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Emerg Med J. 2021 Apr;38(4):315-318. doi: 10.1136/emermed-2020-210421. Epub 2021 Jan 22.

Environmentally sustainable emergency medicine.

Emergency medicine journal : EMJ

Timothy Spruell, Hannah Webb, Zoe Steley, James Chan, Alexander Robertson

Affiliations

  1. Anaesthetics Department, Croydon Health Services NHS Trust, London, UK [email protected].
  2. Emergency Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, East Sussex, UK.
  3. Environmental Special Interest Group, The Royal College of Emergency Medicine, London, UK.
  4. Emergency Department, Royal Free London NHS Foundation Trust, London, UK.
  5. Emergency Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
  6. Emergency Department, Royal Hospital for Sick Children, Edinburgh, Scotland, UK.
  7. The Royal College of Emergency Medicine, London, UK.

PMID: 33483340 DOI: 10.1136/emermed-2020-210421

Abstract

Emergency clinicians worldwide are demonstrating increasing concern about the effect of climate change on the health of the populations they serve. The movement for sustainable healthcare is being driven by the need to address the climate emergency. Globally, healthcare contributes significantly to carbon emissions, and the healthcare sector has an important role to play in contributing to decarbonisation of the global economy. In this article, we consider the implications for emergency medicine of climate change, and suggest ways to improve environmental sustainability within emergency departments. We identify examples of sustainable clinical practice, as well as outlining research proposals to address the knowledge gap that currently exists in the area of provision of environmentally sustainable emergency care.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: efficiency; emergency care systems; environmental medicine; global health

Conflict of interest statement

Competing interests: All authors are members of the Environmental Special Interest Group of the Royal College of Emergency Medicine.

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