Articles: emergency-medicine.
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This is the 35th article in a continuing series of objectives to direct emergency medicine resident experiences on off-service rotations. Vascular and urological complaints are common problems in the emergency department and often lead to consultation with a surgeon. Because an understanding of the principles of surgical diagnosis and treatment is an essential component of the practice of emergency medicine, emergency medicine residents rotating on surgical services require specific goals and objectives to emphasize early patient assessment, identification of the possible need for surgery, and a basic understanding of definitive management. Unique aspects of pediatric surgery are also addressed in this segment.
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Echocardiography represents an important, accessible tool in the evaluation of the critically ill emergency department patient. Echocardiography provides anatomic and physiologic information about the cardiovascular system safely and at the bedside. This modality may permit early and more accurate diagnosis and management of a wide range of disease processes while avoiding the risks and costs associated with other diagnostic strategies. It is imperative that emergency department physicians have a working understanding of the applications and limitations of echocardiography to make best use of its considerable patient care potential.
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Emergency medicine is in its infancy in Israel but is developing rapidly. Medical and government authorities such as the Israeli Medical Association and the Israeli Ministry of Health have already recognized the need for this field in Israel, although it remains for emergency medicine to be recognized as an independent medical specialty. Those involved in the intense process of obtaining formal recognition believe this will occur in the next year.