Nearly ending up in trouble. It also happened in yesterday's oncall

A&E tried me to refer 86 yr old bed bound lady from nursing home cam in with ? elbow injury.

Once I heard 2 facts, 1. from nursing home 2. elbow injury, I was not so interested in that patient.

You know about nursing home. You know the reason why people need nursing home.

I was too tired at that time as I had been busy in last 10 hours with acute patients. My brain not working well. So i tried to refuse to accept patient as medical.

I am impressed. A&E staff grade is very expereience. She was upset when I tried to refuse. But she was patient and explained again.

86 yr,from Nursing home

demented,

bed bound,

not walking,

but 2 injuries on elbow and hip.......

Oh my god

what came to my mind is baby P

I apologised her and I accepted the patient.

of course, we need to rule out Non Accidental Injury.

Police involvement will also be required.