I definitely wouldn't like to see the A&E medicine intermix with General
Practice or Family Medicine and to be one in one place.
The solution is education and education, strict clear triage protocol and a
will trained triage person.
We in Bahrain are facing the exact problem of inappropriate attendees to the
A&E. We lack a clear protocol for triaging and some people are very trouble
maker if they are redirected.
Inappropriate attendee comes to A&E comes for one of these reasons in
Bahrain:
- Not pleased with Primary care due to: over crowd, need appointment,
limited time of consultation (average 5 minutes) and limited or delayed
investigation.
- Expect higher quality care from A&E: easy access, all investigation can
be done, easy access to other specialty on call or through an early
appointment.
- Expect fast service.
- Unopposed sick certificate.
- More attractive place.
- Unexplained patients about the coarse of their illnesses by primary care
centers or private clinic.
At A&E + GP department. I can see the picture of thousands of people waiting
triage in front of the triage room as this will be a fast service for non
urgent cases. People who are triaged to see a GP will accumulate and will
result in people conflicting as where they should be seen. Another bigger
problem to be solved :) or :(
BTW, Can I get your protocol of triage to study it and perhaps suggest it to
our department after little modification to suite our system?
Dr. Mohamed Al-Asfoor,
Emergency Junior Resident,
Accident & Emergency Department,
Salmaniya Medical Complex,
Manama-Bahrain
I want to be an A&E Physician and deal with Emergency. That is why I chose
this specialty.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|