You are doing your regular shift as a GP in the emergency department. It is yet another evening when the department is under siege. One of the registrars approaches to ask for your advice.
The story so far
The story starts off unusually. A 24-year-old man was being sent to a neighbouring hospital (hospital A), where he had been initially treated after being knocked off his bicycle by a car.
In his letter, the local doctor explains that he had rung hospital A and was told to send the patient to hospital B – yet another hospital, not yours. However, because your hospital is closer to where he lives, the patient has come to you.