Medical opinion on the management of emergency casualties

Julio Armas, an emergency physician in Elche (Alicante), and Octavio Salmerón, an emergency physician at the Alcorcón Foundation University Hospital (Madrid).

The overload that the Emergency Services are currently experiencing makes some physicians request a reconsideration of the law so as not to assume the processing of reports for temporary disability due to the overload that this level of care has. Despite the fact that the Royal Decree establishes that doctors have to process sick leave at the point where the patient is treated and exempts Family to issue reports for hospital admission, the health professionals that make up the Emergency Service insist that this process should be part of the job of the Primary doctor.

Family Y Pediatrics They set January 9 as the deadline to implement the regulations, but given the widespread non-compliance, the Forum of Primary Care Physicians has resumed contact with legal offices of scientific societies and the Collegiate Medical Organization to advise them on how to do for hospitals to comply.

While the primary doctors they affect, those of emergencies They request that they be exempted from such compliance. Speaking to Medical Writing, Octavio Salmeronemergency physician Alcorcón Foundation University Hospital (Madrid), affirms emphatically that this “is not the right place to manage casualties”. The physician recalls that this bureaucratic procedure “is included within the community dimension of the Primary Care“and he believes that this is how it should continue to be.

In the same vein, it manifests Julio Armasoptional emergencies in Elche (Alicante), who explains to this newspaper that “these Services should be excluded from any bureaucratic procedure that implies overload given the care profile and the lack of healthcare infrastructure”.

He states that in the exercise of his profession he has already processed discharges for some patients, but remembers that Emergency doctors must already carry out other procedures that are “unpostponable such as reports of injuries, reports of gender violence, reports of attention to detainees and many others”. Therefore, he considers that also taking care of the “issuance of temporary disability reports It would be adding an additional burden to a collective that already far exceeds professional overload and burnout standards.”

Arms: “The issuance of IT reports by emergency doctors would add additional burden to a group that already exceeds overload and burning standards”

The precariousness of Primary Care

In his statements, the doctor understands “the current precariousness of Primary Care that obliges to banish all the procedures that are merely bureaucratic, leaving more time for the tasks of the specialty”. That is why this measure seems “correct” in terms of the “need to distribute the non-care work at all levels of care, adjusted to the law and the principles of teamwork”. He even believes that it is “necessary to free Primary” and therefore agrees with the Royal Decree that this work should be part of the work of “any of the specialists involved in monitoring patients with temporary disability, including family doctors”.

However, Armas considers that there should be an exception with the Emergency Service. “If it is finally decided that at this level of care we carry out these reports after each care, the situation would be even more bizarre.” And he points out that he would confirm that they are seen as a kind of ‘mixed bag’ where “what does not belong to anyone, let the ER assume it”.

As a solution, the possibility is opened that those in charge of assuming the responsibility are administrative. management of temporary disabilities, but this idea nor does it convince the ER. “The processing of these parts presupposes prior medical attention, indications and evolutionary management, tasks that cannot be assumed by administrative staff.” And he advocates “a more efficient and less bureaucratic system, where neither the patient nor the professional feel overloaded.”

The information published in Redacción Médica contains affirmations, data and statements from official institutions and health professionals. However, if you have any questions related to your health, consult your corresponding health specialist.

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