Article Text

other Versions

PDF
Primary care services located with EDs: a review of effectiveness
  1. Derek Burke
  1. Correspondence to Derek Burke, Emergency Department, Sheffield Children's NHS FT, Western Bank, Sheffield, S10 2TH, UK; derek.burke{at}sch.nhs.uk

Statistics from Altmetric.com

The dilemma of balancing the conflicting priorities of improving access to emergency services with the need to manage demand has been an issue since such services were first formally established. Dominique Jean Larrey, a surgeon in Napoleon's army, improved access times for battlefield casualties by introducing the forward field hospital and ‘ambulance volante’ to transport casualties to these hospitals.1 ,2 The unintended consequence was that field hospitals became overwhelmed by the number of casualties. This led Larrey to introduce ‘Le triage’ (the sort) to ensure that resources were allocated based on clinical need. This was the first formal description of initiatives to improve access while also managing demand.

The Platt report (1962) reviewed the then 789 casualty departments in England and Wales and noted that these departments were generally overwhelmed by minor cases that could have been treated by a general practitioner and proposed that the name ‘casualty service’ should be altered to ‘accident and emergency service’ and the number be …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles