Commentary: Why do we keep going to the A&E when we don’t need it?

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With the Omicron wave hitting Singapore, worried patients are flooding the Accident and Emergency Departments of local hospitals. Dr Devin Tan, an emergency medicine doctor gives an inside view.

SINGAPORE: These days, a regular day in the emergency department – or at least the Accident and Emergency Department at Raffles Hospital looks like this:

Despite achieving a high COVID-19 vaccination rate in the Singapore population, young patients below the age of three and the elderly are generally patients classified under “Protocol 1”. This means that an antigen rapid test and polymerase chain reaction test is recommended. For these patients, they would often visit the ED and may request to be transferred to a community care facility or COVID-19 treatment facility.

As we all know, one’s medical history – especially if there was a COVID-19 infection – can lead to certain implications when travelling such as the change for an additional booster injection which can affect vaccination status. As has been the case even before the COVID-19 pandemic, we prescribe paracetamol to patients with fever, and if they feel better after an hour or so, they are discharged from the ED.

However, in the case of the latter group where treatment had to be escalated and reviewed, the situation could have taken a turn for the worse if they waited at a GP clinic. That said however, we have to attend to every patient who arrives at our door, because no health concern is considered too minor. This means spending time on firstly, treating the patient, secondly, talking to parents and explaining the situation, and thirdly, making the necessary arrangements.

We are very fortunate to be in Singapore where medical care is easily accessible. Patients can visit the ED through various means: An ambulance via the"995" emergency hotline, private transport or simply walk-ins.

Source: Healthcare Press (healthcarepress.net)

 

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kiasi

Dr Devin Tan a Specialist in Emergency Medicine & the rest of the Medical World Team simply cannot find a solution or simply do not want to stop Covid infection. & those who have the solution are ignore, banned. SAD WORLD we live in. Good luck. They themselves want Covid to stay.

because the GP opened for 15mins then said closed for registration. eventho not many patients registered.

Because GPs have become referral middle-men and unwilling to prescribed anything above paracetamol. It's as simple as that.

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 /  🏆 6. in SG

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