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Mon Sep 4 13:22:59 BST 2006

"What would happen with the ED system in whole world if we have to call .." depends completely on the construction of your ED system. It is not possible to asume that it is the same in every country, it can even be different in the same county or city.
In the Netherlands in the level 1 traumacentre the anesthesiologists take care of every airway problem.
And the Emergency Phisician, wich is a common doctor/specialist in most Anglo-American, and even a lot of European countries, is a just emerging and still developing speciality in our country. It doesn't even has a national program, and is not a official grade in Dutch medicine.

M.G.M. Scot MD
Consultant Anesthesology
Chairman Emergency Medicine Section, Dutch Society of Anesthesiology

Department Anesthesiology & Pain
Medisch Centrum Alkmaar
Alkmaar
the Netherlands
+31 (0)72 548 3124 / 3123
Snailmail
PO Box 501
1800 AM Alkmaar
the Netherlands
Email
M.Scot at MCA.Nl

Ability is what you're capable of doing. Motivation determines what you do.
Attitude determines how well you do it.

-----Oorspronkelijk bericht-----
Van: saja mohamed [mailto:drsajaaltimimi at yahoo.com]
Verzonden: za 2-9-2006 15:12
Aan: Trauma &amp, Critical Care mailing list
Onderwerp: Re:

"djinmori.alp" <djinmori at terra.com.br> wrote:  That's it! I totally agree!
We assist at about 1,500 of emergency surgery cases per month in hour ED at Hospital das Clinicas (Sao Paulo Univ). Every 12 hours we have one resident of third or fourth grade, three 2nd grade, one 1st grade and three internist (last year of school of medicine); everybody is assisted by two surgeons. Anesthesiologist was required at emergency room in very rare situtation. I supose zero occasions in 21 years (period that I am inside the system).
What would happen with the ED system in whole world if we have to call anesthesiologist to take care airway, thoracic surgeon to take care pneumothorax, cardiovascular surgery to take care of aorta injuries, neurosurgeons to decided about head CT scans and finally othopedist to take care about extremity contusion?

M.D. Newton Djin Mori
djinmori at terra.com.br
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i totaly agree with you

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