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Celebration & RemembranceEM_News_in_TürkiyeKutlama ve Anma

EMAT Representation at ACEM 2025

by Ramazan SİVİL 24 December 2025
written by Ramazan SİVİL

The 13th Asian Conference on Emergency Medicine (ACEM 2025) was held in Dubai between December 10–13, 2025, hosted by the Emirates Society of Emergency Medicine (ESEM) and Asian Society of Emergency Medicine (ASEM).

The Emergency Medicine Association of Türkiye (EMAT) was represented at the conference by a delegation consisting of Dr. Arif Alper Çevik, Dr. Murat Ersel, Dr. Özge Can, Dr. Yunus Emre Arık, Dr. Erkan Günay, and Dr. Elif Dilek Çakal. Our representatives participated in the scientific program and engaged in international academic exchanges throughout the event.

During the conference, Dr. Arif Alper Çevik was presented with the Honorary Fellowship Award by the Asian Society for Emergency Medicine (ASEM) in recognition of his professional contributions to the field.

We congratulate Dr. Arif Alper Çevik on this achievement and thank our delegation for their representation of our association.

EMAT International Emergency Medicine Commission

24 December 2025 0 comments
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IEM Newsletter

The European Training Requirement 2024

by Süleyman İBZE 17 September 2025
written by Süleyman İBZE

The European Union of Medical Specialties (UEMS) promotes the development of unifying documents relating to training in all recognised specialties across Europe. These European Training Requirements (ETRs) take the form of a structured document describing the specialty, the competences required, how the competences will be acquired and assessed and the requirements for the institution and the training programme including educator capability.
The Section and Board for Emergency Medicine within UEMS, together with the Education committee of the European Society for Emergency Medicine (EUSEM) reviewed the ETR that was originally published in 2019, and updated it in line with current clinical practice and educational models. The document, after consultation with Emergency Medicine colleagues across Europe, and the Advisory Board and Council of UEMS, was approved as the ETR for Emergency Medicine in April 2024.
The new ETR utilises the concepts of key competences or capabilities of the emergency physician, based on the pathway that a patient will follow within a clinical encounter. These include;
>the recognition and management of time critical conditions within the triage and resuscitation setting,
>assessment of signs and symptoms,
>procedural capability,
>utility and interpretation of investigations
>clinical reasoning to determine management plans focused on individual patients.
The ETR also emphasises the professional competences required for emergency medicine (based on CANMEDS) including communication, collaboration, leadership, safety and quality improvement, health promotion, education and research and professional behaviours.
Within the ETR, the concept of the development of capability from novice to expert is defined, introducing the principles of growing independence as the practitioner evolves to a specialist level.
These two complementary principles of capability and independence provide a structure to support the learner in developing across the breadth of the clinical syllabus, which has been entirely reviewed and edited. New to the syllabus for example are the explicit descriptions of capability around the use of ultrasound in the emergency department, inclusion and reference to the UEMS adolescent framework and a focus on quality and safety elements suggested by EUSEM Q&S committee. Other areas have been refined and some elements removed from the syllabus. The syllabus is presented to reflect the competences/capabilities and includes both symptoms, signs and diagnoses as well as specific procedures investigations and clinical situations.

In addition to the content described above – the ETR describe the organisation of training including a recommended training pathway (five years is recommended), suggestions for assessment including template workplace based assessment forms and outline of educational governance for a training programme. The authors have described the requirements for a trainer including core competences for trainers and the training requirements for institutions.
By redefining both the clinical syllabus and competences/capabilities of an emergency physician and also the structure and support needed to enable training, the ETR defines a unified standard for Emergency Medicine in Europe. The document recognises that the systems for delivery of emergency care vary across the European countries and therefore some countries may be unable or not need to meet these standards particularly in the breadth of the clinical syllabus. Whilst not all countries in Europe will meet the standards described (and some will exceed these standards), it is hoped that many countries will adopt this standard to enable high quality care to be delivered by appropriately trained physicians. Countries with their own curriculum in place may also wish to demonstrate how the European ETR is reflected in their own curriculum.

The unanimous support for the ETR from all specialties in UEMS and from all UEMS Board members reflects the maturation of the specialty in Europe and the recognition of the significant contribution EM makes to the healthcare systems in European countries and to their people. The ETR will set the standard for emergency physician capability – it will naturally require to be reviewed within 5 years as the specialty continues to grow and responds to challenges and clinical innovation.


Ruth Brown on behalf of the ETR revision group 2024

Brochure_EBEEM_2024_V5_updatedİndir
17 September 2025 0 comments
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IEM NewsletterUncategorized

The Development of International Emergency Medicine Worldwide

by Süleyman İBZE 17 September 2025
written by Süleyman İBZE

Jim Holliman, M.D., F.I.F.E.M., F.E.M.A.T.

 I am most pleased to provide this brief article for the new Emergency Medicine Association of Turkiye (EMAT) newsletter.  I am also most pleased with the current status of International Emergency Medicine (IEM).  EMAT can be very proud of its contributions to IEM. Among these is EMAT’s organization and conduction of the biennial Eurasian Conference of Emergency Medicine, which has always been a very high quality and well attended conference.  EMAT members have also been very active in the activities of the European Society of Emergency Medicine and the Asian Society of Emergency Medicine. This is particularly relevant since the country of Turkiye is situated in both Europe and Asia.  EMAT has developed educational training materials and national standards for Emergency Medicine (EM) which serve as models for EM specialty development in other countries.

     IEM is now robust and progressing actively throughout the world.  IEM development efforts started in the late 1980’s with the main development successes occurring in the mid to late 1990’s. Large difficulties in getting the specialty of EM officially recognized and acknowledged as a key component of any national health care system were overcome.  EM is now an officially registered and recognized medical specialty in numerous countries.  EM practitioners are now widely recognized as leaders in medical research and administration of medical services.

     The current lead organization in IEM is the International Federation for Emergency Medicine (IFEM) which is a consortium of all of the national and regional EM organizations.  IFEM has produced and published a number of valuable open access reference documents on EM training and clinical operations.  IFEM has a large number of Special Interest Groups which are promoting various sub-specialties and sub-interests of EM. IFEM also conducts the annual International Conference on Emergency Medicine (ICEM) every June (this year’s conference will be in Taipei, Taiwan). EMAT is in a good position and of course very capable to host the ICEM in the future.

     IEM has a very bright future with many young smart EM physicians carrying the specialty forward and overcoming the numerous obstacles in conducting high quality EM care delivery.  And hopefully EM can contribute to the resolution of the numerous war conflicts going on at the present time.

17 September 2025 0 comments
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IEM NewsletterUncategorized

What’s new ın Emergency Medıcıne

by Süleyman İBZE 17 September 2025
written by Süleyman İBZE

Reviewed by Rıdvan Atilla 30.06.2024

Effectiveness of introducer (bougie) for tracheal intubation (January 2024)

von Hellmann R, Fuhr N, Ward A Maia I, et al. Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis. Ann Emerg Med 2024; 83:132.

While the tracheal tube introducer (commonly referred to as a “bougie”) is widely considered an important tool for emergency intubation, high-quality evidence supporting its role has been limited. In a new systematic review and meta-analysis of 18 studies involving over 9000 adult patients, use of an introducer was associated with a higher overall rate of successful first-pass intubation compared with no introducer (in most cases an tracheal tube with a stylet). First-pass success rates were higher using an introducer regardless of the method of intubation (ie, direct versus video laryngoscopy) or where intubation was performed (eg, emergency department, intensive care unit, prehospital). The introducer was most effective in patients (n = 585 in five studies) with a Cormack-Lehane III or IV view. We consider the introducer an essential tool for difficult airway management that should be readily available in the emergency department.

Guidelines on management of acute respiratory distress syndrome (February 2024)

Qadir N, Sahetya S, Munshi L, et al. An Update on Management of Adult Patients with Acute Respiratory Distress Syndrome: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med 2024; 209:24.

The American Thoracic Society recently updated their guidelines on the management of patients ventilated for acute respiratory distress syndrome (ARDS). Compared with previous recommendations, emphasis was placed on the value of systemic corticosteroid administration, early use of extracorporeal membrane oxygenation, and use of neuromuscular blockade, particularly in patients with severe ARDS. Recommendations also focus on the avoidance of recruitment maneuvers, especially prolonged maneuvers. We agree with these recommendations.

Multiple-dose activated charcoal for amatoxin-containing mushroom poisoning (March 2024)

Varekamp J, Tan JL, Stam J, et al. Effects of interrupting the enterohepatic circulation in amatoxin intoxications. Clin Toxicol (Phila) 2024; 62:69.

Ingesting mushrooms that contain amatoxins can cause acute liver injury, liver and multisystem organ failure, and death. Multiple-dose activated charcoal (MDAC), which increases elimination of amatoxins by blocking enterohepatic recirculation, is a frequently used therapy, typically combined with other antidotes. A systematic review that included nearly 1200 patients (665 received MDAC, 2 received single-dose activated charcoal) with amatoxin-containing mushroom poisoning found that activated charcoal administration was associated with higher transplant-free survival (83 versus 75 percent). These findings support our recommendation to administer MDAC to patients with suspected amatoxin-containing mushroom ingestion.

ACEP consensus guidelines on topical anesthetics for simple corneal abrasions (April 2024)

Green SM, Tomaszewski C, Valente JH, et al. Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines From the American College of Emergency Physicians. Ann Emerg Med 2024; 83:477.

Dispensing or prescribing a topical anesthetic for management of corneal abrasions in emergency department (ED) patients is generally discouraged because of concern of causing permanent corneal damage. The American College of Emergency Physicians (ACEP) published consensus guidelines recommending that in adult ED patients with simple corneal abrasions, prescribing or providing a commercial topical anesthetic for 24 hours (no more than 1.5 to 2 mL total) after presentation was safe and improved analgesia and patient satisfaction. Even though we agree that brief use of a topical anesthetic for a small, simple corneal abrasion is safe and provides superior analgesia, we disagree with these broader recommendations since errors in diagnosis of corneal abrasions are common and overuse is difficult to prevent because topical anesthetic is typically supplied in 4 to 15 mL bottles.

New guidelines for cannabinoid hyperemesis syndrome (May 2024)

Borgundvaag B, Bellolio F, Miles I, et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Acad Emerg Med 2024; 31:425.

Cannabinoid hyperemesis syndrome (CHS) causes severe abdominal pain and vomiting that occurs in a cyclical pattern associated with prolonged, regular cannabis use. Standard antiemetics (eg, ondansetron, metoclopramide) are typically ineffective. The Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4) from the Society for Academic Emergency Medicine suggest using dopamine antagonists such as droperidol or haloperidol in addition to usual care to manage symptoms of CHS in adult patients. Capsaicin cream may be used as an adjunct but is often less effective. We agree with these guidelines, but typically reserve capsaicin for second-line therapy.

ASTER Clinical Trail: Acetaminophen in sepsis-related organ failure (June 2024)

Ware LB, Files DC, Fowler A, et al. Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis: The ASTER Randomized Clinical Trial. JAMA 2024.

Preliminary data have suggested that acetaminophen may have potential benefits in patients with sepsis. A recent randomized trial of 447 patients with sepsis and respiratory or circulatory organ failure reported that patients treated with acetaminophen (1 g every six hours for five days) had a similar number of days alive and free of organ support compared with placebo. However, acetaminophen may have reduced the rate of acute respiratory distress syndrome (2 versus 9 percent). Further study is needed before acetaminophen can be routinely used in patients with sepsis and organ dysfunction.

17 September 2025 0 comments
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IEM NewsletterUncategorized

My journey into International Emergency Medicine.

by Süleyman İBZE 17 September 2025
written by Süleyman İBZE

Prof Arif Alper Cevik

I am Dr Cevik, currently I serve in multiple pivotal educational and leadership roles at the United Arab Emirates University College of Medicine and Health Sciences (UAEU CMHS) in Al Ain, UAE. As the Director of the Clinical Skills Course and the Medical Simulation and Clinical Skills Center, I am looking after to enhancing the practical skills of future medical professionals. Additionally, I hold the position of Chair for the Longitudinal Track Group in our Curriculum Reform Process, helping to shape a modern and comprehensive educational journey for our students. In the field of Emergency Medicine, I am not only a faculty member at UAEU CMHS and the Tawam Emergency Medicine Residency Program but also an active participant in shaping the future of emergency medicine education globally. I am the current Chair of the International Federation for Emergency Medicine (IFEM) Core Curriculum and Education Committee (CCEC), representing Emergency Medicine Association of Turkiye (EMAT). I am also the Founder and Director of the International Emergency Medicine Education Project (iem-student.org). My commitment extends to my roles as a board member of the Asian Society for Emergency Medicine, representing EMAT and a member of the Emirates Board of Emergency Medicine. My current roles have deeply involved me in the field of medical education, particularly focusing on emergency medicine training across the globe.

My journey into international emergency medicine began during my residency at Dokuz Eylul University. Under the collaborative efforts of Dr. Fowler, director of our EM residency program and emergency department, we regularly interacted with visiting emergency physicians and residents from the US, each bringing a diverse background and an infectious enthusiasm to assist in our training. Their dedication sparked a question in my mind: “Could I, too, become someone who aids others around the world?”

This inspiration bloomed fully in 1998, during my chief residency, when I attended the 7th International Conference on Emergency Medicine in Vancouver, Canada. At a lecture on ankle sprains delivered by Dr Ian Stiel—the father of the Ottawa Ankle Rules—a man caught my attention. His name resonated with me; Dr. Fowler had spoken of him often. He was Prof. James Holliman, a legend in international emergency medicine.

After the talk, I introduced myself, mentioning my origins from Izmir, Turkey. With a handshake and an enthusiastic spark in his eyes, Prof. Holliman excused himself to speak with Dr. Stiel, suggesting we meet later. “Why don’t we meet at 12 pm in front of this hall?” he proposed, setting our rendezvous for two hours hence.

After attending a few more talks, I returned to our meeting spot, and find Prof. Holliman already there, waiting. His early arrival, unusual for a professor when meeting a resident, struck me deeply—it was a testament to his dedication and the value he placed on every interaction.

We spent the afternoon together, sharing stories about our training, discussing the challenges faced by our programs, and the progress of emergency medicine in Turkey. Our conversation wasn’t limited to medicine; we explored mutual interests in food, music, and cultural nuances, discovering surprising commonalities, including our shared birthday of December 20.

As the day came to the end, Prof. Holliman extended an invitation that would shape my future—he asked me to join his International Emergency Medicine Fellowship Program at PennState University. Thus, my dedicated path in international emergency medicine was begun.

Since starting on my journey with the International Emergency Medicine Fellowship program in 1999, my career has been a full of collaboration and discovery. This program opened doors to meetings with many of the world’s leading experts in international emergency medicine. Together, we have embarked on numerous projects, not just within Turkey but across the globe, particularly in North America, Europe, and Asia.

Supported by EMAT, I represented our organization at various prestigious international bodies such as the European Society for Emergency Medicine (EuSEM), the International Federation for Emergency Medicine (IFEM), and the Asian Society for Emergency Medicine (ASEM), often sharing these responsibilities with colleagues like Dr. Cem Oktay and Dr. Ridvan Atilla.

It has been truly inspiring to witness the productivity of the international emergency medicine community, which plays a crucial role in guiding countries and institutions where emergency medicine is still in developmental phase. Experiencing diverse countries and healthcare systems has not only broadened my understanding of emergency medicine but also enriched my perspective on work-life balance.

Alongside my professional journey, I have passionately pursued hobbies like snowboarding, windsurfing, and kitesurfing in various parts of the world. However, a meniscal tear in my left knee has stopped me to engage in these intense sports as I once did. Despite this setback, traveling to new places for international emergency medicine activities continues to be a thrilling aspect of my work. Exploring diverse cultures and systems not only enriches my professional life but also satisfies my curiosity and love for adventure. Isn’t this ‘what international emergency medicine’ all about?

17 September 2025 0 comments
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Cel&RemCelebration & Remembrance

In Memory of Dr. Eric Revue, M.D.

by Süleyman İBZE 28 May 2025
written by Süleyman İBZE

We are deeply saddened to share the news of the passing of Dr. Eric Revue on 22 May 2025.

Dr. Revue was a distinguished Emergency Physician and Toxicologist, serving as the Head of the Emergency Department and Prehospital Medical Service (SMUR, SAMU of Paris) at Lariboisière Hospital, AP-HP, Paris.

He also held prominent international roles, including Chair of the Prehospital Section of EUSEM and former Co-Chair of the Clinical Practice Committee of the International Federation for Emergency Medicine (IFEM).

28 May 2025 0 comments
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IEM Newsletter

“Together, we are stronger”

by Süleyman İBZE 28 May 2025
written by Süleyman İBZE

The International Federation for Emergency Medicine (IFEM) is at the forefront of a vital global mission: to advance emergency medicine and improve emergency care for all people, regardless of where they live or their economic situation. This dedication is rooted in a stark reality highlighted by the World Health Organization: nearly half of all deaths and over a third of disabilities in low and middle-income countries could be prevented with effective emergency care. Yet, many countries lack comprehensive first-line pre-hospital and in-hospital emergency care, leading to unnecessary suffering and loss from conditions that could be effectively treated if the right care were available.

As a predominantly volunteer-run organization, IFEM brings together emergency medicine professional societies from over 70 countries. This global network is committed to leading the development of the highest quality of emergency medical care. IFEM’s work include relationship-building between global emergency care experts and local healthcare providers, advocating for essential policy changes, and developing education and standards that are freely available and locally relevant. This collaborative effort is crucial for rapidly sharing clinical and health systems expertise and promoting the growth of the emergency medicine specialty worldwide.

IFEM’s unique strength lies in its diverse membership, comprising grassroots emergency medicine organizations from countries with both highly developed and emerging emergency care systems. This diversity allows IFEM to harness a broad spectrum of expertise, enabling it to address emergency care challenges effectively and support equality in service and care across the world.

The impact of IFEM’s work is made possible by the dedication of its members and volunteers who donate their time, expertise, and resources. People like you, the readers of this newsletter. Friendships and networks grow, expertise in topics relevant to emergency medicine is pooled by some of the world’s best experts, Emergency Medicine societies share their problems and experiences, and we all work together to create guidelines, policies, care standards and information on the IFEM website www.ifem.cc

IFEM’s vision extends beyond immediate care. It advocates for the recognition and growth of emergency medicine as a specialty in every country, supporting the development of emergency care systems that can respond effectively to the needs of their populations. This includes working closely with organizations like the World Health Organization and the International Committee of the Red Cross to ensure that best practices in emergency care are shared and implemented globally.

Education and training are also central to IFEM’s mission. IFEM provides a comprehensive online training curriculum, and facilitates the sharing of best practices among its member national and regional societies. This community of practice not only enhances the skills of individual physicians but also contributes to the overall development of emergency medical systems worldwide.

The need for effective emergency care is universal, transcending borders and socio-economic divides. IFEM’s work is a testament to what can be achieved when professionals across the world come together with a shared goal. As IFEM continues to lead in the promotion and development of emergency medicine, it invites all who are passionate about advancing global health to join them. Together, we can make a difference in the lives of millions, ensuring that high-quality emergency care is accessible to all who need it.

For those interested in contributing to this vital cause, IFEM offers a platform for collaboration, advocacy, and education. By joining IFEM’s Special Interest Groups, Committees and Taskforces, you become part of a global movement dedicated to saving lives and improving health outcomes through the advancement of emergency medicine. Visit ifem.cc to learn more about how you can be involved in shaping the future of emergency care around the world.

Dr Ffion Davies, Immed Past President, International Federation for Emergency Medicine

28 May 2025 0 comments
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