EMCrit Podcast
EMCrit Wee - Saving EM: Is Less More? with Atikinson and Innes
Apr 17, 2022
In this engaging discussion, Paul Atkinson, a Professor of emergency medicine at Dalhousie University, and Grant Innes, an emergency physician and health services researcher, tackle the flaws within emergency medicine. They dive into how systemic reforms are crucial to evolving practices, especially for elderly care. The duo critiques current admission protocols, advocating for a shift from the four-hour rule to better prioritize real patient needs. They also address the importance of efficient management strategies to improve emergency department outcomes and patient safety.
30:10
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Quick takeaways
- The podcast discusses how systemic issues in healthcare undermine the effectiveness of emergency medicine, necessitating a reevaluation of care delivery methods.
- Innovations in emergency care practices and a focus on core competencies are essential for meaningful changes to meet patient needs effectively.
Deep dives
Emergency Medicine as a Failed Paradigm
Emergency medicine, particularly in the U.S. and Canada, is viewed as fundamentally ineffective due to systemic issues rather than the skills of emergency physicians. While emergency doctors are praised for their dedication and competence, the overarching system is seen as failing to support their efforts. The debate emphasizes that emergency departments cannot be the catch-all solution for healthcare problems stemming from inadequate primary care options. As emergency medicine struggles with overcrowding and long wait times, the argument is made that the system must re-evaluate how care is delivered, rather than placing undue burden on emergency physicians.
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