> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Andrew Webster
> Sent: 05 December 2006 15:24
> To: [log in to unmask]
> Subject: Re: Thrombolysis for PEs
>
>
> Urgent care centre...just what do they offer better than an
> A&E deparment if they co-exist on the same site. Has he fed
> this back to the college of physicians as they wont need to
> employ as many cardiologists, gastroenterologists in the
> local DGH's if they are not looking after acute patients.
> There OPD work is all going to be looked after by GP with
> special interests.
Sort of assumes that the GPs, MIU/UCC and any emergency care
practitoners won't be admitting to the DGH though ...
The Hallamshire doesn't seem to suffer from a general medicine /
general surgical point of view in not having a fully functioning ED ,
Neither does Nottigham City ...
It's a complete re-casting of the service and the speciality - as it
stands Emergency Departments are a little like the Fire service -
scaled around exceptional demand, required to provide exceptional
services ( flying squad (even if it's never used there's all the stuff
in the cupboards -going out of date if it’s not stock rotated, MAJAX
response, CBRN )
IF and it’s a big if the changes are well planned and managed it will
see the recasting of emergency departments in some places into MIU/ UCC
/WIC and an assessment/ admissions unit ( sound famialir to anyone
who's been to S Yorks) while the major Emergency depts become more
major and more focused on resuscitation aspects of Emergency medicine
We may also see more Doctors on air ambulances and 'MUG' /'SMUR' type
teams as typified by ATACC etc as well -
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