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Do not discourage individuals from ERs, medical doctors say after Dubé feedback


Dubé stated final month ”there’s a giant share of people that seek the advice of on the emergency division who haven’t got an pressing downside.”

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TORONTO — The Canadian Affiliation of Emergency Physicians says it’s “involved” about feedback made by Quebec Well being Minister Christian Dubé in December suggesting that pointless emergency division visits considerably contribute to ER overcrowding.

If sufferers really feel they want emergency well being care, they shouldn’t hesitate to go to the ER, the affiliation informed The Canadian Press on Wednesday.

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On Dec. 19, Dubé informed reporters in Montreal that “there’s a giant share of people that seek the advice of on the emergency division who don’t have an pressing downside … I’m not saying they’re not apprehensive, however they don’t have an pressing downside.”

He made the assertion after receiving a letter from a bunch representing Quebec emergency division chiefs who stated the scenario was “uncontrolled” as a result of overcrowding.

Quebec’s well being division additionally issued a information launch on Dec. 31, encouraging individuals to contemplate different health-care providers as an alternative of going to the ER.

Volumes in emergency departments are excessive within the midst of respiratory sickness season however the primary causes for overcrowding are systemic issues which have been flagged for years, stated Dr. Michael Herman, an emergency doctor at Queensway Carleton Hospital in Ottawa who was talking on behalf of the Canadian Affiliation of Emergency Physicians.

“The problems round emergency drugs volumes are actually extra to do with movement by way of the hospital than it’s to do with particular person sufferers presenting,” stated Herman.

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“When you could have sufferers who’re admitted to the hospital ready 24, 48, typically 72 hours to get a mattress on the ward, that in flip occupies house that may’t be used to see the following emergency affected person.”

Folks arriving on the ER ought to count on to be triaged primarily based on the acuity of their signs, Herman stated.

“Sadly we could must anticipate that there could be a bit extra of a wait than you’re used to — definitely extra (of a) wait than we’re proud of. However that’s the actuality of the scenario.”

If individuals have “well timed entry” to a household physician, that may be possibility for many who aren’t experiencing extreme signs, Herman stated.

However “in the event that they’re apprehensive that there might be one thing extra critical occurring” they shouldn’t hesitate to go to the emergency division, he stated.

“The affected person declares their (personal) emergency.” Herman stated.

Authorities messages telling individuals to not go to an ER until it’s “vital” may deter individuals from accessing the care they want, he stated.

“The affected person is the one who has considerations about their signs, considerations about their well-being, in order that they current to an emergency division to be assessed. That’s our job, that’s our function.”

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Emergency division overcrowding prompted New Brunswick’s francophone well being authority on Friday to ask individuals to keep away from two of its emergency departments until they wanted crucial care.

The Vitalité Well being Community stated considered one of its ERs can be closed in a single day as a result of nursing shortages.

It additionally acknowledged that the vacations have been making it harder to entry main care providers.

Emergency physicians met with well being ministers from throughout Canada final fall to debate the problems plaguing hospitals and emergency departments on an ongoing foundation.

“The challenges that Canadian emergency departments have confronted, resembling overcrowding, protracted wait instances, and useful resource limitations, have endured for a lot too lengthy,” stated Michael Howlett, president of the emergency physicians affiliation, in an announcement issued on Oct. 12.

Canadian Press well being protection receives assist by way of a partnership with the Canadian Medical Affiliation. CP is solely chargeable for this content material.

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