Bob Belfer, now at St. Christopher's in Philadelphia, has presented an
abstract, and is writing the paper now, that showed improved outcome for
intussusception at a Children's Hospital versus a general community
hospital. Can these results be generalized? I believe it to be true but
data are lacking.
Volume and commitment are more important than Children's versus general
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On Fri, 16 Aug 1996, Harvey Louzon wrote:
> I would be interested to hear the opinion of others on the desrirability
> of setting up a regionalized system of pediatric emergency care along the
> lines established for trauma care in many cities. Only children's
> hospitals or those specifically designated as 'approved for pediatrics'
> would then recieve pediatric ALS runs.
> I am particularly interested in the opinion of those who have chosen to
> specialize in the emergency care of children by virtue of working in a
> children's hospital, having done a peds EM fellowship or of being double
> boarded in peds and EM. (The opinion of those whose pediatric training
> consisted solely of what they recieved in a conventional EM residency has
> already been made abundantly clear to me. Many of them are also
> subscribed to this list and it is not my intent to precipitate a
> firestorm of controversy here as well.)
> I am interested in what you perceive, if indeed you do at all, what the
> advantages TO THE PATIENT are of this type of specialty training and
> whether any hard evidence, in the way of improved outcomes, has ever been
> demonstrated with this approach.
> If this subject has already been discussed please point me in the direction
> of how I may retrieve this information from the archives.
> You may respond to me by private e-mail or, if you feel that your
> comments would be of general interest, to the list.
> H. Louzon MD
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