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Ambulance alerting to hospital: the need for clearer guidance
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  • Published on:
    Authors' response
    Dear Editor

    I agree that there will always be exceptions that are not identified by scoring systems. Ambulance crews will need to exercise some discretion, common sense and judgement in addition to any scoring system. In our environment we tend to see good data collection and recording by ambulance crews, their compliance really arises from training, discipline and education in the fact that the ambulance record becomes...

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    Conflict of Interest:
    None declared.
  • Published on:
    Response to Brown & Bleetman

    Dear Editor

    It was very interesting to read Brown and Bleetman’s article pre- altering hospital Emergency Departments (ED) in this October’s Journal.1 As they correctly point out, little attention has ever been given to the development of appropriate alerting tools for non-trauma cases. The use of Early Warning Scores (EWS) may well offer a solution to this problem. The work of the Cape (now South African) Triage...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Ambulance Alerting
    Dear Editor

    We do need a standard alerting procedure for ambulance crews. we need to put an end to inconsistent practise in this area so that we minimise under and over alerting. I would not want a phone for each and every patient en-route to hospital as in the larger units this would result in over 100 calls per day.

    Conflict of Interest:
    None declared.
  • Published on:
    Ambulance Alerting
    Dear Editor

    Although ambulance crews appear to have a poor record on alerting hospitals, this may in some part be due to the differing requirements, levels of staffing and levels of activity in different hospital A&E departments.

    I take patients to three or four different hospitals regularly and it is clear that they each have different requirenments and expectations of ambulance crews, despite the nation...

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    Conflict of Interest:
    None declared.