<br />Critical emergency medicine <br />By dr. Amassi Yakdhan <br /><br />It is acute medical care to patient who has a medical emergency ; that is pose to immediate life threaten un respective to the location .<br />The term is describe the roll of anesthesiologist to provides immediate life support for critically ill or injured patient in pre hospital as well as hospital setting . It’s a real competence between anesthesiologist & intensive care physician , they produce life support & vital functioning stabilization .<br />We should distinguish this term critical emergency medicine from emergency medicine , which is deal with broade swathe of minor & major medical complaints that are attend to emergency department & not only the patients with immediate life threaten cases .<br />This CREM term represent a sub especially for anesthesiologists that they referred for training requirement simply as emergency medicine . At European Anesthesiology specialty all postgraduate should training the skills & attitude of CREM as a part of their specialty . <br />The scope of CREM is a board term ranging from providing high level clinical skills in pre hospital setting& make decision whether medical or surgical once to participate the multidisciplinary in hospital medical emergency team & resuscitation team till declaring of death at site of incidence .<br /> Anesthesiologist specialize CREM has additional experience in organizing health care real disaster , mass causality incidence , CBRN medicine ( chemical , biological , radiological , nuclear warfare defense) , burn center , poison center , hyper baric medicine & newly the covid 19 virus epidemic .<br /> After full emergency stabilization efforts , CREM anesthesiologist triage the patient to appropriate specialist department .<br />In addition to their heroic action in basic life threating & their endowed dealing with air way secure ; they should have a new talent of transferred this ill injured patient by helicopter , are plan as well as landing ambulance , in addition to their communication with firefighter , police & rescue workers .<br /> CREM anesthesiologist the more skilled & his training make difference between life& death . <br />2021/1/9<br />