Responses

Download PDFPDF

Accident and emergency departments are still failing to assess asthma severity
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Peak Flow is rarely important in the decision to admit

    Dear Editor

    In my opinion, it is much more important in the decision to discharge a patient. It is relatively rare that I have not made a decision to admit a patient within the first 30 seconds of presentation of an asthma attack- the respiratory rate, the use of accessory muscles and the overall behaviour of the patient is much more important than a number on the peak flow meter. I find it much more worrying that t...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    There is more to assessing severity than PEFR

    Dear Editor

    The paper by Harvey and colleagues is a slightly overdramatic. In their audit they found that PEFR was not regularly recorded in the notes. However this does not mean that the assessment of patients is unsafe. Asthma severity as they point out is based on a number of physiological and clinical parameters. PEFR is used as a measure of severity but it has a severe limitations as it requires a good techniqu...

    Show More
    Conflict of Interest:
    None declared.