Opinions vary amongst sessional GPs as to what medications should be carried in the doctor’s bag. Dr Rachel Birch, medicolegal consultant at Medical Protection, outlines factors to consider when stocking your doctor’s bag and offers practical advice to safely managing those medications.
Picture the scene…. it is a cold snowy night in rural Scotland and Dr S is called out to a patient who is having a myocardial infarction. The road to the town is blocked and the ambulance can’t get through. Dr S calls for the air ambulance and gives the patient aspirin, clopidogrel, GTN spray and intravenous morphine. The air ambulance has not yet arrived, so Dr S administers pre-hospital thrombolysis.
Imagine a different scenario…. Dr G works in an urban practice, situated next to a pharmacy and over the road from the hospital. He visits the patient, and when it is apparent the patient is having a myocardial infarction he calls the ambulance – it arrives in less than 5 minutes, and the patient is in hospital shortly afterwards.