Et specialelæge-uddannelse i akutmedicin er gentagne gange nævnt som en del af løsningerne på problemerne i den akutte behandling.

Men hvad er evidensen egentlig?

Vi bringer her en bibliografi om forskningen om effekten af at have speciallæger i akutmedicin i skadestuer og akutte modtagelser.

Nyere artikler

Effect of an on-site emergency physician in a rural emergency department at night
http://www.rrh.org.au/publishedarticles/article_print_380.pdf


Free full-text review:
The effect of specialist treatment in Emergency Medicine. A survey of current experiences
http://www.akuttjournalen.com/pages/aj/pdf/2006_14-1/The%20effect%20of%20specialist.pdf

Correlation of physician seniority with increased emergency department efficiency during a resident doctors' strike
http://www.nzma.org.nz/journal/121-1272/3009/content.pdf

Artikler fra før 2005

Lammers RL, Roiger M, Rice L, Overton DT, Cucos D: The effect of a new emergency medicine residency program on patient length of stay in a community hospital emergency department. Acad Emerg Med. 2003, 10(7):725-30.

Goodacre S, Mason S, Kersh R, Webster A, Samaniego N, Morris F : Can additional experienced staff reduce emergency medical admissions? Emerg Med J. 2004, 21(1):51-3.

French D, Zwemer FL, Schneider S: The Effects of the Absence of Emergency Medicine Residents in an Academic Emergency. Acad Emerg Med. 2002; 9: 1205-1210

Williams AG, Jelinek GA, Rogers IA, Wenban JA, Jacobs IG: The effect on hospital admission profiles of establishing an emergency department observation ward. MJA 2000; 411-414  

Jelinek GA, Mountain D, O’Brien D, Rogers IR, Wilkes G; Wenban J, Carr J, O’Keefe S, Martin PJ: Re-engineering an Australian emergency department can we measure success? J Qual Clin Practice 1999; 19: 133-138

Quick G: Time amalysis of consult service emergency department admission process compared with emergency medicine service admission process.  J emerg Med 1999, 17 (5):815-822 

McNamara RM, Kelly JJ: Cost of care in the emergency department: impact of an emergency medicine residency program. Ann Emerg Med. 1992; 21(8):956-62.

McNamara RM, Kelly JJ.: Impact of an emergency medicine residency program on the quality of care in an urban community hospital emergency department. Ann Emerg Med 1992, 21: 528–533.

Weaver C: Impact of emergency medicine faculty on door to thrombolytic time. J Emerg Med 2004, 26 (3): 279-283

Trzeciak S, Erickson T, Bunney EB, Sloan EP: Variation in patient management based on ECG interpretation by emergency medicine and internal medicine residents. Am J Emerg Med. 2002, 20(3):188-95.

Snoey ER, Housset B., Guyon P, ElHaddad S, Valty J, Hericord P. Analysis of emergency department interpretation of electrocardiograms. J Accid Emerg Med. 1994;11(3):149-53.

Birkhahn RH, Gaeta TJ, Tloczkowski J, Mundy T, Sharma M, Bove J, Briggs WM. Emergency medicine-trained physicians are proficient in the insertion of transvenous pacemakers. Ann Emerg Med. 2004, 43(4):469-74

 Randazzo MR, Snoey ER, Levitt MA, Binder K. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003; 10(9):973-7

Adams BD, Zieler K, Jacksom WO, Hughes B.: Emergency medicine residents effectively direct inhospital cardiac arrest teams. Am J Emerg Med. 2005; 23(3):304-10.

Taylor S, Gerhardt R, Simpson M.: An association between Emergency Medicine residencies and improved trauma patient outcome. J Emerg Med. 2005, 29(2):123-7.

Wyatt J, Henry J, Beard D: The association between seniority of Accident and Emergency doctor and outcome following trauma. Injury 1999, 30 (3): 165-168  

Rutledge R, Fakhry SM, Baker CC, Weaver N, Ramenofsky M, Sheldon GF, Meyer AA: A population-based study of the association of medical manpower with county trauma death rates in the United States. Ann Surg. 1994, 219 (5):547-63; discussion 563-7.

St Louis Emergency Physicians' Association Research Group. Evaluating acute hand injuries in the emergency department: a comparison of physicians with varying postgraduate training backgrounds. Am J Emerg Med. 1992; 10(2):110-4

Omert L, Yeaney W, Mizikowski S, Protetch J: Role of the Emergency Medicine Physician in Airway Management of the Trauma Patient. Journal of Trauma-Injury Infection & Critical Care. 2001; 51(6):1065-1068

Bushra JS, McNeil B, Wald DA, Schwell A, Karras DJ: Intubations Managed by Anesthesiologists and Emergency Physicians. Acad Emerg Med 2004; 11: 66-70.  

Levitan RM, Rosenblatt B, Meiner EM, Reilly PM, Hollander JE: Alternating day emergency medicine and anesthesia resident responsibility for management of the trauma airway. A study of laryngoscopy performance and intubation success. Annals of Emergency Medicine 2004; 43 (1): 48-53

Chang RS, Hamilton RJ, Carter WA: Declining rate of cricothyrotomy in trauma patients with an emergency medicine residency: implications for skills training.
Acad Emerg Med 1998; 5:247-251.

Alfardo D, Levitt MA, English DK, Williams V, Eisenberg R: Accuracy of interpretation of cranial computed tomography scans in an emergency medicine residency program. Ann Emerg Med. 1995 Feb; 25(2):169-74

Eng J, Mysko WK, Weller GE, Renard R, Gitlin JN, Bluemke DA, Magid D, Kelen GD, Scott WW Jr.: Interpretation of Emergency Department Radiographs. A Comparison of Emergency Medicine Physicians with Radiologists, Residents with Faculty, and Film with Digital Display. AJR 2000; 175:1233-1238

Branney SW, Pons PT, Markovchick VJ, Thomasson GO. Malpractice occurrence in emergency medicine: does residency training make a difference? J Emerg Med 2000, 19: 99–105