The problems related to internal medicine consultations in the emergency department

Objectives: Overcrowding in the Emergency Department (ED) is a serious and growing problem during recent years one of main causes it dysfunctional consultation system. We aimed to determine problems related patients who were admitted ED requested consultations from internal medicine (IM) physicians contribute gap literature regarding this isssue. Methods: In period year, 3601 patients, university hospital consulted by IM included prospective cross-sectional study. The epidemiological characteristics length stay consultation-related investigated. Results: most common delayed completion procedures for 88 (2.4%) unnecessary requests 66 (1.8%) patient referrals with inappropriate indications outpatient clinics 53 (1.5%) patients. There differences opinion among emergency specialists need 36 (1%) important difference was various infections seen histories hematologic or solid organ malignancies (n = 9). Conclusions: According these findings, good collaboration must be established consultant physicians. Furthermore, avoid referral ED. Additionally, avoided, addressed quickly.