Acute Medicine – Needs and Challenges: The Bangladesh Perspective

Authors

  • Mohammad Rafiqul Islam Professor of Medicine, Shaheed Suhrawardy Medical College, Dhaka
  • Latif Raiyan Rahman Acting Consultant and Chief Registrar, University Hospitals of Leicester, UK, Trainee Representative, Society for Acute Medicine (UK), Secretary for International Affairs, Acute and Critical Care Physicians Foundation Bangladesh.
  • Nick Murch Consultant in Acute Medicine, Royal Free Hospital London and Cleveland Clinic London, President Society for Acute Medicine (UK)

DOI:

https://doi.org/10.3329/jom.v25i2.74296

Keywords:

Point of care, Ambulatory, SDEC, Ultrasound, Curriculum, AMU

Abstract

Bangladesh has an ageing population, with increased multi-morbidity and polypharmacy. Acute care is becoming more complex, with increased admission numbers and little alternative to hospital attendance and admission. Alternative models of care are discussed, that include new ways of working and use of novel training techniques including technology such as point of care testing including ultrasound. The use of ambulatory care is also proposed, with rapid access and even virtual outpatient clinics. The development of specialist acute generalists can enable other clinicians to develop more specialised skills including managing separate gastrointestinal bleeding rotas and heart attack or stroke units. Standardised care at the front door can reduce variability in practice and promote excellence in acute care for all patients. The potential pros and cons of developing an acute (internal) medicine model in Bangladesh are discussed.

J MEDICINE 2024; 25: 159-165

Downloads

Download data is not yet available.
Abstract
274
PDF
139

Downloads

Published

2024-07-16

How to Cite

Islam, M. R. ., Rahman, L. R. ., & Murch, N. . (2024). Acute Medicine – Needs and Challenges: The Bangladesh Perspective. Journal of Medicine, 25(2), 159–165. https://doi.org/10.3329/jom.v25i2.74296

Issue

Vol. 25 No. 2 (2024)

Section

Review Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).