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Tue Oct 3 19:40:21 BST 2006

l agree that surgeons are to be presented in ED when petients arrive, just l
am saying that they could benefit from another doc's opinion(EP).
and Dell, l see your ego comes to question here, so l won't be arguing with
you because it shouldn't get personal but rather discussion from which our
patients can benefit.
ante

2006/10/3, Craig Ellis <Craig.Ellis at hawkesbaydhb.govt.nz>:
>
> There is much talk of the evidence for having a surgeon present and in
> charge.
> Intuitively for the unstable patient it makes complete sense.
> I havent seen any good quality evidence, despite repeated references by
> senior list members to this evidence. I can find plenty of med journal op-ed
> pieces and a few simple observational studies, but nothing particularly
> noteworthy.
> Does anyone have some quality references? Its talked about as a
> fundamental truth, but some references would be good. Then perhaps we could
> convince our Surgical group to engage on trauma and stop leaving it to the
> Emergency Physicians and Intensivists, and occasionally sending there
> residents down to have a look. So while the USA model is trumpeted as the
> best sysetem in the world (and might be) and by implication that our
> EP/Intensivist/Anaesthetic driven-led service is somehow massively inferior
> reigns freely here - Id love some evidence to drive our surgeons to change
> if that is what the evidence supports.
>
> Craig
> New Zealand
>
>
>
>
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