BMJ 1995;310:736 (18 March)
Letters
Should be properly recognised
EDITOR,--The editorial on emergency care in general practice fails to mention the growing trend for many general practitioners not to provide prehospital emergency care for their patients--for example, emergency coronary care or care in asthma.1 Other health care professionals, such as those in the ambulance service and midwives, are only too keen to take on this work to enhance their status. It is surely in the best interests of neither our patients nor the medical profession as a whole for us to lose, by default, what is an integral and rewarding part of general practice. The provision of effective emergency care requires proper contractual recognition, reward, training, equipment, and drugs.
We are surprised at the authors' suggestion that general practitioners should not waste time obtaining an electrocardiogram in patients with a suspected acute myocardial infarction and at their failure to mention thrombolysis before admission to hospital. The risk of developing . . . [Full text of this article]

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