Shadowing a Doctor

April 4, 2014

Emergency Medicine- Specialty & Sub-Specialty Information

Posing in scrubs outside Morogoro Regional Hospital Emergency Medicine

Emergency medicine focuses on the immediate decision making and action necessary to prevent any further disability or death or both in the pre-hospital setting. They do this by directing emergency medical technicians in the emergency department. The emergency physician provides immediate identification, assessment, stabilisation and care for patients in response to acute illness and injury. They deal with a generally diversified population of adult and paediatric patients. Emergency medicine is a fast-paced, high-pressure, and diverse specialty that requires a broad base of medical knowledge and a wide range of well-honed clinical and technical skills. Emergency physicians work primarily in the hospital emergency department, but with extensive pre-hospital responsibilities for emergency medical systems. The care provided by the emergency physician is episodic in nature and based on the prevailing physical and behavioural circumstances.


Emergency Medical Services

 Medical Toxicology

Paediatric Emergency Medicine

Sports Medicine

Undersea & Hyperbaric Medicine


Medical Toxicology – Medical toxicologists specialise in assessing, preventing, treating, and monitoring illness and injury from exposure to chemicals and drugs as well as radiological or biological agents. These specialists care for people in various settings including clinical, academic and public health. Crucial areas of medical toxicology include acute drug abuse, addiction and withdrawal, drug poisoning, adverse drug events, venomous bites and stings, terrorism preparedness and environmental and workplace exposures to chemicals and hazardous materials.

Sports Medicine – A physician with special knowledge in sports medicine is proficient in areas ranging from conditioning, fitness and training to athletic performance and the impact of nutrition, dietary supplements and pharmaceuticals on performance and health of the athlete or sportsperson.  They are responsible for continuous care in the field of sports medicine, not only for health and fitness enhancement, but also for the prevention and management of sports-related injury and illness. Knowledge of nutrition, exercise physiology, biomechanics, physical rehabilitation, epidemiology and psychology is essential to the practice of sports medicine. Sports medicine is a subspecialty of emergency medicine, internal medicine, family practice, or paediatrics.

Paediatric Emergency Medicine – In this subspecialty, an emergency physician undergoes special training to manage emergencies in infants and children. They focus on the immediate decision making and action necessary to any further disability or death both in the pre-hospital setting and in the emergency department. The paediatric emergency medicine physician provides immediate identification, evaluation, care, stabilization and disposition of infants and children in response to acute illness and injury.

Undersea & Hyperbaric Medicine – The Undersea and Hyperbaric Medicine sub-specialty deals with the prevention of injury and illness due to exposure to environments in which the ambient pressure is increased, such as in diving or hyperbaric chamber exposure. They deal with the therapeutic use of high environmental pressure and the delivery of oxygen under high pressure to treat disease. The scope of the subspecialty emphasises the clinical, environmental, occupational and safety aspects of diving, compressed air work, hyperbaric chamber operations and hyperbaric oxygen therapy.