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Mon Oct 15 16:50:20 BST 2007

Folks,

A straw poll:  would anyone on this list place an aortic stent in a 21 year old male with a femur fracture and a transection shown in the attached ppt. ?

Ron

>>> "Ronald Gross" <Rgross at harthosp.org> 10/15/2007 9:43 AM >>>
Through the medical staff, develop the position of medical bed manager (aka bed czar) who will deal with such issues by simply admitting the patient to the service where that patient most appropriately belongs.  Tends to be a bit controversial at times, but for the most part, the attendings will usually agree with the decision after the fact.  The entire process MUST be subjected to PA/PI, and all "wrong" admissions need to be examined so that all can learn.

Ron

>>> "Andrew J Bowman" <andrewj.bowman at gmail.com> 10/14/2007 10:49 AM >>>
What then do we do about the attendings (fill in specialty here) who are
reluctant to admit a patient without the complete workup????

Andrew Bowman

Of note, there is I believe a disturbing trend in emergency medicine toward
'completing the workup' and perhaps this may explain some of the tendency to
keep patients in the ED for hours.
Chuck Havel
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