>
>If we're not doing primary prevention then what is the point?
>
The point is someone still has to treat the patients who are injured, I
believe it to be an important job for which I am in training.
It is not a bad thing to give injury avoidance advice to patients when they
attend a+e but this is not strictly primary prevention (as the incident has
already occurred) unless one is referring to future incidents. Primary
prevention should be a community led program. As A+E docs we are at the
interface of primary and secondary care so may have some role to play.
However, might it also be true to say that GP's, as community based
practitioners may also have a role?
I think there is some work to suggest that in the immediate period after an
incident people are receptive to injury prevention advice, but waiting for
an incident to happen, so that they attend us, does somewhat miss the boat.
PS. Port Ellen - my all time favourite Whisky - you lucky man.
Simon Carley
SpR in Emergency Medicine
Hope Hospital
Salford
England
[log in to unmask]
-----Original Message-----
From: Robert Coull <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 03 February 1999 08:41
Subject: Re: Accident is a moron
>That's actually quite a good idea. Not to treat them, but to give advice
to
>your patients on future avoidance, since you seem to be having problems
>figuring out cause and effect.
>
>If we're not doing primary prevention then what is the point?
>
>I mean CPR, ALS, AED, ATLS, APLS, it's all just masterbation at the end of
the
>day if your not also trying to stop them happening in the first place.
>
>Lets face it, a GATSO camera is going to save more lives each year than an
>average A+E consultant.
>
>I think if you can watch these things happen day after day and not say
"What
>can we do to stop this happening" then your in the wrong job. And don't
give
>me the public health know better rubbish, because you are in the best
position
>to know what causes accidents. And as to training, since when did we get
>trained to do things? How much management training did you get? Breaking
bad
>news? Handling violent patients? Get yourself trained! Ever heard of
CME?
>
>Think about it. What could you do to reduce accidents in your area?
>
>
>
>> Did you know that there's a health promotion mailing list for public
health docs
>> and someone's just suggested that because they know how accidents happen
/
>> should be prevented that they should come into A&E to treat them??!!!!
:_)
>
>--
>Robbie Coull
>BASICS Immediate Care Doctor/ALS Instructor
>Associate General Practitioner, Port Ellen, Isle of Islay
>[log in to unmask]
>
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