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I congratulate the authors on their research. It is important to highlight that the Manchester triage system does incorporate shock or low blood pressure into its flow charts. It is described in the general discriminator text and flow chart. Any patients who are shocked should be triaged into priority one, if following the rules of MTS.
Therefore in this study all 9 of the 26 patients with a blood pressure of less than 90 mmHg should have been triaged into priority one, according to the rules of MTS. If these patients had been triaged in this way, the results of your study could be significantly affected.
We look forward to seeing further research from your selves in this area