Dear all,
I'm trying to dig out articles on admission avoidance - with regard to the benefit or otherwise of "acute physicians" seeing medical patients in the ED/rapid access clinics etc.
There was the Hardy et al paper in EMJ last year, but that was more about rehab/COTE.
Ideally I'm trying to find evidence on senior (general) physicians seeing acute medical patients in the ED, for rapid assessment and initiation of treatment with early (next day?) follow up. Eg, ?PE, ?ACS, ?Headache, ?TIA, CQC, first fits - the sort of presentations that the on call medical juniors usually admit for later investigation/obs.
Using OVID Medline hasn't been helpful so far. Any one on the list know of any good papers?
Thanks,
Giles Cattermole
SpR EM, Cardiff
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