繼續教育積分16分 (須全部完成)

Artificial intelligence (AI) is rapidly transforming healthcare, particularly in high-acuity environments such as emergency departments (EDs) and critical care units.

Emergency physicians routinely manage time-sensitive conditions including airway compromise, cardiac arrest, severe trauma, and sepsis, where rapid diagnosis and intervention are critical for survival. AI technologies—including machine learning, deep neural networks, natural language processing, and real-time physiologic monitoring—offer new opportunities to enhance clinical decision-making, improve patient outcomes, and optimize resuscitation strategies. Emerging applications include prediction of difficult airway management, optimization of mechanical ventilation weaning, AI-guided cardiopulmonary resuscitation (CPR), early detection of hemorrhage and traumatic coagulopathy, improved triage of trauma patients, and early identification of sepsis. These tools can analyze complex physiologic data streams and electronic health record (EHR) data more rapidly than traditional clinical scoring systems. However, significant challenges remain, including algorithm transparency, generalizability, integration into clinical workflows, and ethical considerations regarding decision support in life-critical scenarios. This review summarizes current and emerging applications of AI in the emergency management of critically ill patients and discusses the opportunities and challenges associated with implementing AI-driven technologies in emergency medicine and critical care.

Plenary lecture 2：Emergency Departments and Hospital’s Response Measures when Dealing with Large Scale Disasters Such as War-Dr. Debra Gershov West

Drawing on national experience from two and a half years of ongoing military conflict, repeated mass casualty incidents, and sustained operational pressure, this session presents practical approaches to hospital and emergency department preparedness and response under fire. The focus is on real-world implementation, including how systems evolved over time, what proved effective, and what required adaptation.

Core elements include multidisciplinary staff engagement and meaningful operational buy-in beyond core emergency and trauma teams, achieved through clearly defined, role-specific training. Within the emergency department, adaptation to mass casualty conditions requires rapid reorganization and management of “staff, space, and stuff,” together with command, communication, control, triage, and clinical decision-making. This session will outline predefined clinical pathways and introduce a novel hospital-based, resource-driven triage model developed in this setting, designed to support prioritization and decision-making under resource constraints.

At the hospital level, response measures include reduction in occupancy achieved through structured patient decanting, interfacility transfer, and expansion into protected or alternative care areas, while maintaining continuity of operations when infrastructure is threatened. The hospital functions simultaneously as a treatment facility and a protected environment, adding further operational complexity.

Prolonged conflict introduces additional challenges, including infection control risks, workforce strain, psychological burden, and the ongoing impact on patients, staff, and families.

These experiences provide a practical framework for how emergency systems can adapt, function, and maintain effectiveness under sustained threat, translating operational lessons into transferable principles for real-world preparedness.

Plenary lecture 3：Evolving Models of Emergency Department Leadership-Dr. L. Anthony Cirillo

The practice of emergency medicine across the globe continues to evolve. The emergency department remains the safety net for access to care for billions of people around the world. The practice of emergency medicine, and the especially leading the emergency department becomes more complicated and challenging every day. Just as healthcare delivery systems must continue to evolve to become more efficient, so must the leadership model of the emergency department.

The evolution of emergency department leadership will require a more collaborative approach with others. Leadership will become more of a partnership with other clinical and non-clinical stakeholders of the emergency department and the hospital at large. Successful leaders will need to develop a broader palate of skills and be willing to lead by “sharing” leadership in order to create successful emergency departments in the future.

Plenary lecture 4：The Development and Impact of Emergency Medical Services as a Medical Subspecialty in the United States-Dr. Michael Levy

Achieving recognition as a formal medical subspecialty within the American Board of Medical Specialties (ABMS) framework represents one of the most consequential institutional accomplishments in the history of Emergency Medical Services. This presentation examines the deliberate, multi-decade effort required to satisfy the ABMS's rigorous criteria for subspecialty designation, and the transformative impact that recognition has had on the field.

Central to this process was the codification of a distinct and defensible body of knowledge unique to EMS medicine — one that differentiated pre-hospital and out-of-hospital care from the broader discipline of Emergency Medicine. This required systematic literature development, consensus-driven clinical guidelines, and the articulation of core competencies encompassing medical oversight, system administration, disaster medicine, and pre-hospital intervention science.

Equally critical was the establishment of structured fellowship training programs, which formalized the pathway through which physicians acquire subspecialty expertise. The presentation traces the development of EMS fellowship curricula, the standardization of training benchmarks across institutions, and the role of organizations such as the National Association of EMS Physicians in building the academic and professional infrastructure necessary to satisfy ABMS oversight requirements.

The pathway also demanded demonstrated scholarly productivity, board examination development, and evidence that a sufficient critical mass of trained practitioners existed to sustain an independent subspecialty community. The eventual ABMS approval of EMS as a subspecialty in 2010, with the first certifying examination administered in 2013, is examined as the culmination of these coordinated institutional efforts.

The presentation concludes by evaluating how subspecialty status has elevated physician leadership in EMS systems, strengthened medical direction standards, and legitimized EMS medicine within academic medical centers.

Plenary lecture 5：Pain Management in the Emergency Department-A Call for Paradigm Change-Prof. Sergey M. Motov

Over the past two decades, emergency clinicians have transformed Emergency Department pain management by moving toward mechanism-based, multimodal analgesia; by mastering ultrasound-guided regional anesthesia; and by developing expertise in managing opioid use disorder. Nevertheless, the opioid crisis, while demanding a thoughtful response, has precipitated overly restrictive prescribing policies, misleading calls for opioid elimination, and the overly liberal adoption of opioid alternatives eroding the quality of acute pain care.

This presentation is calling for ED clinicians to recalibrate their approach to acute pain by focusing on patient-centered outcomes over rigid algorithmic compliance, by replacing the rhetoric of opioid minimization and elimination with a framework of opioid optimization, by embracing the reverse analgesic ladder that matches analgesic intensity to pain severity from the top down, and by creating the comprehensive, unified ED analgesic order set that supports individualized, mechanism-based care within a standardized pain management framework. Combined together, these paradigm changes are aimed to improve ED clinicians’ commitment to treating pain with urgency, precision, and compassion.

Symposium 5：急診臨床實務的法律風險：談AMA、轉診與社群媒體時代的隱私問題-廖建瑜法官
座長：吳冠漢醫師、邱柏齊醫師

Symposium 6：改變行醫模式的急診醫學新知

座長：賴佩芳醫師、薛承君醫師
1.史帝芬.強森症候群及毒性表皮壞死溶解症-蘇則聿醫師
2.不怕風雨的醫院怎麼蓋？醫院如何挺過氣候風暴-賴佩芳醫師
3.「肺全白了！」-談急性呼吸窘迫症候群全球定義更新與急診初期應對管理-李豐佑醫師
4.腹部腔室症候群：急診醫師不可不知的隱形殺手-李凌遠醫師

Symposium 9：如果現在就發生：我們準備好面對災難了嗎？光復馬太鞍水災：從整備、現場應變到醫療進駐的系統實戰
座長：鄭銘泰醫師、賴佩芳醫師
1.災難來了，現場有醫護嗎？特搜與DMAT的現場協同作戰-陳玉龍醫師
2.醫院不在醫院，破壞之後災區延伸醫療-張菁育主任

Symposium 10：2026急診安寧新趨勢：科技輔助、臨床經驗與未來策略

座長：范文誌醫師、管仁澤醫師

1.運用LINE Bot介入提升急診末期病人家屬安寧照護之認知準備度-尤香惠護理長

Symposium 17：休克新視野：證據更新、鑑別診斷與處置
座長：李智晃醫師、施宏謀醫師
1.心因性休克處置：最新證據回顧與臨床決策-黃昱彰醫師
2.心因性與敗血性休克之鑑別：診斷重點與治療策略差異-劉彥宏醫師
3.混合型休克處置：血流動力監測與器官支持策略-黃彥達醫師