Evidence map›Paper›PMID 21781295›Full record

ArticleInternational journal of emergency medicine2011

The efficacy and value of emergency medicine: a supportive literature review.

C James Holliman, Terrence M Mulligan, Robert E Suter, Peter Cameron, Lee Wallis, Philip D Anderson, Kathleen Clem

Open access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 67 citations in OpenAlex.

  1. Review
  2. [Career perspectives for intensive care and emergency medicine physicians].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Article
  3. The status of emergency medicine in the state of Kuwait.International journal of emergency medicine · 2025
    Article
  4. Key factors for sustainable working conditions in emergency departments: an EUSEM-initiated, Europe-wide consensus survey.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2025
    Article
  5. Article
  6. Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  7. Review
  8. Emergency medicine as a career: Knowledge, attitudes and predictors in Nigerian medical students.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Emergency medicine in Norway: The road to specialty recognition.Journal of the American College of Emergency Physicians open · 2020
    Review
  15. Article
  16. Article
  17. Impact of emergency medicine training implementation on mortality outcomes in Kigali, Rwanda: An interrupted time-series study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019
    Article
  18. Emergency Medicine in the Kingdom of Bahrain.International journal of emergency medicine · 2018
    Article
  19. Article
  20. Emergency medicine as a specialty in Asia.Acute medicine & surgery · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 3 countries.

C James HollimanThe Center for Disaster and Humanitarian Assistance Medicine, Uniformed Services University of the Health Sciences, and George Washington University School of Medicine and Health Sciences, Bethesda, MD, USA. jholliman@cdham.org.
Terrence M Mulligan
Robert E Suter
Peter Cameron
Lee Wallis
Philip D Anderson
Kathleen Clem
George Washington University · USHarvard University · USLoma Linda University · USMonash University · AUStellenbosch University · ZAThe University of Texas Southwestern Medical Center · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThe goal of this study was to identify publications in the medical literature that support the efficacy or value of Emergency Medicine (EM) as a medical specialty and of clinical care delivered by trained emergency physicians. In this study we use the term "value" to refer both to the "efficacy of clinical care" in terms of achieving desired patient outcomes, as well as "efficiency" in terms of effective and/or cost-effective utilization of healthcare resources in delivering emergency care. A comprehensive listing of publications describing the efficacy or value of EM has not been previously published. It is anticipated that the accumulated reference list generated by this study will serve to help promote awareness of the value of EM as a medical specialty, and acceptance and development of the specialty of EM in countries where EM is new or not yet fully established.

methodsThe January 1995 to October 2010 issues of selected journals, including the EM journals with the highest article impact factors, were reviewed to identify articles of studies or commentaries that evaluated efficacy, effectiveness, and/or value related to EM as a specialty or to clinical care delivered by EM practitioners. Articles were included if they found a positive or beneficial effect of EM or of EM physician-provided medical care. Additional articles that had been published prior to 1995 or in other non-EM journals already known to the authors were also included.

resultsA total of 282 articles were identified, and each was categorized into one of the following topics: efficacy of EM for critical care and procedures (31 articles), efficacy of EM for efficiency or cost of care (30 articles), efficacy of EM for public health or preventive medicine (34 articles), efficacy of EM for radiology (11 articles), efficacy of EM for trauma or airway management (27 articles), efficacy of EM for using ultrasound (56 articles), efficacy of EM faculty (34 articles), efficacy of EM residencies (24 articles), and overviews and editorials of EM efficacy and value (35 articles).

conclusionThere is extensive medical literature that supports the efficacy and value for both EM as a medical specialty and for emergency patient care delivered by trained EM physicians.

Identifiers

PMID21781295
PMCPMC3158547
OpenAlexW2133157893

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.