Emergency Medicine, also referred to in the UK as A&E, ER and ED, is arguably the most in demand specialty within the NHS. Working as an Emergency Medicine Doctor in the NHS gives you the opportunity to secure jobs offering competitive salary, excellent career progression and access to specialty training.
Emergency physicians will be expected to liaise with other specialties, coordinating the initial phase of a patients journey through the hospitals A&E department. They also interact with many people during the shift, including patients, nurses, relatives, junior doctors, consultant colleagues, ambulance crews and even the police.
One very important thing to note, is that Doctors working in Emergency Medicine should expect to do an appreciable amount of night time and weekend work as ED’s are open 24 hours a day, 365 days a year, making this a very demanding and rewarding specialty.
On a general basis, if you are a Doctor working in Emergency Medicine you will predominantly be in the specific hospitals A&E department, however some posts will be carried out in trauma centres, walk-in centres and in-patient hospitals.
The Emergency Department is where patients go when they need emergency assistance, whether it be a sprained ankle, a heart attack or a stroke. In this way, the ED is a varied unit that has the facilities, doctors and expertise to handle almost any ‘emergency’ medical situation.
Trauma Centres are normally located within the ED, however some major units will be separate from the hospital. Here they handle the most extreme Emergency cases or life-threatening injuries. Here you’ll find highly trained physicians who specialise in treating traumatic injuries, who will include:
As a method of comparison, the following table aims to highlight the difference in medical cases in both Trauma and ED units:
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Unitypoint.org. 2020. ER Vs. Trauma Center: What's The Difference? (Infographic). [online] Available at: <https://www.unitypoint.org/livewell/article.aspx?id=cafe17aa-df46-410c-9b6d-7855bf760f83> [Accessed 12 May 2020].
UPMC HealthBeat. 2020. What Is A Trauma Center? | Trauma System Levels | ER Or Trauma?. [online] Available at: <https://share.upmc.com/2016/05/what-is-a-trauma-center/> [Accessed 12 May 2020].
London Ambulance Service NHS Trust. 2020. Emergency Trauma Care - London Ambulance Service NHS Trust. [online] Available at: <https://www.londonambulance.nhs.uk/calling-us/emergency-trauma-care/> [Accessed 12 May 2020].