Blair E
Isr J Med Sci. 1980 Feb;16(2):138-46.
Emergency health services have evolved as a complex and demanding activity. Factors responsible include public perception and need for ready access to relatively prompt attention in a highly developed and expensive health resource area, and reliance on these services for clinical material for inhospital census and teaching. Thus, an emergency health service is a vital resource within a university environment for patient care, education and research. Appreciation of the nature and significance of this resource has not yet matured within the academic community. A logical, comprehensive approach is required to control the development of such a service as an academic department and to eliminate haphazard, unexploited growth. Required features include recognized specialty and academic status with full-time faculty, undergraduate curricula and a residency program with career goals to attract highly motivated physicians. The potential for clinical research of prehospitalization pathophysiology in trauma and acute emergencies in intensive care and similar units has not been properly exploited.
紧急医疗服务已发展成为一项复杂且要求颇高的活动。造成这种情况的因素包括公众的认知以及在高度发达且昂贵的医疗资源地区对相对迅速获得救治的需求，还有在医院人口普查和教学中对这些服务提供临床素材的依赖。因此，紧急医疗服务在大学环境中对于患者护理、教育和研究而言是一项至关重要的资源。在学术界，对这一资源的性质和重要性的认识尚未成熟。需要一种合乎逻辑、全面的方法来控制作为一个学术部门的此类服务的发展，并消除随意、未得到充分利用的增长。所需特征包括具有全职教员的公认专业和学术地位、本科课程以及具有职业目标以吸引积极性高的医生的住院医师培训项目。创伤院前病理生理学以及重症监护和类似科室的急性紧急情况的临床研究潜力尚未得到充分开发。
