For all ages

The rash glass test

This is often used to determine if there is any evidence of meningitis or septicaemia (sepsis). A rash that does NOT fade under pressure (e.g., when the glass is pressed down onto the skin) can be suggestive of these conditions. Meningitis or sepsis can be life-threatening conditions, therefore immediate medical care and assessment is required. We cannot see patients immediately in our GP surgeries, hence we ask the patients to go to A&E departments.

Stiff neck or pain when looking at lights

These can also be common symptoms of meningitis. Hence, we ask patients who have these symptoms to visit A&E for urgent assessment.

Pus, discharge from a rash or blistering

These can show evidence that the rash may be more serious or even be infected. A patient in this case may need antibiotics to help clear the rash, hence we would need to see these patients earlier.

Bites from animals/humans

If you are bitten by an animal (like a cat, dog, squirrel) or another human, you will often need a tetanus injection. This should be given by Urgent Care.

For Children

Dehydration in children is harder to establish that in adults. By asking a few different questions, you can determine if there is any evidence of dehydration.

• Fewer wet nappies - e.g., producing less urine
• Drinking less than 50% of their normal amount

For Adults

Older adults can often deteriorate faster than younger adults. If in doubt and you are concerned about a patient calling, please speak with your line manager.