The ‘bulging fontanelle’ to be included in primary care algorithms

[摘要] Major changes have taken place in the delivery of out-of-hours primary care. There is a growing trend towards help-lines and drop in centres. Many patients will often first speak to a nurse, who will triage the calls with or without the help of guidelines or algorithms. The concern arises as to whether this is safe. In the last few years of my training, I have come across two children whose parents mentioned a ‘bulging fontanelle’ as part of their concerns, and who were falsely reassured over the phone.

[学科分类] 卫生学