He can also work within a SAMU (emergency medical aid service), an SMUR (mobile emergency and resuscitation service), or act as regulator doctors by answering calls from people the 15th (in France).

The role of the emergency physician / emergency physician is multiple:

  • when he can, he questions the sick or injured person in order to better understand his illness;
  • he assesses cases;
  • he establishes an emergency order, in order to treat as quickly as possible those who need it most;
  • it issues a rapid diagnosis;
  • he provides the necessary care. He is the attending physician until the patient is referred or transferred to a suitable service.

In short, the emergency specialist diagnoses, heals and decides.

How to become an emergency doctor?

Emergency physician training in France

To become an emergency physician, you must obtain a Diploma of Complementary Specialized Studies (DESC) in emergency medicine. This is a so-called type I DESC, lasting two years. To do this, you must first hold a DES (diploma of specialized studies), namely the diploma that the student obtains at the end of the internship:

  • after having completed 6 years of medical study;
  • and after having passed the national classifying tests at the end of 6th year, which allow access to the boarding school.
  • anesthesia-intensive care ;
  • cardiology and vascular diseases;
  • general surgery ;
  • gastroenterology and hepatology;
  • general medicine ;
  • Internal Medicine ;
  • nephrology ;
  • neurology ;
  • pediatrics ;
  • pneumonology ;
  • psychiatry.
  • before specializing by integrating a residency, the student must follow a doctorate of the 1st cycle in medicine, which lasts 4 or 5 years:

Finally, to be able to practice and carry the title of doctor, the student must also defend a research thesis.

Several DES allow you to apply for the DESC in emergency medicine. Let us quote in alphabetical order:

Emergency physician training in Quebec

To become an emergency physician, you must complete an emergency medicine residency:

Prepare your visit

Going to the emergency room is usually sudden. The patient does not have the time or the opportunity to take his medical file with him with any prescriptions or x-rays, scanners, etc.

Emergencies are undoubtedly the service in which the reasons for consultation can be the most bizarre. There are many anecdotes circulating on this point. Let us quote for example the one who choked while sucking a suppository or the one who swallowed a watch to hide it after having stolen it …

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