Wonderful, isn't it. The greatest impact in this whole scenario would be
to emphasise the importance of teaching community CPR so that his wife
can resuscitate him next time. Not mentioned.
However, I do not like the idea that anaesthetists, A&E Consultants and
general physicians will be resident. Well, I'm not so bothered about
Consultant Anaesthetists as most hospitals seem to have enough for a
different one each day of the month, but I'm blowed if I am doing a 1:4
or worse resident.
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of
[log in to unmask]
Sent: 05 March 2003 20:28
To: [log in to unmask]
Subject: More NHS Guidance
Has anyone else seen "Keeping the NHS local",
www.doh.gov.uk/configuringhospitals
the most recent "guidance" from our leaders. It includes some
interesting scenarios in the last pages where the emergency care team
(A&E Consultant and SPR plus anaesthetist) rush down to CCU to review
the MI patient when he gets poorly and can then do the business with the
graceful permission of the cardiologist (who isn't there but has written
us a protocol) There seems no mention of A&E in the group involved in
this paper, a senior nurse, a gynaecologist (rtd) a haemo-oncologist and
a GP plus a load of managers. Working in an area where the GP's are keen
to dump all on the minor injuries units and run, the concept of GPSI's
reviewing the patients with IT support from the A&E (anyone got a cheap,
working, Telepresence that allows medical examination?) does not seem
like the world as I see it. Those of you who want to take over MAU's and
I have some slight sympathy with that view should get your wishes. I
have been nattering about having an acute medical assessment team
(consultant lead) "a la trauma team" for ages, but, in my department,
with two consultants, the prospect of supplying the acute medical team
leader as well as the acute trauma team leader does not fill me with
unbridled happiness. A jaded A&E consultant
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