Quote:
Originally Posted by beyeas
it is absolutely the right thing to do to have all these tertiary level services centralized. But boy... it is going to be a challenge keeping things running smoothly while it all plays out. Operating a hospital while you are building a hospital around it is making for some interesting challenges. We are already getting a taste of it with all the redevelopment that is already taking place within the current footprint (moving the interventional suites etc) in anticipation of the bigger scale new footprint work that was announced. As you and I both know, Monctonrad, a healthcare system change on this scale is going to be interesting!  |
Indeed.
Critically ill patients often require a team approach for their management, with interdisciplinary cooperation and frequent case conferences. Sub specialization improves patient care, but as physicians travel down that particular path, they become hyperfocussed, and rely on other subspecialists to manage the patient in totality.
For example a trauma patient with multiple fractures and muscle contusions causing myolysis and myoglobinuria resulting in acute renal failure, also significant chest trauma leading to myocardial contusion which physiologically mimics a myocardial infarction, and pulmonary contusion which can lead to ARDS. All of a sudden this patient can require orthopods, nephrologists, cardiologists and repirologists, let alone general surgeons, intensivists, traumatologists, interventional radiologists etc.
These patients need to be managed in a comprehensive tertiary care hospital providing all services on site. The new expanded Infirmary should shine for this type of stuff.
