Calum McGregor, NHS Lanarkshire consultant acute physician
and national clinical lead for acute care with Healthcare Improvement Scotland, said while sepsis can lead to shock, multiple organ failure and even death, early treatment with the appropriate antibiotics can reduce mortality.
While the role of primary care providers in the long term management of this ubiquitous condition cannot be overstated, the hypertensive patient can also present challenges to an acute physician
when the control of arterial blood pressure reaches crisis level.
have one hundred to hundred fifty beds and the senior leader takes ward round twice daily.
Further measures include: | Extending emergency theatre time | Redesignating 15 beds in cardiology to acute medicine and investing in additional therapy and acute physician
time | Increasing elderly care presence.
Dr Shaz Wahid, consultant acute physician
, said the situation was the worst he'd seen in a decade, and appealed to patients to choose the right service and not automatically go to A&E.
The Tacoma region has been hit hard by the growing physician shortage, and MHS has experienced acute physician
shortages in many of the subspecialties required for Level II trauma designation.
We're making real progress with recruitment and it's been fantastic for us to recruit ten new acute physicians
recently, and we are waiting to appoint two new neonatologists and new pathologists as well.
The second problem was the shortage of acute physicians
to provide medical care."
Measures outlined by Cwm Taf include no planned elective surgery between December 23-January 2, with the exception of cancer patients and urgent cases, surge-capacity beds in both Prince Charles and the Royal Glamorgan hospitals and additional acute physicians
in emergency departments to support more effective front-door decision making.
As one of the acute physicians
, I am involved in setting up and running the new emergency assessment unit, which will provide a consultant-led rapid assessment and management of people admitted as an emergency.
The new purpose-built unit is being designed with patient privacy and service quality in mind and led by Dr Shaz Wahid, the facility will be clinically managed by a team of consultant acute physicians