BMJ 1995;310:1268 (13 May)

Letters

Emergency care in general practice

EDITOR,--I am alarmed by the number of authors who consider that emergency medicine and the out of hours service are entirely separate from doctors' obligations to their patients. It is a sad indictment of current standards if the pressures of his work as an NHS general practitioner prevent Andrew Dicker from attending and treating acutely ill patients.1 General practitioners seem to have relinquished their raison d'etre to other providers, whether they be paramedics, midwives, or pharmacists, all of whom are employed by trusts or businesses.

I completed the five day course of the British Association for Immediate Care some time ago and the three day course more recently. I carry a comprehensive set of equipment in my car at all times. This includes oxygen, a defibrillator, and thrombolytic drugs.2 None of the equipment was provided by the NHS, and the family health services authority recently declined to give any help . . . [Full text of this article]


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