The association between seniority of Accident and Emergency doctor and outcome following trauma

Wyatt, Jonathan; Henry, Jenny; Beard, D.

doi:10.1016/s0020-1383(98)00252-6

Cited by 33 publications

(30 citation statements)

References 12 publications

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“…Nowadays, JD are implemented as responsible health professionals in emergency care because of an increasing number of patients and a limited availability of experienced medical staff [11,18,19]. This phenomenon was also present in our study as the number of WP treated by one physician was higher in the JD group when compared with the MED group (factor 1.20).…”

Section: Discussionsupporting

confidence: 67%

“…Second, numerous investigations showed that a junior doctor is not only a responsible health professional but also a learner and concluded that early trauma management should be performed by more experienced physicians in order to optimize victim's recovery [11,19,20].…”

Section: Discussionmentioning

confidence: 99%

“…It is well known that in emergency care seniority of the first-treating physician has a significant beneficial influence on the outcome of major trauma [11]. Although the Quebec Task Force recommended specialized medical care in acute whiplash injury almost 15 years ago, there is still a lack of information whether first-treating physicians with advanced medical experience have also a positive effect on the result of whiplash injury care [1].…”

Section: Introductionmentioning

confidence: 99%

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Seniority of the first-treating doctor does not influence the outcome of acute whiplash injury: a prospective cohort study

et al. 2010

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The aim of the prospective cohort study was to investigate the outcome of acute whiplash injury first treated either by junior doctors (JD) [B3 postgraduate years (PGY)] or more experienced doctors (MED) ([3 PGY). At baseline, crash-related data and health parameters including the SF36 were evaluated in whiplash patients (WP), who fulfilled criteria for whiplash-associated disorders grade I-II and presented up to 48 h after motor vehicle accident to our Emergency Department. 81 WP were recruited and treated by either one of 14 JD (35 WP) or one of 22 MED (46 WP). The follow-up examination included the course of pain intensity [numeric rating scale (NRS) 0-10] by the use of a 28 days-pain-diary and the incidence of symptoms (standardized-telephone-interview at 1, 3, and 6 months post trauma) in terms of neck pain NRS [ 2, analgesic medication, work-off, and utilization of further medical services as well as SF36 evaluated at the end of the study. Although the entry population seemed similar, all outcome parameters were comparable between the JD-and MED-group (p [ 0.05). Therefore, we conclude that seniority of the first-treating physician does not influence the outcome of acute whiplash injury.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Seniority of the first-treating doctor does not influence the outcome of acute whiplash injury: a prospective cohort study

et al. 2010

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“…The earlier involvement of senior clinicians in trauma management should lead to improved outcomes. 10,11 The quality of the referral image is crucial. A loss of confidence in the diagnosis has been noted before clinicians notice a decrease in the image resolution.…”

Section: Discussionmentioning

confidence: 99%

A cohort study of acute plastic surgery trauma and burn referrals using telemedicine

Wallace

Smith

2007

J Telemed Telecare

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A store-and-forward telemedicine system was used to supplement normal telephone referrals to the plastic surgery unit at the Queen Victoria Hospital (QVH). During a 12-week prospective study, 11 units (8 hospitals and 3 minor injury units) with the telemedicine system and 10 units (8 hospitals and 2 minor injury units) without it regularly made referrals (at least 10) to the QVH. There were 389 referrals from the telemedicine-equipped units and 607 telephone referrals from the non-telemedicine units. The telemedicine system was used for 246 of the 389 referrals (63%) made from telemedicine-equipped units. There was a significant difference in the management of patients when the telemedicine system was available, with more patients booked directly into day surgery and fewer attending for assessment. The burns unit and the day surgery unit demonstrated a significantly improved accuracy of triage. Telemedicine could have a valuable role to play in the triage and planning of acute plastic surgery referrals.

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“…Finally, one of the unexpected but significant benefits of introducing telemedicine to the QVH has been the almost routine involvement of senior clinicians in key management decisions for trauma cases due to the ease of access to telemedicine images at computer terminals throughout the hospital, plus access via the NHSnet to X-rays taken in referring hospitals. The involvement of senior medical staff in trauma management should, logically, be accompanied by improved standards of care and greater efficiency (Wyatt et al 1999;Treasure 2007). …”

Section: Why Does Telemedicine Help?mentioning

confidence: 99%

The Role of Telemedicine in the Management of Acute Trauma Referrals to a Regional Plastic and Hand Surgery Unit in the South East of England

Wallace¹

2011

Telemedicine Techniques and Applications

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The association between seniority of Accident and Emergency doctor and outcome following trauma

Cited by 33 publications

References 12 publications

Seniority of the first-treating doctor does not influence the outcome of acute whiplash injury: a prospective cohort study

Seniority of the first-treating doctor does not influence the outcome of acute whiplash injury: a prospective cohort study

A cohort study of acute plastic surgery trauma and burn referrals using telemedicine

The Role of Telemedicine in the Management of Acute Trauma Referrals to a Regional Plastic and Hand Surgery Unit in the South East of England

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