- Any of the following medical matters should be considered the basis for deciding that someone requires urgent attention in an Emergency Department.
- Where time permits: call an ambulance to assist.
- This list comes from consultation with Emergency Departments.
- Dangerous Mechanisms
- Blows to the body
- Falls > 4 Feet
- Injury from edged weapon or projectile
- Throttling / strangulation
- Hit by vehicle
- Occupant of vehicle in a collision
- Ejected from a moving vehicle
- Evidence of drug ingestion or overdose (inc alcohol)
- Serious Physical Injuries
- Noisy Breathing
- Not rousable to verbal command
- Head Injuries
- Loss of consciousness at any time
- Facial swelling
- Bleeding from nose or ears
- Deep cuts
- Suspected broken bones
- Attempting Self-Harm (persistent except when under restraint)
- Head banging
- Use of edged weapon (to self-harm)
- Especially where above accompanied by a history of overdose or poisoning
- Psychiatric Crisis
- Delusions / Hallucinations / Mania
- Possible Excited Delirium – two or more from
- Serious physical resistance / abnormal strength
- High body temperature
- Removal of clothing
- Profuse sweating or hot skin
- Behavioural confusion / coherence
- Bizarre behaviour
Winner of the President’s Medal,
the Royal College of Psychiatrists.
Winner of the Mind Digital Media Award
All opinions expressed are my own – they do not represent the views of any organisation.
(c) Michael Brown, 2019
I try to keep this blog up to date, but inevitably over time, amendments to the law as well as court rulings and other findings from inquests and complaints processes mean it is difficult to ensure all the articles and pages remain current. Please ensure you check all legal issues in particular and take appropriate professional advice where necessary.
Government legislation website – http://www.legislation.gov.uk