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We read with interest this article by Shavit et al1 comparing the Alder Hey triage pain score (AHTPS) with a subjective scoring tool. The finding of a discrepancy in scoring between the tools, with the AHTPS scoring lower, is entirely consistent with the similar finding we reported in our paper.2 The conclusion drawn by the authors that this indicates that observational scoring should not be recommended is not justified. The findings may reflect the fact that the observational tool …
Competing interests: None.