So many told about reducing waiting time and treating minor injuries.
In my humble opinion, minor illnesses should not present to A&E departments.
and if they did, the A&E triage will assess if they will be treated in the
department when the doctors are ready or they will be redirected or advised
to visit primary care centres immediately or sometime later.
In our Department, we used to get a daily registered visits of ~700-900
patients until around one year ago where nursing staffs were triaging at
that time. Now we have 1-2 A&E doctors (depending on busy hours) doing the
triage. registered patients reduced to around 300-400/day. The rest either
redirected to local health centre (primary care) or given treatment (if
found necessary) by the triaging doctor if after midnight when all local
health centres are closed.
This process has a second part which is "public education" through media and
other ways. At the end this is all under evaluation and we are looking for
the outcome.
This is only in short....
Dr. Mohamed Al-Asfoor,
A&E Resident,
A&E Department,
Salmaniya Medical Complex,
Bahrain
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