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> > Since pre-tibial lacs are well within the skills of > > both senior E.D. nurses and practice nurses, doctors > > in Bath E.D. virtually never see them. It is possible > > to free yourselves up to see the truly sick patients > > who need your skills by getting others to see the cuts > > n bruises. Who knows..you might end up not needing a > > clinic! > > Can you all explain why you spend so much time and > > energy on such unchallenging patients? > > The purchasers will not be inspired by the idea of 24 > > hour Emergency Physicians providing round the clock > > cover ....for pretibial lacerations > > > Extract from minutes of BAEM council, 11 Jan 2001: > 'Concern was expressed ... that A&E was losing its focus on the main > work of > management of minor injuries' > > md > > One person's concern does not necessarily reflect the majority view or indeed, the way the speciality should develop. Best wishes, Rowley Cottingham [log in to unmask]