Download PDF by Henry Guly (auth.): A History of Accident and Emergency Medicine, 1948–2004

By Henry Guly (auth.)

ISBN-10: 0230000746

ISBN-13: 9780230000742

ISBN-10: 1349524204

ISBN-13: 9781349524204

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Extra resources for A History of Accident and Emergency Medicine, 1948–2004

Example text

There was much variation in different types of hospital and in different parts of the country. In teaching hospitals, very junior doctors saw a higher proportion of patients. In one London teaching hospital 95 per cent of new patients were seen by a HO and in a provincial teaching hospital 98 per cent were seen by either a HO or an SHO. However there Casualty Staffing before Platt 21 were also two non-teaching hospitals where over 90 per cent of new patients were seen by a HO or SHO. Platt reports that ‘… at many hospitals recently qualified staff when serving in the casualty department undertake responsibility which they would not have on the wards or out-patient clinics’.

However relief duty in casualty was often irksome and a cause of friction when morale was low. Most larger general hospitals had an establishment of a casualty officer but this was frequently a shared appointment, for example, with orthopaedics, ENT, eyes, skins or anaesthetics. It was seldom an attractive post and often the last to be filled. 11 A few larger non-teaching hospitals had more than one casualty officer, usually a registrar or an SHO, and a House Surgeon. Staffing levels often depended more on custom than reason with some hospitals with two casualty officers doing no more work than hospitals with one.

However relief duty in casualty was often irksome and a cause of friction when morale was low. Most larger general hospitals had an establishment of a casualty officer but this was frequently a shared appointment, for example, with orthopaedics, ENT, eyes, skins or anaesthetics. It was seldom an attractive post and often the last to be filled. 11 A few larger non-teaching hospitals had more than one casualty officer, usually a registrar or an SHO, and a House Surgeon. Staffing levels often depended more on custom than reason with some hospitals with two casualty officers doing no more work than hospitals with one.

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A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.)


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