By H. Guly
This booklet describes the struggle to create a brand new clinical forte of coincidence and emergency medication opposed to a lot competition from confirmed specialties. The forte used to be first famous in 1972. The publication additionally charts the key advancements that happened within the first 30 years of emergency medication.
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Additional resources for A History of Accident and Emergency Medicine, 1948-2004
Some consultants did a weekly or twice weekly clinic in the department but they saw patients with their special interest, for example, septic hands or fractures rather than patients according to the severity or length of illness. There were exceptions. At Guy’s Hospital, Patrick Clarkson, who had a distinguished war service as a plastic surgeon, had been appointed consultant in charge of casualty after the war and there were nine consultant sessions per week allocated to casualty with about half of them being done by him.
60 In some hospitals this role was taken by a much more junior doctor, the Resident Medical Officer (RMO) who was usually the equivalent of a senior SHO or junior registrar. 61 In their report, the Nuffield team graded the quality of consultant cover. 3. Among the best casualty departments were those run as accident services with the casualty department integrated with the fracture clinic and inpatient orthopaedic trauma beds with common staffing so that it was staffed by orthopaedic junior staff either on a rota or else on a rotation.
Like the BOA and the Accident Services Review Committee it recommended that ‘the number of accident and emergency units should be greatly reduced, so that each can be adequately staffed at all times. ’ At least two of these should be orthopaedic surgeons. He also recommended that it was ‘necessary to appoint one consultant to be in administrative charge of an accident department. … By far the greatest part of accident work falls within the province of the orthopaedic surgeon. It is therefore normally the best arrangement for a senior orthopaedic surgeon to have day to day control of the accident and emergency department.
A History of Accident and Emergency Medicine, 1948-2004 by H. Guly