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The AMU/AAA team: Acute Medicine Awareness day

The AMU/AAA team: Acute Medicine Awareness day


Acute medicine is the specialty concerned with the diagnosis, management and non-surgical treatment of unusual or serious diseases. In our Acute Medicine Ambulatory Assessment Area (AAA), we provide facilities to maximise treatment of emergency medical patients on the same day, without need for full admission. Our AAA is a 7-day service, that provides an innovative ambulatory care facility for medical patients. It is located in the Richmond Acute Medicine Unit (Richmond AMU), Ground Floor, St James’ Wing, at the main St George’s Hospital site in Tooting. The AAA is run by a team of four clinical nurse specialists (CNS), supported by two junior doctors and a small administrative team. The team is led by the AAA Consultant on-call each day (contacted via switchboard on bleep 7915).

We accept direct referrals from GPs, the Emergency Department, and our sister hospitals where appropriate. The AAA provides a number of dedicated clinics, including daily morning DVT and Cellulitis clinics (led by our CNS practitioners), a daily morning Acute Medicine Clinic (AMC), and specialist afternoon Diabetes pit-stop (Mondays), Acute Kidney Injury (AKI) (Tuesdays) and Frequent Attenders (Thursdays) clinics.

Our AAA constitutes six assessment bays, two assessment chairs and two clinic rooms, which allow for parallel clinics and treatments to take place in this versatile space. Common presentations include: post-biopsy recovery, transfusions, iv fluid replacement, outpatient iv antibiotics. Through our ambulatory service, we also liaise closely with our specialist colleagues in gastroenterology, endocrinology, diabetes, respiratory medicine, rheumatology, cardiology, neurology, acute oncology and renal medicine, as well as our Social Therapies and Rehabilitation (STAR) team. We also work to facilitate outpatient investigations, and facilitate safe early discharge with early outpatient follow-up.

AAA/Richmond AMU Location, Ground Floor, St James' Wing,