Providing high quality emergency care to acutely ill and injured patients has become more challenging than ever. There are increasing pressures from all sorts of different directions. Patients quite rightly expect better treatment, delivered with better communication. At the same time, emergency treatments have become increasingly sophisticated. As a result, it might be expected that it would take longer for staff to provide high quality care. Indeed, there is already some evidence (presented in this journal) that this is the case.¹ All of these pressures are occurring in the context of overcrowded …