OK, OK, uninterested is perhaps more widely recognised, but disinterested is
a perfectly acceptable term to describe what I'm getting at (and is enjoying
a resurgence in popularity!).
AF
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, April 18, 2006 11:11 PM
Subject: Re: Blues 'n Twos
> Of course a Consultant may well be disinterested quite properly. An
> uninterested one is far more difficult an issue...
>
>
>> *From:* Adrian Fogarty <[log in to unmask]>
>> *To:* [log in to unmask]
>> *Date:* Tue, 18 Apr 2006 13:12:00 +0100
>>
>> Indeed, yes Simon, life-saving procedures should be available on
>> site, but these days you often end up with various specialty
>> registrars (who are not the experienced SRs of old) arguing among
>> themselves and passing the buck, assuming they attend in the first
>> place! Moreover, they all seem afraid to call their consultants, and
>> even when they do call, their consultants are often disinterested (I
>> speak from bitter experience).
>>
>> But to be fair, I am talking about complex multi-system trauma
>> patients that challenge even the A&E & ITU consultants during the
>> day. And finally, even after the patient's been stabilised and
>> extensively imaged, there are then often "territorial" disputes over
>> where the patient's going and under whom. Once again, I find this is
>> a time when an A&E consultant's input is invaluable. So I don't agree
>> that all the big decisions are made within the first 15-30 minutes,
>> far from it.
>>
>> Adrian
>>
>> ----- Original Message -----
>> From: "Dunn Matthew Dr. (RJC) A & E - SwarkHosp-TR"
>> <[log in to unmask]>
>> To: <[log in to unmask]>
>> Sent: Tuesday, April 18, 2006 12:12 PM
>> Subject: Re: Blues 'n Twos
>>
>> > Should the
>> > running of a serious clinical problem in the ED rely upon a
>> > consultant driving in at high speed from home? Surely by the
>> > time one arrives (usually at least 15-30minutes from the time
>> > of the call) many of the life saving decisions have been
>> > made, and indeed if they haven't couldn't advice on those
>> > decisions have been given over the phone (not while driving
>> > obviously). If it is about doing life saving procedures I'm
>> > afraid again, shouldn't that be available on site?
>>
>> Speak for yourself. 30 minute standard response time by the on call
>> consultant is unacceptable. 10- 15 minute response time is acceptable
>> (and often gets you there before resident people in other
>> specialities) if you keep fairly wide indications for coming in,
>> don't mess about talking on the phone before you go and have a team
>> who can do the basics and get things ready while you come in.
>>
>> Matt Dunn
>>
>>
>
>
> /Rowley./
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