Emergency pyramid is inverting already

doi:10.1136/bmj.326.7379.49

BMJ 2003;326:49 ( 4 January )

Letters

Emergency pyramid is inverting already

The first 150 words of the full text of this article appear below.

EDITOR $---$ Turner and Collinson suggestion that it is time to invert the knowledge pyramid in accident and emergency medicine.¹Triage was shown to be effective many years ago, when 30% of patientsneeded no further care in an emergency department.²

Since then it has been shown that creating a one stop system for patients with minor injuries is also effective in reducingwaits.³ Further redesign of having senior staff as the firstclinical contact rather than a triage and wait approach is nowbeing used in several emergency departments and is successfullyreducing waits. ⁴ ⁵

For this reason, the NHS Modernisation Agency's emergency services collaborative is hosting a series of national workshopsfocusing on this new principle of "see and treat" and, with thesupport of the British Association for Accident and EmergencyMedicine and the Royal College of Nursing, will be issuing guidanceon establishing such systems. Every emergency . . . [Full text of this article]

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This article has been cited by other articles:

Finlayson, B. J, Fogarty, A., Majeed, A. (2003). Inversion of emergency pyramid. BMJ 326: 553-553 [Full text]

Rapid Responses:

Read all Rapid Responses

Emergency pyramid is inverting already - an alternative view?: David J Hall
bmj.com, 4 Jan 2003 [Full text]
Inversion of pyramids takes time...: Adrian Fogarty
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Too much spin: Bruce J Finlayson
bmj.com, 5 Jan 2003 [Full text]
Inappropriate demand: Emyr W Gravell
bmj.com, 9 Jan 2003 [Full text]
"I wanted a thorough checkup": Azeem Majeed
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advanced access in primary care: Bob Bowes
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