I am involved in a study looking at whether A&E physicians with medical
training reviewing departmental medical referrals can increase discharge
rates from A&E. Though the six month study is only one month is progress
Andy Webster
SpR A&E Northern General
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Subject: bed pressures and admission avoidance
Dear all,
I'm trying to dig out articles on admission avoidance - with regard to the
benefit or otherwise of "acute physicians" seeing medical patients in the
ED/rapid access clinics etc.
There was the Hardy et al paper in EMJ last year, but that was more about
rehab/COTE.
Ideally I'm trying to find evidence on senior (general) physicians seeing
acute medical patients in the ED, for rapid assessment and initiation of
treatment with early (next day?) follow up. Eg, ?PE, ?ACS, ?Headache, ?TIA,
CQC, first fits - the sort of presentations that the on call medical juniors
usually admit for later investigation/obs.
Using OVID Medline hasn't been helpful so far. Any one on the list know of
any good papers?
Thanks,
Giles Cattermole
SpR EM, Cardiff
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