> I certainly would object
> to any attempts by government or BAEM at trying to get us to "down-triage"
> such patients or, heaven forbid, redirect them to primary care.
What IS your speciality, Adrian?
Is it EMERGENCY MEDICINE? If so, then injuries older than 48hrs are rarely
an emergency (I can think of a few dramatic exceptions, but for the vast
majority this is true).
Is it ACCIDENT MEDICINE? If so then you should be pretty quiet, since true
accidents are rare (just joking...but I've got Richard Smith in my corner on
this one!).
Is it TRAUMATOLOGY - in which case any trauma of any duration is in your
remit and I can foresee territorial beefs with ortho surgeons!
Why can GPs not deal with trauma that is 48hrs old? In the vast majority of
cases resuscitation is not required, and GPs deal with this stuff all the
time.
My job is PRIMARY CARE. That means I get to lay claim to whatever I like,
so long as it comes to me first. If I get out of my depth, I refer to
secondary care.
--
Robbie Coull
email: [log in to unmask] website: http://www.coull.net
https://www.locum123.com contact locum doctors by SMS and email
|