Community Emergency Medicine

As care on our emergency and urgent care demand is on an ever upwards course, whilst alongside this the scope of what we can potentially deliver to patients is also increasing. In order to meet this demand and to deliver the best care possible to our patients we will need to look for other solutions.

We were lucky enough to be invited to the First Community Emergency at the Royal Society of Medicine in London, hosted by the Physician’s Response Unit. This event looked at the current challenges and explored solutions and opportunities for more collaborative working.

In this podcast you’ll hear from Tony Joy about the concept and practice of Community Emergency Medicine. You’ll hear from Gareth Davies on the history of Pre Hospital Emergency Medicine, both challenges and achievements. Finally you’ll hear from Bill Leaning, PRU clinical manager & HEMS paramedic about how to go about setting up a service.

Please let us know any thoughts or feedback, and we’ll be back with another podcast on a clinical topic for you in a few days time.


Simon & James


  • Rohan Mostert says:

    In Melbourne Australia many hospitals have an outreach program where ambulance personnel can refer patients to for cases such as high care nursing home patients with low acuity problems. Our communications centre has a 2nd triage system whose job it is to refer people to community programs (primary care, pharmacist among others). This has reduced the ED workload to a good degree. While the PRU for mid-low acuity patients is admirable, I guess I’m pessimistic about individuals expecting this service each time they call 000/ 999 to effectively bypass ED wait times.

  • Tristan Metcalfe says:

    Forgive me, but is this not basically the function that used to be filled by GP house calls simply being shifted over to ambulance and hospital staff?

  • Pawan Kumar says:

    That’s such a great post!!! Thanks for sharing the information.

  • Arron says:

    No, I don’t think so – GP’s don’t carry this level of intervention and diagnositics, the onward referral late from this model would be much lower

Leave a Reply

© 2024 The Resus Room