Doyle’s Informal Orientation to the Australian Emergency Department: Part VI

Posted by VISTA Staffing on Aug 3, 2011 3:37:00 PM

Note: This is the sixth installment in a seven-part series Brian Doyle prepared to help colleagues make the most of an emergency medicine rotation Down Under. Click here to download the entire document.

Part VI:

Utilization of technology

Australians tend to rely more upon the clinical exam rather than advanced imaging. I have yet to see anyone in the Emergency Department order a CT scan to rule out appendicitis except after they have been seen by the surgeon. And most surgeons would rather take a patient straight to “theatre” (no… not a movie theatre… the operating theatre!) and take out their appendix rather than get a CT. I usually call the surgeon to see a patient with abdominal pain rather than order the CT scan. However, I don’t think I have changed my practice much for head CTs as compared to the USA.

It is not often that I get emergent ultrasounds (especially after hours) but I will get them if I think they are emergently indicated. After hours, low risk rule-out ectopics, and rule out DVTs generally come back the next day. Many EDs have ultrasound machines now… but ultrasound is not really considered part of the core curriculum for EPs like it is in the USA. They may actually be amazed by your ultrasound skills… (assuming you have these skills…)

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Founded in 1990, VISTA Staffing Solutions helps hospitals, medical practices, and government agencies in the US optimize their physician staffing, ensure quality and continuity of care for patients, and maintain financial stability. A leading provider of US Locum Tenens and Permanent Physician Search Services, VISTA has over 28 years of experience providing award-winning service in the locum tenens industry.

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