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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