The history of emergency medicine as a distinct medical discipline encompasses the past 60 years. The genesis of emergency medicine involved several elements and stemmed from recognition of the unique nature of trauma care and emergency transport, increasing mobility of the population and improvements in emergency care and resuscitation.
The American Board of Emergency Medicine became the twenty-third medical specialty, following its approval by the American Board of Specialties in September 1979. The first board examination in emergency medicine was offered in 1980. In the early 1980's, the Australian Society of Emergency Medicine was formed by a group of doctors committed to the practice and development of emergency medicine, and in 1993 the discipline was accepted as a principal specialty. These developments have led to the transformation in the practice of emergency medicine in most hospitals. However, away from the major centres, there are many non-specialist doctors playing an important role in the delivery of emergency care to seriously ill patients. These doctors often do so in relative isolation and without the benefit of the supervision and back up of specialists. Groups such as rural general practitioners and hospital based medical officers carry a significant emergency medicine role.
Daw Khin Than Win
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