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Access to hand surgery emergency care.

Hollis Caffee¹, Chad Rudnick

¹Division of Plastic Surgery, University of Florida, Gainesville, FL, USA. hcaffee@emh.org

Annals of Plastic Surgery

|January 25, 2007

Summary

Emergency room hand surgical care access is limited in North Florida due to frequent gaps in on-call specialist availability, impacting timely treatment for hand trauma patients.

Area of Science:

Orthopedics
Emergency Medicine
Surgical Care Access

Background:

Limited access to specialized emergency care, particularly hand surgery, is a recognized issue.
North Florida's emergency departments face challenges in providing timely hand surgical services.

Purpose of the Study:

To assess the availability of on-call hand surgical services for hospital emergency departments in North Florida.
To identify instances where hand surgeons are unavailable for emergency cases.

Main Methods:

Surveyed hand surgeons in three major North Florida cities regarding their on-call services.
Queried hospitals accepting trauma patients about their hand surgeon staffing and on-call coverage.

Main Results:

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Despite a significant number of hand surgeons, hospitals frequently lacked on-call coverage for emergencies.
Instances of no available hand surgeon for emergency procedures were common.

Conclusions:

Hospital emergency facilities in the region demonstrate deficiencies in specialist availability for emergency hand procedures.
Regional disparities in access to emergency hand surgical care necessitate further investigation and potential solutions.