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Letters Spotting the sick child

Face to face always

BMJ 2007; 335 doi: (Published 13 September 2007) Cite this as: BMJ 2007;335:527
  1. Ffion C Davies, consultant in emergency medicine
  1. Leicester Royal Infirmary, Leicester LE1 5WW
  1. Ffion.davies{at}

    Performing snapshot assessments in emergency settings, where time is precious, is notoriously risky. Serial assessment of the child is best but not always possible. A scientific approach of measuring heart rate, capillary refill, respiratory rate, and behaviour takes less than 3 minutes1 and is achievable in these settings. Harnden is wrong in saying that this is not …

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