Showing posts with label consults. Show all posts
Showing posts with label consults. Show all posts

Sunday, August 9, 2015

Calling Consultations from the Emergency Department

Photo by NEC Corporation:
https://flic.kr/p/nJ7P9M
Author: Andrew W Phillips, MD MEdStanford/Kaiser Emergency Medicine Residency Program

You will be judged by your consultations. Period.

The best evidence we have for handling emergency department (ED) consultations supports the use of the “5 C’s of consultation,” which was shown to be helpful in a randomized, controlled trial.[1]

1) Contact: start with an introduction between you and the consultant.
2) Communicate: provide a concise story.
3) Core question: have a specific question or request for the consultant (“What do you think is wrong?” is unacceptable).
4) Collaboration: create agreement between you and the consultant about further management by the emergency department and the consulting team.
5) Closing the loop: ensure you and the consultant have the same plan.

Within the core question components, it is also important to know and express to the consultant the goal of the consultation. There is a taxonomy of consultations with differing goals, which can be divided into: [2]