I would be grateful if anyone can point me to actual evidence, or a
reference, which shows that the clinical outcome for patients with acute
medical emergency conditions is improved by the involvement of
experienced/trained/"senior" doctors. At what stage must this involvement
occur if it is to deliver benefit - at initial assessment, within 12 hours
etc?
I am not really thinking about outcome from initial resuscitation (e.g.
cardiac arrest), but the impact of more senior doctors on outcome for
patients with acute medical conditions presenting to A&E or to physicians
after GP referral.
There is some evidence for improved outcomes in trauma, but I cannot find
similar evidence for medical emergencies - and I would hate to be accused (
by Rowley?) of taking evidence from one situation and applying it to similar
but different circumstances!
Thanks
Mike Lambert
A&E Consultant
Norfolk & Norwich Hospital
Tel 01603 287316
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