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Clinical Practice

Review Articles On Emergency Dermatology

Dermatology is “not a specialty that has been structured to possess 24-hour-a-day access outside the university settings,” Dr. Jorizzo says. In most cases of a true cutaneous emergency, “the patient needs to be managed jointly, where the dermatologist is the advisor. We’re excellent at co-managing patients with many inputs to other specialists.” The impact a dermatologist has on diagnosing these sorts of diseases “will vary tremendously with the patient setting and the hospital setting,” Dr. Buka says, adding that the connection the dermatologist has with the area people hospital will dictate the role the dermatologist will play. “If a hospital has a very good relationship with a dermatology department, they’ll call on a moment’s notice if they’re unsure about the diagnosis. But community-based clinics may only have one or two people that spend a few of hours a month at the hospital. Those dermatologists are not going to be at the forefront during an in-patient consultation.” Where multiple specialties are needed to manage more difficult cases, “reaching out and speaking to the other teams additionally to writing your note within the chart helps facilitate knowledgeable relationship and an open dialogue regarding treatment,” claims Dr. Paraskevas. “It also helps to be available.Being on staff at a hospital that has close proximity to one’s practice is ideal to see inpatient consults expeditiously.    

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