Michael Bjarkoy wrote:
> ......If a cardiologist has enough power to influence the ambulance crews and
> the
> recieving hospital then much can be achieved.....
> .....the Dutch experience which relied on this system or
> telephone transmission to a cardiologist in CCU proved to be safe......
Most of us subscribing to this list work in the NHS.
We do not have Cardiologists in CCU.
We have junior medicalcardiology SHOs who amongst their other duties
cover CCU. They are not Cardiologists.
In a large DGH or teaching Hospital there will be a Cardiologist on call
at
home. In other hospitals there will be a General Physician on call at
home.
Patients with an emergency medical condition should be taken to the
Emergency
Department.
If they dont get the right treatment than that department needs to
improve. The
answer is not to dilute experience by skimming off some cases to by pass
the
AED.
--
Andrew
_______________________________________________________
Andrew Hobart FRCS FFAEM
Birmingham
[log in to unmask]
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|