Name: 16種急診醫學次專科大解密 🚨 (16 Emergency Medicine Subspecialties Explained 🚨)
Uploaded: 2025-12-27T18:30:40.000Z
Duration: 6 min 37 s

The pit is showing everyone what it's like to work in the emergency department, but

急診部讓大家看到裡面的工作情況，但是

there's an entire landscape of emergency medicine careers no one talks about, and

急診醫學領域裡，還有一個完整的職業景觀是大家沒聽過的，而且

many premeds and med students don't even know these paths exist.

很多醫學院預科生和醫學院學生根本不知道有這些路徑。

Jubbal medschoolinsiders.com While it's not necessary to subspecialize for a career in emergency medicine, a fellowship can help you design the ideal job for you.

Jubbal medschoolinsiders.com 雖然在急診醫學領域不一定要專攻，但進修可以幫助你量身打造理想的工作。

And you have tons of options, so let's not waste any time.

而且你的選擇非常多，所以我們別浪費時間了。

If you've ever wondered who designs the protocols paramedics follow or who decides which patients get airlifted versus driven to the hospital, that's an EMS physician.

如果你曾想過是誰設計了派對救護員遵循的協議，或是誰決定哪些病患要用直升機送往醫院，那就是緊急醫療服務醫師。

You'll split time between clinical EM shifts and medical director roles, and

你會同時兼顧緊急醫學臨床輪班和醫療總監職位，而且

many EMS docs work with fire departments, air medical services or disaster response teams.

很多緊急醫療服務醫師會與消防部門、空中醫療服務或災難應變小組合作。

It's a leadership heavy path and if you're drawn to systems level thinking over individual patient encounters, this is your lane.

這是一條需要領導力的路，如果你對系統層級思考比個別病患互動更感興趣，這就是你的領域。

Let's move from overseeing pre hospital systems to one of the most detective like subspecialties in medicine.

我們從監督院前系統，轉向醫學中最像偵探般的次專科。

It's 2am A 19 year old is wheeled in obtunded with pinpoint pupils and a heart rate of 40.

凌晨兩點，一名19歲的年輕人被送進來，意識模糊，瞳孔縮小，心跳每分鐘40下。

His friends say he took something at a party, but they don't know what.

他的朋友們說他在派對上吃了點東西，但他們不知道是什麼。

As a medical toxicologist, this is your bread and butter.

身為醫學毒物學家，這就是你的日常。

You're the one who identifies the toxidrome, decides whether to push naloxone or atropine, and

你負責辨識毒物症候群，決定要給予納洛酮還是阿托品，以及

manages the multi organ fallout when someone ingests something they shouldn't have.

管理因誤食不明物質而導致的多器官衰竭。

You'll typically work at academic centers or regional poison control centers, managing both acute overdoses and chronic poisoning cases.

你通常會在學術中心或區域毒物控制中心工作，處理急性過量和慢性中毒的病例。

Now let's shift from toxins to tiny humans because pediatric emergency medicine is an entirely different world.

現在，讓我們從毒物轉向小小人類，因為兒科急診醫學是個完全不同的世界。

Kids aren't just small adults, from their physiology to their dosing to their airways.

小孩不是縮小版的成人，從生理學、劑量到呼吸道都是如此。

Everything requires recalibration and the emotional stakes are higher because you're not just treating a patient, you're dealing with an entire terrified family.

一切都需要重新調整，而且情感上的壓力更大，因為你面對的不只是一位病患，而是一個驚恐的家庭。

Most pediatric EM physicians work at children's hospitals.

大部分的兒科急診醫師都在兒童醫院工作。

The pace can be intense and the cases range from routine ear infections to genuine life or death emergencies.

步調可能很緊張，病例從常見的耳部感染到真正的生死關頭急症都有。

Sports medicine Trained EM physicians handle everything from sideline coverage to managing complex athletic injuries.

受過運動醫學訓練的急診醫師能處理從場邊支援到複雜運動傷害的管理。

In the clinic, your life looks very different from that of a typical EM doctor.

在診所裡，你的生活與一般急診醫師大不相同。

Many sports medicine physicians work clinic based schedules with team coverage on evenings or weekends.

許多運動醫學醫師的工作時間是診所排班，晚上或週末則負責球隊支援。

It's one of the better lifestyle subspecialties with more predictable hours, fewer overnight shifts and and the chance to work with athletes at every level.

這是生活方式較佳的次專科之一，工時較可預期，夜班較少，而且有機會與各層級的運動員合作。

Next Critical Care medicine brings us back inside the hospital but past the ED and into the icu.

再來是加護醫學，它讓我們回到醫院內部，不過是從急診部進入加護病房。

EM trained intensivists manage ventilators, titrate vasopressors, and lead resuscitations.

受過急診醫學訓練的加護專科醫師能管理呼吸器、調整升壓藥物，並主導急救。

There are several critical care pathways available to EM physicians, including anesthesiology, critical care, internal medicine, critical care, neurocritical care, and

急診醫師有幾種加護醫學的進修途徑，包括麻醉學、加護醫學、內科加護醫學、神經加護醫學，以及

The work life balance across these paths is actually solid, as many intensivists work week on week off schedules.

這些途徑的工作生活平衡其實很不錯，許多加護專科醫師採輪班制，上一個禮拜、休一個禮拜。

And because your your EM training already made you an expert in resuscitation, you'll enter fellowship with a significant head start over other applicants.

而且因為你的急診醫學訓練已經讓你成為急救專家，你進入進修時，會比其他申請者有顯著的優勢。

From the chaos of critical care, let's pivot to pain medicine Pain medicine is often more predictable than general EM work, giving you greater control over your schedule depending on where you practice.

從加護醫學的混亂中，我們來轉向疼痛醫學。疼痛醫學通常比一般急診工作更可預測，讓你能在執業地點更自主地安排時間。

It's a field that continues to grow as healthcare systems are increasingly recognizing pain management as a specialty in its own right.

隨著醫療系統越來越重視疼痛管理作為一個獨立的專科，這個領域持續成長。

But before we get to the next options, let's first take a step back Is emergency medicine right for you?

但在我們進入下一個選項之前，先讓我們退一步思考：急診醫學適合你嗎？

If you're unsure looking for more options or trying to decide between two specialties, check out specialtyquiz.com it asks you questions about your preferences, priorities, and

如果你不確定、正在尋找更多選項，或是在兩個專科之間猶豫不決，可以看看 specialtyquiz.com，它會針對你的偏好、優先事項，以及

how you'd handle hypothetical scenarios, and matches you to specialties based on nine personality traits.

你如何處理假設情境，並根據九種個性特質為你配對專科。

Once you know EM is your path, these subspecialties become the next major decision.

一旦確定急診醫學是你的方向，這些次專科就成為下一個重要決定。

Now let's dive into one of the most unique subspecialties in all of medicine, literally undersea and hyperbaric medicine.

現在，讓我們來深入探討醫學中最獨特的次專科之一，也就是水下暨高壓醫學。

These physicians are the experts in dive injuries, hyperbaric oxygen therapy, and conditions caused by extreme pressure changes.

這些醫師是潛水傷害、高壓氧治療以及極端壓力變化引起疾病的專家。

You'll typically work at medical centers with dedicated hyperbaric facilities.

你通常會在設有專門高壓艙設施的醫療中心工作。

if you're fascinated by physiology at the extremes, this subspecialty offers something no other field can match.

如果你對極端生理學著迷，這個次專科能提供其他領域無法比擬的特色。

Up next is hospice and palliative medicine.

You'll work with patients facing life limiting illnesses, managing their physical symptoms while addressing the psychological, social and spiritual dimensions of end of life.

你將與面臨生命限制性疾病的病患一起工作，管理他們的生理症狀，同時處理生命末期的心理、社會和精神層面。

For EM physicians who want to bring comfort and dignity to patients at the end of life rather than just stabilizing and transferring, this is your path.

對於那些希望為生命末期病患帶來安慰與尊嚴，而不僅是穩定病情並轉送的急診醫師來說，這就是你的路。

And finally, let's leave the hospital and civilization altogether.

最後，讓我們完全離開醫院和文明。

Wilderness medicine trains you for remote environments where resources are scarce and improvisation is survival.

曠野醫學訓練你在資源匱乏、即興發揮就是生存的偏遠環境中。

You'll learn to manage trauma, altitude sickness, hypothermia, and envenomations with whatever you have available.

你將學會利用手邊的一切來處理創傷、高山症、體溫過低和毒液咬傷。

Some work with search and rescue teams, expedition groups, or adventure medicine organizations.

有些人與搜救隊、探險隊或冒險醫學組織合作。

Others incorporate wilderness wilderness principles into their regular EM practice or pursue academic roles in the field.

另一些人則將曠野醫學的原則融入他們常規的急診醫學實務，或在此領域追求學術職位。

Beyond these nine Emergency medicine offers several other fellowship options.

除了這九個之外，急診醫學還提供其他幾種進修選項。

Ultrasound, also known as pocus, makes you the expert your department calls when the diagnosis is unclear and the probe might have the answer.

超音波，也稱為 POCUS，讓你成為診斷不明、探頭可能就是解答時，你的部門會呼叫的專家。

Many split their time between clinical shifts and education, running ultrasound curricula and training residents.

許多人將時間分配在臨床輪班和教學之間，負責超音波課程並訓練住院醫師。

Addiction medicine focuses on patients with substance use disorders, a population EM doctors encounter constantly but rarely have formal training to treat comprehensively.

成癮醫學專注於物質使用障礙的病患，這是急診醫師經常遇到但很少接受正式訓練來全面治療的人群。

Brain injury medicine specializes in the recovery and rehabilitation of patients with traumatic brain injuries.

腦損傷醫學專門研究創傷性腦損傷病患的恢復和復健。

Though this path requires completing a sports medicine fellowship, first Disaster and Tactical Medicine trains you for mass casualty events and high risk law enforcement operations.

雖然這條路需要完成運動醫學進修，但首先，災難與戰術醫學會讓你為大規模傷亡事件和高風險執法行動做好準備。

Medical education and simulation is ideal if you want to shape how the next generation of EM physicians is trained.

如果你想塑造下一代急診醫師的訓練方式，醫學教育與模擬是理想的選擇。

Forensic emergency medicine bridges medicine and the legal system with expert testimony, evidence documentation, and law enforcement collaboration.

法醫急診醫學透過專家證詞、證據記錄和與執法部門的合作，連結醫學與法律體系。

Clinical Informatics focuses on optimizing health IT systems and EHR workflows.

臨床資訊學專注於優化健康 IT 系統和電子病歷工作流程。

It's less clinical but increasingly important as healthcare continues to digitize.

這方面的臨床工作較少，但隨著醫療保健持續數位化，其重要性日益增加。

Even after this comprehensive list, there are still niche and emerging emergency medicine subspecialties to look out for, including international emergency medicine, pediatric ultrasound, telemedicine or virtual em, women's health, aerospace medicine, and

即使在這份詳盡的列表之後，仍有小眾且新興的急診醫學次專科值得關注，包括國際急診醫學、兒科超音波、遠距醫療或虛擬急診、婦女健康、航空醫學，以及

Check out our can youn Handle Emergency Medicine videos to see if following the path of Dr.

看看我們的「你撐得住急診醫學嗎？」影片，瞭解跟隨 Robbie 醫師的道路是否最適合你。