Specialties do a lot of complaining about EM. And sometimes it's justified. But what I'd love to do is look at EVERY patient we admit and ask the specialities:
- if it was appropriate
- what tests they felt were missing
- whether we did anything that didn't need doing
- whether we provided appropriate treatment
And see whether the problem is that specialties are lagging behind in their knowledge, or we really really are providing poor care.
And then we can create pathways and address learning and see what happens. Chances are a lot of our "medical" admissions could go to CDU if we had the space... ...
I like the idea someone else had - one CDU + one elderly admissions CDU - full of "elderly med" specialist physio, social etc. Aim for a quick turn around. It'd be great.
But I think we need to engage with people, and not always be seen as the bad people. Emergency Medicine is great - we know a lot, we do a lot, but we also get a lot of grief for doing it...
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