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While I would take no issue with the first two points made by the authors, I would strongly question the factual basis and logic of their final point. I would sincerely doubt that the majority of "CDUs" have 24 hour access to "CT-KUB" and in those departments where this exists this facility should surely aid selected disharge rather than mandate admission. Arguing that a system that for whatever reason does not provide for urgent outpatient assessment would be improved by the introduction of inpatient admission under the care of the Emergency Department as an alternative is a retrograde step
Emergency Medicine Consultant not involved in running a "CDU" and in a department able to obtain urgent OP "CT-KUB" and outpatient urology appointments