Primary Survey
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There is an ever-increasing range of specialist nurses working in the emergency department, to which we can now add the emergency mental health nurse. Sinclair and co-workers used a pragmatic study design to evaluate the impact of introducing this service in two Glasgow emergency departments. During the intervention period about a third of patients with mental health problems were referred to the nurses. Their assessments were independently judged to be of high quality, but resulted in little change to waiting times or patient satisfaction. There was some evidence that the service altered subsequent referral patterns. This evidence will reassure clinicians that emergency mental health nurses can provide an appropriate service. Policy-makers will want cost-effectiveness data before general recommendations can be made.
See p 687
Two articles in this month’s EMJ use Delphi techniques to determine expert consensus about elements of postgraduate education in emergency medicine. Kilroy and Driscoll randomly selected
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