急诊医学实践中的若干问题

Several problems in the practice of emergency medicine

急诊医学作为一门独立学科在中国已发展了二十年,在不断地探索、争议并吸取国际可借鉴经验过程中,取得了令人瞩目的进展。院前院内急救不断引进新技术与新项目,教学科研也呈现新的面貌,培养出急诊医学新型人才。当前急诊医学已进入了一个新的发展时期,但急诊医学的发展并不平衡,现就急诊是全科还是专科,分科与综合,创新与整合,基础与特长,急救与预防,困惑和展望几个方面进行探讨。

Emergency medicine as an independent subject has developed for nearly 20 years in China and achieved satisfying progress in the process of exploring, controversy and using the international experience for reference. We have introduced up-to-date technologies and programs into emergency department of our hospital, presented fresh image in teaching and research and cultivated new pattern abilities of emergency medicine. Although current emergency medicine has entered a new development stage, its growth is unbalanced. This article discusses whether emergency medicine is common department or special department, branch subject or integrated subject, as well as probing into other aspects, such as its creation and conformity, its preclinic and specialty, first aid and disease prevention, confusion and future prospect.