Welcome from GEMS LP!

Hello and welcome to the first blog post from ACEP’s International Section’s Global Emergency Medicine Student Leadership Program. We are thrilled to partner with iEM in the hosting of this blog, and we thank them for their collaboration and enthusiasm.

Global EM is a young, quickly growing field in the world of health care, but there remains much work to be done. The GEMS LP program was designed to involve students in this exciting and fulfilling specialty. The program itself falls under ACEP’s International Section in conjunction with the International Ambassador Program. All of these entities share a common goal: the advancement of the emergency medicine specialty worldwide.

Through this blog, we hope to educate, inspire, update, and collaborate on all things global EM.  Every couple of weeks, you can expect to read the ‘key points’  from our journal clubs. In each meeting, we review fundamental global health topics through a book chapter and a research paper, followed by a dynamic discussion with a diverse group ranging from medical students to attendings, working both in the US and abroad. Additionally, you can look forward to interviews with some of ACEP’s International Ambassador team members, interesting case discussions, GEMS LP project highlights and other fun commentaries from our mentees and team! 

We look forward to providing you relevant content that will encourage discussion, contemplation, and promotion of the field of global emergency medicine. Thank you for joining us on this new adventure! Please visit our page (https://iem-student.org/gems-lp/) for more information about our leadership team, awesome mentors, and upcoming events and meetings. 

Comments, suggestions, additions? Please reach out to us!

Cite this article as: Global EM Student Leadership Program, "Welcome from GEMS LP!," in International Emergency Medicine Education Project, September 16, 2021, https://iem-student.org/2021/09/16/welcome-from-gems-lp/, date accessed: June 1, 2023

The 2018 Global Emergency Medicine Literature Review

The 2018 Global Emergency Medicine Literature Review

The Global Emergency Medicine Literature Review Group

The Global Emergency Medicine Literature Review Group (https://gemlrgroup.wixsite.com/mysite) is a team of students and physicians from around the world that work together each year to review and highlight the published literature related the practice of emergency medicine in resource-constrained settings. The Global Emergency Medicine Literature Review (GEMLR) started in 2005 and has been published annually (you can review past editions of the GEMLR: here, https://www.ncbi.nlm.nih.gov/pubmed/?term=gemlr).  

Annual Systematic Review

The review group completes their annual systematic review of scholarly work around international emergency medicine, which screens for and then reviews relevant peer-reviewed and gray literature. The authors of this years review note that the term international emergency medicine is quite subjective, but the research of interest is generally related to “the practice and development of emergency medicine in settings without the robust or mature systems commonly seen in resource-rich western countries.”

The 2018 Review

The 2018 review was just recently published online in Academic Emergency Medicine (https://www.ncbi.nlm.nih.gov/pubmed/31313411), and this edition was put together by a team of 7 editors, 5 editorial board members, and 27 reviewers (of note, I was one of the reviewers for 2018). Interestingly, a number of reviewers are tasked with reviewing literature in other languages with which that reviewer is fluent in order to include any relevant studies from around the world. Articles are screened for appropriateness and then grouped into three main categories: the development of emergency medicine, disaster and humanitarian response, and emergency care in resource-limited settings.

The GEMLR group screened over 19,000 articles for the 2018 review, and of these 517 were found to be of appropriate quality and content for a full review. Each screened article is then obtained in full-text format and both categorized and scored by two independent reviewers. This edition of the GEMLR found the screened articles fell into each category as follows: 15% in the development of emergency medicine, 25% in disaster and humanitarian response, and 60% in emergency care in resource-limited settings. After scoring, a total of 25 articles (approximately 5% of all of the scored literature is selected for a full summary and critique. This year’s publication included the full summary and the critical appraisal of each of the highest-scoring articles in Supplement 7. 

The 2018 GEMLR authors found that this year’s edition included “studies and reviews focusing on pediatric infections, several new and traditionally under-represented topics, and landscape reviews that may help guide clinical care in new settings represented the majority of top-scoring articles. A shortage of articles related to the development of EM as a specialty was identified.”

The body of published work around international emergency medicine continues to grow; 7.3% more studies were identified as compared to 2017. I would encourage you to looking through the most recently published GEMLR reviews to find content areas that are currently gaps in the peer-reviewed literature and consider finding ways to help prepare and publish relevant work. The great news is that the body of work in international emergency medicine is expanding.

Ongoing Scholar Work Around International Emergency Medicine

This and other recent GEMLR publications are a great resource and can be a really helpful starting point in looking at ongoing scholarly work around international EM. This is also a great resource to consider as content to be used in your next journal club. I strongly recommend you take a look at this year’s publication and then go look at a few of the articles; there is a lot of great work being done and published!

Although applications to be a reviewer for the 2019 review have just recently closed, keep your eyes on the GEMLR team (@gemlrgroup) for the latest in IEM research, and for the opportunity to join the GEMLR team for next year.

Cite this article as: J. Austin Lee, USA, "The 2018 Global Emergency Medicine Literature Review," in International Emergency Medicine Education Project, August 20, 2019, https://iem-student.org/2019/08/20/the-2018-global-emergency-medicine-literature-review/, date accessed: June 1, 2023