{"id":465,"date":"2019-01-24T15:43:52","date_gmt":"2019-01-24T15:43:52","guid":{"rendered":"https:\/\/www.healthnews.ie\/news\/bring-patients-to-the-right-hospital-surgeon-urges\/"},"modified":"2020-02-19T10:08:40","modified_gmt":"2020-02-19T10:08:40","slug":"correct-hospital-orthopaedic-surgeon","status":"publish","type":"post","link":"https:\/\/www.healthnews.ie\/bones-and-joints\/correct-hospital-orthopaedic-surgeon\/","title":{"rendered":"The right orthopaedic surgeons at the right hospital"},"content":{"rendered":"\n<div style=\"background-color:#f2f2f2;color:#32373c\" class=\"wp-block-atomic-blocks-ab-profile-box round ab-has-avatar ab-font-size-14 ab-block-profile ab-profile-columns\"><div class=\"ab-profile-column ab-profile-avatar-wrap\"><div class=\"ab-profile-image-wrap\"><figure class=\"ab-profile-image-square\"><img loading=\"lazy\" decoding=\"async\" width=\"572\" height=\"572\" class=\"ab-profile-avatar wp-image-1121\" src=\"https:\/\/s3.eu-north-1.amazonaws.com\/cdn-site.mediaplanet.com\/app\/uploads\/sites\/94\/2019\/01\/07211728\/Screen-Shot-2019-01-28-at-16.44.17.png\" alt=\"\" srcset=\"https:\/\/s3.eu-north-1.amazonaws.com\/cdn-site.mediaplanet.com\/app\/uploads\/sites\/94\/2019\/01\/07211728\/Screen-Shot-2019-01-28-at-16.44.17.png 572w, https:\/\/s3.eu-north-1.amazonaws.com\/cdn-site.mediaplanet.com\/app\/uploads\/sites\/94\/2019\/01\/07211728\/Screen-Shot-2019-01-28-at-16.44.17-125x125.png 125w\" sizes=\"auto, (max-width: 572px) 100vw, 572px\" \/><\/figure><\/div><\/div><div class=\"ab-profile-column ab-profile-content-wrap\"><h2 class=\"ab-profile-name\" style=\"color:#32373c\">Professor John O\u2019Byrne<\/h2><p class=\"ab-profile-title\" style=\"color:#32373c\">Professor of Orthopaedic &amp; Trauma Surgery at RCS<\/p><div class=\"ab-profile-text\"><\/div><ul class=\"ab-social-links\"><\/ul><\/div><\/div>\n\n\n\n<p><em>Ireland enjoys some of the best orthopaedic surgeons and healthcare in the world. But the difficulty to access it can be detrimental, one of the country\u2019s leading experts denounces.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p>Professor John O\u2019Byrne, Director of Masters Degree at the Royal College of Surgeons (RCSI), believes that there is much room for improvement in <a href=\"https:\/\/www.healthnews.ie\/bones-and-joints\/hip-replacement-galway\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">the way that bones and joints injuries are treated<\/a>. This starts from the very first assessment where the accident took place.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Irish healthcare, when it can be accessed, is as good as anywhere else in the world. The standards of care are really high, but the problem is accessing the care.<\/p><\/blockquote>\n\n\n\n<p>\u201cI often speak with surgeons who have done some training in North America, Canada, Australia. No matter where you go you find that we are in a good place. Not just for orthopaedic surgeons but for all members of the teams. We have a good healthcare when it comes to trauma.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>The problem with logistics<\/strong><\/h2>\n\n\n\n<p>The problems may rise in the logistics of dealing with these injuries. \u201cWe need to improve the <a href=\"https:\/\/www.iitos.ie\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"organisation of the trauma services (opens in a new tab)\">organisation of the trauma services<\/a>. That means nominating some centres to taking more trauma than other centres,\u201d says O\u2019Byrne.<\/p>\n\n\n\n<p>At the moment, the orders for an emergency response team are to bring the patient to the closest hospital. This is regardless of the type of injury that he or she may be suffering.<\/p>\n\n\n\n<p>However, many hospitals do not have the right structures and facilities to work on this type of injuries.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Patients brought straight to a hospital where there is an orthopaedic surgeon have an improved mortality and morbidity rate. Research has shown this pretty conclusively. <\/p><\/blockquote>\n\n\n\n<p>O\u2019Byrne says \u201cone thing that we would like to see at the RCSI is that trauma patients are not sent to hospitals that do not have orthopaedic surgeons anymore,\u201d. O&#8217;Bryne oversees the formation of more than 600 surgeons between the RCSI and the University College Dublin.<\/p>\n\n\n\n<p>\u201cIt is not right for the patient. Nor is it right for the hospital. It is not right for the doctor who receives the patient. Research has shown that mortality and morbidity can be improved if patients are brought straight to a hospital where there is an orthopaedic surgeon.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bringing patients to the right orthopaedic surgeon, not the closest<\/h2>\n\n\n\n<p>\u201cIn the UK there has been a good rationalisation of trauma services. Population spread in Ireland is very different. Most of the population is around Dublin. But if you look at the trauma, they&#8217;re well spread around the country, and facilities differ from place to place.\u201d<\/p>\n\n\n\n<p>The issue is tricky, because it would bring responsibility to the ambulance team to assess where to carry a patient, and maybe choosing a hospital ahead of a closer one because the further one has better facilities. \u201cWe would never think of driving another hour with an injured patient, but if it is only 15-20 minutes, of course you would do it.\u201d<\/p>\n\n\n\n<p>\u201cIt is understandable the concerns that people have, and the reassurance everybody gets as soon as the patient reaches the hospital, but if the carers could bring them to the right hospital and not just the closest\u2026 it is just having a structure in place to allow them to do that.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ireland enjoys some of the best orthopaedic healthcare in the world, but the difficulty to access it can be detrimental, one of the country\u2019s leading experts denounces.<\/p>\n","protected":false},"author":22,"featured_media":1307,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[131],"tags":[],"class_list":["post-465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bones-and-joints"],"acf":[],"featured_image_src":"https:\/\/s3.eu-north-1.amazonaws.com\/cdn-site.mediaplanet.com\/app\/uploads\/sites\/94\/2019\/02\/07211554\/health-news-ireland-healthcare-article-wrist-joint-bone-600x400.jpg","featured_image_src_square":"https:\/\/s3.eu-north-1.amazonaws.com\/cdn-site.mediaplanet.com\/app\/uploads\/sites\/94\/2019\/02\/07211554\/health-news-ireland-healthcare-article-wrist-joint-bone-600x600.jpg","author_info":{"display_name":"Health Awareness","author_link":"https:\/\/www.healthnews.ie\/author\/jennyhyndman\/"},"vicky_index_order":"","_links":{"self":[{"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/posts\/465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/comments?post=465"}],"version-history":[{"count":11,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/posts\/465\/revisions"}],"predecessor-version":[{"id":4212,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/posts\/465\/revisions\/4212"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/media\/1307"}],"wp:attachment":[{"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/media?parent=465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/categories?post=465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthnews.ie\/wp-json\/wp\/v2\/tags?post=465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}