A History of Accident and Emergency Medicine, 1948-2004 by H. Guly

By H. Guly

This booklet describes the struggle to create a brand new clinical area of expertise of twist of fate and emergency drugs opposed to a lot competition from tested specialties. The area of expertise used to be first famous in 1972. The e-book additionally charts the most important advancements that happened within the first 30 years of emergency drugs.

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47 A comparison of these two surveys will indicate that many orthopaedic surgeons were working unfunded sessions in A&E. 48 This type of consultant cover for A&E departments was described by Maurice Ellis as the ‘absentee orthopaedic landlord’,49 a description much used and loved by A&E doctors. The departments were still being kept going by the requirement that candidates for the FRCS should have six months experience in A&E but there was little formal training or teaching. In 1960 the Nuffield Report had recommended ‘a closer enquiry by the Royal College of Surgeons about the supervision of designated training posts.

Da Costa asked to form a committee within the British Medical Association (BMA) as they could not be represented by Who Should Run A&E Departments? 33 either the Junior Doctors Group or by the SHMOs. On 4 March 1963 and the morning of 5th, 13 SCOs who had a dominant interest in casualty departments met in BMA House to discuss the Platt Report and the serious situation which would occur if the reports were implemented. Mr da Costa was elected chairman of the group and Edward Abson, an SCO in Southampton, was elected secretary and treasurer.

Reports The severity of the problems in casualty in the late 1950s is indicated by the fact that between 1959 and 1962 there were at least four reports which made recommendations on casualty departments. In 1959 the British Orthopaedic Association published a Memorandum on Accident Services which sought to replace casualty departments with accident departments. The BOA detailed failures of organisation, staffing, accommodation and surgical training. Too many hospitals were trying to provide an accident service with limited facilities and staffing and they recommended that services should be concentrated on a smaller number of hospitals fully equipped and staffed to provide a full service round the clock.

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