--- Renee Nilan <[log in to unmask]> wrote:
> Fred,
>
> I don't understand what you mean by the statement
> that physicians don't want
> to look after emergencies. That's the reason I went
> into Emergency Medicine!
I'm not talking about Emergency Physicians, but the
various 'ologists and General Medicine specialists
(what would be called internal medicine in the US I
think). We have been trying to get our consultant
colleagues more involved in looking after acute
medical admissions for sometime. Even getting them to
do post take rounds is hard enough. Their excuse - it
disrupts OP clinics, endoscopy lists etc.
> I love the adrenaline rush of the emergent cases and
> the chance to
> occaisionally make a true difference in morbidity
> and mortality for a
> patient. I get less gratification treating the
> colds, sprains, lacerations,
> etc..
>
I would agree with you. I would guess that was one of
the reasons many of us went into A&E in the first
place. However at the moment I'm getting increasingly
frustrated at the lack of interest from other
specialties in looking after emergency cases. It is
not just the physicians our orthopods are continually
whingeing about having to be on the trauma team
(apparently it stops their middle grades coming to
theatre, which means they can't leave them to finish
the list!). Not that they are short of opinions on how
the patients should be looked after just reluctant
when it comes to the hands on. I recently reduced a
cardiologist, who was pontificating on acute MI
management, to speechlessness, by asking him when the
last time he had actually looked after a patient
having an MI!
Cheers Fred.
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