Volume 31, Issue 1 pp. 129-134
Perspective

Should freestanding emergency departments be considered in Australia?

Waruna de Alwis

Corresponding Author

Waruna de Alwis

Emergency Medicine, The Prince Charles Hospital, Brisbane, Queensland, Australia

Correspondence: Dr Waruna de Alwis, Emergency Medicine, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, Australia. Email: [email protected]Search for more papers by this author
First published: 14 September 2018
Citations: 4
Waruna de Alwis, MBBS, FACEM, Senior Staff Specialist.

Abstract

The concept of freestanding EDs is a popular operational model of emergency care in the USA. This model has been described as an emergency physician-created innovative solution in resolving ongoing overcrowding issues in EDs. A decentralised community-based emergency care model may be a solution to meet the increasing demand for emergency and unscheduled acute care in Australia. It may also help to reduce the number of acute hospital admissions through EDs. The aim of freestanding EDs should be to manage and discharge a cohort of patients, mainly in Australasian Triage Scale 3 and 4 categories, currently seen in hospital-based EDs. This article briefly examines the potential merits and issues if this concept is considered in Australia. It also provides an early proposed model for such EDs.

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