© 2004 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
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| The first 150 words of the full text of this article appear below. |
We do not like change, especially when the change is to a pattern of clinical care that has remained essentially the same for 20 years. In this issue we debate the recent guidelines issues by the UK National Institute for Clinical Excellence (NICE). We also publish a series of articles that explain the changes but also examine the practical implications.
Leaman makes a number of points voiced by a number of emergency medicine clinicians and managers. Many hospitals will be struggling with the operational and financial impact of implementation. Swann points out some of the clinical weaknesses of the guidelines.
See pages 400, 401
However, these guidelines represent a step change in head injury care. They may not be the best possible solution, but NICE recognise this fact and will review the guidance in the near future. Equally NICE must start to acknowledge that emergency health systems are struggling
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