By H. Guly

This booklet describes the struggle to create a brand new scientific uniqueness of twist of fate and emergency medication opposed to a lot competition from tested specialties. The strong point was once first well-known in 1972. The publication additionally charts the foremost advancements that happened within the first 30 years of emergency drugs.

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Extra info for A History of Accident and Emergency Medicine, 1948-2004

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41–43 A more severe problem, which exacerbated the medico-legal problem, was the lack of back up and support for inexperienced doctors. ‘Theoretically advice is available; but in practice surgical registrars and others are busy with their own work. ’44 Asking advice ‘is relatively easy in a teaching hospital … but in some provincial hospitals resort has to be made to the 12 A History of Accident and Emergency Medicine consultant. ’43 The lack of anybody more senior in the department to turn to was a pointer that there were no career prospects in the post and this too was a further disadvantage.

21 SCOs were in a different situation from SHMOs in that they only had a four-year contract, there was no right of transfer and there was the possibility of losing their jobs. 22 Even if they did transfer to the MA grade they stood to take a drop in salary. This memorandum was passed to the Orthopaedic Group Committee. They responded that ‘the suggestion of a career grade in casualty, accident and emergency up to consultant level is not accepted. ’23 It is worth noting the orthopaedic surgeons’ objections and the SCO responses24 in some detail as it is important to understand orthopaedic objections.

At Guy’s Hospital, Patrick Clarkson, who had a distinguished war service as a plastic surgeon, had been appointed consultant in charge of casualty after the war and there were nine consultant sessions per week allocated to casualty with about half of them being done by him. 59 He was very enlightened for the time in believing that casualty officers needed at least a weekly seminar at which current work and results could be closely reviewed and topics of interest to casualty work discussed. Departments outside London also had consultants with sessional commitment to casualty.

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