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@paulreiddublin @HSELive @CcoHse @AssocEmergMedIE I do appreciate what I think you are trying to say but I think your wording was not ideal. The natural history of the disease is exposure with fallow period before infection detected. Some need admission and of those a percentage https://twitter.com/paulreiddublin/status/1353232998280404992
Will require high level care. I presume you are trying to say this has moved from those requiring simple admission to those needing critical care. The way it is fashioned seems to demean emergency departments and their care. I think the main issue is that the majority of patients
In the hospital are admitted through the emergency department or at least the majority of those requiring acute care. While you may differentiate between emergency and critical care please be aware that a significant amount of critical care, the determination of ceiling of care
And a lot of the heavy lifting in terms of initial management happens in the emergency department. The skill set of being able to recognise snd resuscitate the critically ill is not one all medics have so it is a critical component of modern medicine.
Also with the consistent delay to beds often of 1-3 days from emergency departments to wards in the past some ward teams became less skilled in managing acutely unwell patients as a lot of the early work remained in the ED. Emergency Medicine has had to adapt significantly to be
Able to manage the current crisis. Streaming methods to protect the hospital, its patients and its staff from infection have been created from scratch. This increased workload sometimes even before the hospital even recognised the patient was there. The need for PPE for a
Significant number of patients due to infection, suspected infection, close contacts and recent travel has increased our workload significantly and as many of these patients go through isolation facilities the effect on patient flow is considerable. Please be aware that we never
Have emergency department crises or crowding. We only ever had a hospital bed capacity crisis which manifest in the emergency department due to a lack of consideration for the Acute patient. A form of medical apartheid. We need to avoid this worsening . . . .
