title: [Emergency departments--2016 update].
abstract: Acute medical care in hospital emergency departments has experienced rapid development in recent years and gained increasing importance not only from a professional medical point of view but also from an economic and health policy perspective. The present article therefore provides an update on the situation of emergency departments in Germany. Care in emergency departments is provided with an increasing tendency to patients of all ages presenting with varying primary symptoms, complaints, illnesses and injury patterns. In the process, patients reach the emergency department by various routes and structural provision. Cross-sectional communication and cooperation, prioritization and organization of emergency management and especially medical staff qualifications increasingly play a decisive role in this process. The range of necessary knowledge and skills far exceeds the scope of prehospital medical emergency care and the working environment differs substantially. In addition to existing structural and economic problems, the latest developments, as well as future proposals for the design of in-hospital emergency medical care in interdisciplinary emergency departments are described.
authors.affiliation: Interdisziplinäre Notaufnahme, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Deutschland. markus.zimmermann@ukr.de.
authors.forename: M
authors.initials: M
authors.lastname: Zimmermann
authors.affiliation: Zentrale Notaufnahme, Uniklinik RWTH Aachen, Aachen, Deutschland.
authors.forename: J C
authors.initials: JC
authors.lastname: Brokmann
authors.affiliation: Notfallzentrum, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Gräff
authors.affiliation: Zentrale Notaufnahme, Schwarzwald-Baar Klinikum Villingen-Schwenningen, Villingen-Schwenningen, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Kumle
authors.affiliation: Zentrale Notaufnahme, Klinikum Frankfurt/Oder, Frankfurt/Oder, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Wilke
authors.affiliation: Zentrale Notaufnahme, Universitätsklinikum Leipzig, Leipzig, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Gries
mesh_terms: D004632:Emergency Medical Services / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000639:trends; D005858:Germany; D006285:Health Planning; D006801:Humans; D033183:Interdisciplinary Communication
keywords: Emergency department; In hospital emergency medicine; Medical qualification; Patient care