I suppose that it is my personal preference, I like doing manipulations. All
aspects of anaesthesia bore me rigid.
Also we do get a very good service from the anaesthetists both in the
delivery of safe anaesthesia for manipulations but also for patients with
altered conscious level and in major trauma. I am happy to use their
expertise.
paul
PS
We are part of the anaesthetic directorate; I would recommend this
arrangement to you, it works very well.
Common ground:-
-24 hour service
-demand led
-Delivery of critical care
-we use the same bits of kit
-we overspend our budget
-we don't shout, lose our tempers and throw things on the floor
-----Original Message-----
From: Andres Izquierdo Martin [mailto:[log in to unmask]]
Sent: Tuesday, October 01, 2002 11:11
To: [log in to unmask]
Subject: Re: Bier's Block
We have people called emergency physicians in our hospital, they are trained
to deal with emergency situations. Paul, if we follow your reasoning , why
not to call the orthopaedic surgeons to do the manipulation? and then we can
get on with other things...(on the other hand we should call somebody else
to do the "other things" too).
In our department, we do haematoma blocks, Biers blocks, femoral blocks,
sedation etc depending on the patients needs and surrounding circumstances
and I believe that is good for our patients and they are treated by somebody
with experience in these procedures (which they seen to do quite well).
I know you also meant that we do not have enough staff in our departments,
but I cannot see how we are going to make a good case for more, if we keep
delegating responsibilities.
Andres I. Martin
Consultant in Accident and Emergency
Royal Free Hospital
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]]On Behalf Of Howarth, Paul - RCHT
Sent: 01 October 2002 10:25
To: [log in to unmask]
Subject: Re: Bier's Block
We have people called anaesthetists in our hospital, they outnumber us by
about 20 to 1. They seem to like to come down to the department to ply their
trade (which they seem to do quite well), they also bring down an ODP with
them so who checks the equipment and drugs, so all our nurses have to do is
assist us in putting on the plaster. It means that we are free to
concentrate on doing the manipulation and then getting on with other things.
Paul
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