Brief description of Department:
The Emergency Department (ED) provides emergency care to the local population of around 280,000 which increases considerably during the summer months. Approximately 25% of the population is aged 65+. Approximately 75,000 patients are seen per year in the Emergency Department.
The Emergency Department comprises a dedicated children’s area, minor injury treatment area, ENT and ophthalmology facility. There is a 4-bay Resuscitation Room, relatives’ facilities and new treatment cubicles. The ED provides thrombolysis for acute strokes and acute myocardial infarctions when PCI is not indicated. The ED is the single point of entry to the hospital for all self-referrals, ambulance patients and GP referrals.
Emergency Assessment Unit (EAU)
In 2008 the Emergency Assessment Unit opened at Torbay Hospital. This unit receives admissions under the care of surgical, orthopaedic and medical specialities as well as looking after its own ED patients. Patients in the ED that are expected by an in-patient team may be seen directly on the ward, and a system of streaming to the appropriate speciality is also in place to avoid duplicate work and early access to a senior decision maker.
Curriculum Development Opportunities for this Post
Top Tips from Fellow Trainees
- Don't feel forced to go above your grade
- The rota is horrible. Just survive: remember it does end! Use your annual leave to break up the long runs to help you manage.
- Try to quickly figure out what you will be doing with a patient early (admit/ discharge) rather than diagnosis/ management.
- Keep a brief record of the patients you have seen: what diagnosis and what you did. Then try to follow up to see what happended to them.
- Take snacks.
- Prepare what you are going to say in the 2pm board round: ie. plan/ diagnoses for your patients.
- A panic button is located underneath the workstation.
- Remember that if a patient is deteriorating that you can decide to take them into the resus bed/ bay
- Oxford Handbook for Emergency Medicine is very helpful
- Avoid handing over patients if at all possible. ie don't pick up new cards unless you have to in the last 30mins.
- Trust your gut judgement. Don't be encouraged to take short cuts and send patients home.
- Don't forget to do VBG's when taking regular bloods.
- Don't plan to get much else done while on your A&E rotation.
- Try to get into "Minors" to get experience.
- Don't let the Bed Managers pressure your clinical decision.
- Don't send patients home prior to get back the blood results.
- Make sure you take your breaks. 30mins every 4 hours. Look after yourself.