Accident and emergency departments need management guidelines

doi:10.1136/bmj.310.6986.1066

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John Wright,
Cameron Stark

Senior house officer in surgery Royal Alexandra Hospital, Paisley PA2 9PL
Consultant in public health medicine Ayrshire and Arran Health Board, Ayr KA7 4DW

EDITOR,—Judith Dawkins emphasises the importance of doctors' recognition of bullying.1 Accident and emergency departments may be one point of contact between health care services and child victims of bullying. We reviewed the case notes of 305 children presenting to an urban accident and emergency department in the west of Scotland because of incidents at school over 56 weeks in 1993 and 1994. Twenty of the children had attended because of injuries deliberately inflicted …