Integrated critical care: an approach to specialist cover for critical care in the rural setting

Craig T Hore, William Lancashire, John B Roberts and Rob Fassett
Med J Aust 2003; 179 (2): . || doi: 10.5694/j.1326-5377.2003.tb05444.x
Published online: 21 July 2003

Critical care encompasses elements of emergency medicine, anaesthesia, intensive care, acute internal medicine, postsurgical care, trauma management, and retrieval. In metropolitan teaching hospitals these elements are often distinct, with individual specialists providing discrete services. This may not be possible in rural centres, where specialist numbers are smaller and recruitment and retention more difficult. Multidisciplinary integrated critical care, using existing resources, has developed in some rural centres as a more relevant approach in this setting. The concept of developing a specialty of integrated critical-care medicine is worthy of further exploration.

  • Craig T Hore1
  • William Lancashire2
  • John B Roberts3
  • Rob Fassett4

  • 1 Department of Critical Care, Port Macquarie Base Hospital, Port Macquarie, NSW.
  • 2 Department of Medicine, Launceston General Hospital, Launceston, TAS.



The authors would like to thank Professor Ken Hillman, Associate Professor Peter Reed and Dr Phil Hungerford for their suggestions and advice.

Competing interests:

None identified.


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