You might be right, perhaps I am confusing "led" with "based". Although led
to me would at least mean present.
I am probably also confusing led with resident. Basically I appear to be
confused! All our major A+E's have consultant cover from home. it does mean
that the intial resuscitation of out of hours major trauma patients is
often done by quite junior doctors (SHO's), which is the point the
orthopods are getting at I feel.
Simon Carley
Anaesthetics / Intensive Care
Stepping Hill Hospital
Stockport
England
[log in to unmask]
----------
> From: Andrew G Hobart <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: Grading Hospitals
> Date: 16 September 1998 19:36
>
> Simon Carley wrote:
>
> > Since there are no level 1 hospitals in Manchester (at all) and to my
> > knowledge no resident consultants leading trauma teams, I guess our
> > patients will have to go to Liverpool or Leeds (if they have cover???).
I
> > wonder if the orthopods will let them know?
>
> It is not necessary to have resident consultants to have a 24 hour
consultant
> LED trauma team.
> The Generals in the 1st World War led their armies and yet were not in
the
> front line!
> Even a consultant based trauma team can be run with resident middle
grades
> and consultants coming in from home if they live within 15 minutes and
the
> Ambulance service give good pre-hospital information.
> A consultant provided trauma team would however require resident
consultants.
> A minimum of 10 consultants is required to provide this level of cover
within
> a standard jobplan even without counting antisocial hours as double time.
> (Double or triple time is the recommendation of the BMA consultants
> committee).
>
> I suspect that if any such grading system is proposed these definitions
of
> Consultant led/based/provided are intended.
>
> --
> Andrew
> _______________________________________________________
> Andrew Hobart FRCS
> SpR in A&E
> (and member of BMA Council)
>
>
>
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