Emergency and Critical Care Medicine: An Essential Component of All Specialties and Practices
Notice bibliographique
Résumé
Veterinary emergency and critical care medicine is one of the fastest growing specialties in veterinary medicine.Likened to two specialties joined as one, in a continuum of care and in a partnership working with other specialties, veterinary emergency and critical care focuses on the immediate needs of a severely ill or injured animal and also on management of the critical medical and surgical patient beyond the primary problem.A wide spectrum of illnesses, injuries, and toxicities ranging from acute kidney injury to snakebite and from severe trauma to diabetic ketoacidosis and hyperlipidemia, are experienced by dogs, cats, horses, and other veterinary patients throughout the world.Board-certified members of the American and European Colleges of Veterinary Emergency & Critical Care are termed "criticalists" because they provide immediate, essential, and intensive care and management for these animals.In addition to board-certified emergency clinicians working in academia and in private practice, primary care veterinarians also provide emergency medical care at the front line in both specialty and non-specialty veterinary practices.Basic and clinical research in veterinary emergency and critical care medicine that is accessible to all veterinarians is essential to the ongoing advancement and development of the field.Veterinary emergency and critical care medicine encompasses all organ systems and associated functions, anatomical structures, physiology, and pathophysiology, yet the criticalist manages the patient as a whole.Similarly, although other specialists typically manage a specific surgical or medical problem, criticalists frequently manage multiple comorbidities.As such, emergency and critical care clinicians face an important challenge: they must achieve a high level of broad interdisciplinary expertise while also requiring deep knowledge in the core areas of the specialty.Core areas of emergency and critical care medicine include pain management, mechanical/positive pressure ventilation, transfusion medicine, coagulation disorders, fluid and colloidal therapy, CPR and cardiorespiratory disorders, sepsis and antimicrobial use, trauma management, and acute plant and chemical toxicities.Management of critical illness and injury requires continual assessment, interpretation, and management of the patient's status, including vital signs, and acid-base, electrolyte, hematologic, cardiovascular, respiratory, renal, neurological, gastrointestinal, and nutritional status.Laboratory technical skills, point-of-care testing, and ultrasonographic skills are frequently required for evaluation of the emergent and critically ill patient.The veterinary criticalist has the expertise to balance these layers of knowledge and to prioritize attention to medical and surgical issues requiring immediate intervention.In this Specialty Grand Challenge, I will highlight some of the core areas in the field of veterinary emergency and critical care medicine, in particular, those newly emerging or where additional research is especially needed to improve the quality of medicine and critical care.I also will emphasize the need for interdisciplinary research that is mutually beneficial between the field of veterinary emergency and critical care and other veterinary specialties, and the importance of knowledge and educational exchange among emergency and critical care specialists and veterinary practitioners.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,014 |
| Méta-épidémiologie (sens strict) | 0,004 | 0,001 |
| Méta-épidémiologie (sens large) | 0,003 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,003 |
| Communication savante | 0,007 | 0,005 |
| Science ouverte | 0,003 | 0,002 |
| Intégrité de la recherche | 0,010 | 0,023 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,007 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».