Ouch Mike - sounds like an 'interesting' time - in the Chinese sense!
----- Original Message -----
From: "LAMBERT MIKE [RM1] Norfolk & Norwich University Hospital"
<[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, January 02, 2003 10:18 AM
Subject: What is A&E?
> Recent postings have raised questions about the role of our specialty-
>
> Between 11.30 and 0200, 31/12 - 01/03 our department dealt with a
> respiratory arrest due to asthma ( pH 6.6 pCO2 25), a collapsed pregnant
> woman who underwent immediate section to deliver the baby, an axillary
stab
> wound with shock and an ischaemic arm, and an anterior MI who received
> thrombolysis in A&E - later on there was an acute subdural transferred to
> the neurosurgical unit. All except the ~30/52 baby have survived so far. I
> haven't include the numerous drunks +/- HI etc.
>
> I don't claim this is "normal for Norfolk" or wish to start a "if you
think
> that was bad, we saw..." thread. My point is that while some colleagues
> will claim to be better at treating asthma, obstreticians can perform
neater
> c-sections, anaesthetists can resuscitate, surgeons can manage the stab
> wounds etc., it is the unique combination of skills, knowledge and
> attributes of those who practice A&E medicine (medical and nursing staff)
> that allow us to move seamlessly between these cases and deal with them as
> they come through the door. Of course we are grateful for the support we
can
> call upon from the other specialties, but those first few minutes and the
> breadth of our abilities ( if not always the depth of our knowledge) are,
> for me, what defines the core of our specialty.
>
> It was a hell of a night and it is helpful, to me, to be able to share it
> with you - thanks.
>
> Happy New Year!
>
> Mike Lambert
> A&E Consultant
> Norfolk & Norwich University Hospital
>
> Tel 01603 287316
>
>
>
> --------------------------------------------------------------------------
-
> The information contained in this e-mail is confidential and is intended
> only for the named recipient(s). If you are not the intended recipient you
> must not copy, distribute, or take any action or reliance on it. If you
have
> received this e-mail in error, please notify the sender. Any unauthorised
> disclosure of the information contained in this e-mail is strictly
> prohibited.
>
|