Hot topics in critical emergency medicine – the last 12 months’ top publications

Sunday 4 June, 14h00-14h45, Room A

Each year, Euroanaesthesia contains a number of sessions dedicated to exploring the top publications in various parts of our specialty. This lecture will review the last year’s most important news in critical emergency medicine, and will be given by Torben Wisborg, Professor of Medicine at the University of Tromsoe, Norway, director of the Norwegian National Advisory Unit on Trauma, Oslo, Norway and Consultant Anaesthesiologist at Hammerfest Hospital, Hammerfest, Norway.

The designation of advanced pre- and in-hospital emergency medicine as Critical Emergency Medicine (CREM) was endorsed by the European Board of Anaesthesiology (EBA) in December 2016 (EBA is the anaesthesiology Section of the European Union of Medical Specialists or UEMS) (1), and this hopefully brings to an end a long-lasting competition between medical specialties concerning severely injured and sick patients. Prof Wisborg says: “As an indicator of the significance for patients – as opposed to medical specialties – a number of recent papers on airway management during critical illness will be reviewed.”

Sepsis remains a major killer in Critical Emergency Medicine (CREM). The revision of the sepsis guidelines resulted in the new 2016 Surviving Sepsis Guidelines (2), which will be reviewed.

Critical emergency medicine involves crucial decisions to be made under time pressure and with limited knowledge and restricted access to data. A recent study from Germany explores the impact of non-technical skills in a critical reporting system database (3), and adds value to a new study on improvement of team leadership after structured feed-back in trauma care (4).

Prehospital cardiac arrest and the possibility of using extracorporeal membrane oxygenation (ECMO) as a bridge to possible survival was in focus last year, and will also be reviewed.


  1. de Robertis E, Böttiger BW, Søreide E, Mellin-Olsen J, Theiler L, Ruetzler K, Hinkelbein J, Brazzi L, Thies KC; ESAEBA taskforce on Critical Emergency Medicine. The monopolisation of emergency medicine in Europe: the flipside of the medal. Eur J Anaesthesiol. 2017 May;34(5):251-253.
  2. Dellinger RP, Schorr CA, Levy MM. A Users Guide to the 2016 Surviving Sepsis Guidelines. Critical Care Medicine 2017; 45: 381–385.
  3. Hohenstein C, Fleischmann T, Rupp P, Hempel D, Wilk S, Winning J. German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005–2015. World J Emerg Med 2016; 7: 90-6.
  4. Gregg SC, Heffernan DS, Michael MD, Stephen AH, Leuckel SN, Harrington DT, Machan JT, Adams CA, Cioffi WG. Teaching leadership in trauma resuscitation: Immediate feedback from a real-time, competency-based evaluation tool shows long-term improvement in resident performance. J Trauma Acute Care Surg. 2016; 81: 729–734.