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ACAD-AE-MED  January 2001

ACAD-AE-MED January 2001

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Subject:

Re: Consultants for ATLS at night

From:

Adrian Fogarty <[log in to unmask]>

Reply-To:

The list will be of relevance to all trainees including undergraduates and <[log in to unmask]>

Date:

Wed, 24 Jan 2001 23:38:10 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (23 lines)

----- Original Message -----
From: "john ryan" >
> Dont bet on it Adrian.  Presumably you are aware of the Society for Acute
> Medicine.  Check their website at;
> www.acutemedicine,org.uk
> If we dont define our territory others such as these chaps will do it for

Good point John, I couldn't access the site but I presume these guys want to
take over all acute medicine including initial resuscitation.

This argument that we're passing cases on to juniors at night just doesn't
hold water by me. If we work up a case brilliantly then that patient is more
likely to be "on the right track" when we pass them to the on-call teams.
Conversely if we misdiagnose or mismanage a case, but particularly if we
pass that case to the wrong team, then that patient is destined to be
further mismanaged as an inpatient. I've seen this cascade many times
before, a minor error of judgement then quickly becomes magnified into a
serious incident. A&E senior presence alone will minimise this, even if the
rest of the hospital is staffed only by juniors...in fact A&E senior
presence is even more important if the rest of the hospital is staffed by
juniors!

Adrian Fogarty

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