For those who haven't seen it, there is a relevant Healthcare Commission
report with national recommendations on this topic.
http://www.healthcarecommission.org.uk/newsandevents/pressreleases.cfm?widCa
ll1=customWidgets.content_view_1&cit_id=3584
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of McCormick Simon Dr,
Consultant, A&E
Sent: 10 December 2006 02:25
To: [log in to unmask]
Subject: Re: alleged drug ingestion
No formal paperwork, basically if I would normally send them home I'm
happy to send them to the coppers.
Sometimes I'm actually more happy, the minor head injuries get better
observation in custody than at home with their family!
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Kerner
Sent: 09 December 2006 15:16
To: [log in to unmask]
Subject: Re: alleged drug ingestion
Slightly off topic; what documentation do depts use when discharging
patients to Police custody.
Do departments use proformas to custody sargeant? Or do they address
this to
FME?
Do departments have 'Medical fitness for discharge' guidelines?
I'd be interested in peoples thoughts.
Adrian K
----- Original Message -----
From: "mark nicol" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, December 08, 2006 5:07 PM
Subject: Re: alleged drug ingestion
>I missed somthing here-what is the name of the new act which enables
police
>to request imaging in quest for drugs?
> mark at macc
>
>
>>From: Rowley Cottingham <[log in to unmask]>
>>Reply-To: Accident and Emergency Academic List
>><[log in to unmask]>
>>To: [log in to unmask]
>>Subject: Re: alleged drug ingestion
>>Date: Thu, 7 Dec 2006 18:16:35 -0000
>>
>> The legislation has indeed changed. However, the function of our
>>departments has not, and they remain emergency departments, not handy
>>investigative offices for the benefit of Law Enforcement. When the
local
>>Police approached me about this change I stated that we would be
pleased
>>to
>>see any person exhibiting symptoms of drug toxicity. I directed them
>>towards
>>the Imaging department for their request of elective imaging for the
>>purposes of crime detection. I warned them that it was probable that
they
>>would be charged because as far as I could see their request did not
fall
>>within the remit of the NHS. I have heard nothing since.
>>
>>Best wishes
>>
>>
>>
>>
>>
>>Rowley.
>>
>>
>>
>>-----Original Message-----
>>From: Accident and Emergency Academic List
>>[mailto:[log in to unmask]] On Behalf Of Duncan Peacock
>>Sent: 07 December 2006 15:49
>>To: [log in to unmask]
>>Subject: alleged drug ingestion
>>
>>
>>
>>Your thoughts please
>>
>>Police bring arrested person in to A+E and state they think he may
have
>>swallowed some drugs as was being arrested. Would you x-ray him
please.
>>
>>
>>Do you:
>>
>>1. assess "patient" and fill in the form
>>
>>2. ask "patient" if they have taken anything, explain the risks if
they
>>have, assess for evidence toxicity. If they deny taking drugs document
>>same,
>>and discharge with no x-ray. "come back if you need help"
>>
>>Usually do (2) but Police now state law has changed doc, you have to
x-ray
>>them. Surely a negative x-ray means nothing.
>>
>>Merry Christmas
>>
>>Duncan
>>
>>
>>
>>
>
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