{"id":43003,"date":"2018-09-11T12:25:30","date_gmt":"2018-09-11T11:25:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43003"},"modified":"2018-09-11T12:25:30","modified_gmt":"2018-09-11T11:25:30","slug":"richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/","title":{"rendered":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments"},"content":{"rendered":"

\"richard_smith_2014\"<\/a>At 8.15 on a Saturday morning while I\u2019m shopping with my grandson my wife at home receives a call to say my 89 year old mother with dementia, who lives in a nursing home, has fallen. She has a cut on the back of her head, and the nurses assume she has fallen. They have called an ambulance.<\/span><\/p>\n

My wife questions the nurse who has called. Will the cut need stitches? No. How is she? She\u2019s fine. Why then, my wife wonders, have they called an ambulance? My husband, she says, will call back when he returns in a few minutes.<\/span><\/p>\n

I return and call back, which is not straightforward as nobody answers the number I usually use. I resort to call back, and the nurse says that the paramedics are seeing her and will take her to hospital. I ask to speak to the paramedic. I say that I\u2019m a doctor and that I doubt she needs to go to hospital. She doesn\u2019t have any \u201c red flags, the paramedic says, but they need to take her because she has a head injury\u2014albeit a small one\u2014and it\u2019s impossible to get a reliable history. I say that\u2019s because she has dementia, and I ask what would be the point of taking her to hospital. What will they do if she lapses into a coma? The paramedic says that\u2019s not for him to say, but he has to follow the protocol. I then say that I have power of attorney and am willing to accept responsibility for keeping her in the nursing home. He says OK, they won\u2019t take her. I\u2019ll come and see her and can be there in 20 minutes and ask if they will still be there. He says they won\u2019t.<\/span><\/p>\n

I get there in 20 minutes, and they are still there\u2014in an ambulance equipped to deal with a major disaster. The whole thing seems disproportionate. The paramedic is charming and friendly, exactly the kind of person I\u2019d like to find looking after me if I suffered a serious injury. He says he would have had to take my mother if I hadn\u2019t intervened to \u201ccover his arse.\u201d \u201cImagine,\u201d he says, \u201cif we didn\u2019t take her and something horrible happened, she died or something. It would be all over the papers. There\u2019d be an inquiry. We might lose our jobs.\u201d But, he also says, \u201cIf it was my mother I\u2019d do exactly the same as you.\u201d \u201cBy the way,\u201d he says, \u201cyour mother is lovely, so sweet. We see some terrible ones.\u201d<\/span><\/p>\n

I go into see my mother. \u00a0She\u2019s sat eating a piece of toast and drinking coffee unaware of all that has happened. We chat. I tell her what has happened. \u201cOh,\u201d she says, not very interested. She\u2019s keener to talk about what a lovely day it is.<\/span><\/p>\n

I talk to the nurse, who understandably would have preferred her to go to hospital. She wouldn\u2019t then have been his responsibility, but I\u2019ve accepted responsibility\u2014and on my head be it for whatever happens.<\/span><\/p>\n

Several times I\u2019ve asked the home to contact me before they ring an ambulance, and they\u2019ve agreed to do so. But staff change rapidly, and almost any sort of fall or injury leads to an ambulance being called and my request, as I\u2019ve feared, is not \u201cin the system.\u201d The ambulance has to take her because it\u2019s not clear what happened, as it is likely to be with any person with dementia. In the hospital a series of tests would be done over hours until eventually a doctor, possibly fairly junior, accepts the responsibility of her being discharged\u2014by this time very bothered, as people with dementia are in strange circumstances, and with a considerable amount of resources having been consumed, as they have been already even without her going to hospital.<\/span><\/p>\n

Nobody is at fault. Everybody has done what they are expected to do, even if each has then thought \u201cthis is over the top.\u201d<\/span><\/p>\n

One of the things my brothers and I dread is my mother when she is dying\u2014because she has a heart attack or a stroke\u2014being hauled off to hospital and dying on a trolley in the accident and emergency department. We think that if she has a heart attack or stroke she can be managed in the nursing home without, we accept, thrombolytic therapy or emergency angioplasty. We think that would be disproportionate, and we are confident that our mother agrees. We discuss it with her, recognising that she doesn\u2019t have full capacity.<\/span><\/p>\n

But how can we stop the process that leads inevitably to her being admitted to hospital? Despite me asking them to ring me, I fear that they will not call me or will call me after they have called the ambulance. And I might be abroad.<\/span><\/p>\n

Coordinate My Care is a scheme that has been started in London where I live to try and avoid patients at the end of life being admitted to and dying in hospital. Ambulances have a list of patients on the scheme and know not to take them to hospital unless it\u2019s essential; and even if they do take them they try to bring them home quickly. It has reduced the number of people dying in hospital from 60% to 20%. I\u2019ve talked to the nursing home about getting my mother onto the scheme. They say they will talk to the GP, but nothing seems to have happened. I discussed it with the paramedic. \u201cOh CMC,\u201d he said, in the NHS style of making everything a three letter acronym, \u201cwe\u2019ve talked about that but there are difficulties in getting it up and running.\u201d<\/span><\/p>\n

Will things work better the next time something happens to my mother, as it will? Sadly I have no confidence that anything will be better. Despite my considerable \u201cmiddle class white power,\u201d as my Sikh friend calls it, I\u2019m as stuck as anybody.<\/span><\/p>\n

Richard Smith<\/strong>\u00a0was the editor of <\/em>The BMJ until 2004.<\/em><\/p>\n

Competing interest:<\/strong> None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

At 8.15 on a Saturday morning while I\u2019m shopping with my grandson my wife at home receives a call to say my 89 year old mother with dementia, who lives […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[955],"tags":[],"class_list":["post-43003","post","type-post","status-publish","format-standard","hentry","category-richard-smith"],"yoast_head":"\nRichard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Richard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ\" \/>\n<meta property=\"og:description\" content=\"At 8.15 on a Saturday morning while I\u2019m shopping with my grandson my wife at home receives a call to say my 89 year old mother with dementia, who lives [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-11T11:25:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Richard Smith: A small insight into avoiding some of the pressure on A&E departments\",\"datePublished\":\"2018-09-11T11:25:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/\"},\"wordCount\":1040,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/12\\\/richard_smith_2014-150x150.jpg\",\"articleSection\":[\"Richard Smith\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/\",\"name\":\"Richard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/12\\\/richard_smith_2014-150x150.jpg\",\"datePublished\":\"2018-09-11T11:25:30+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/12\\\/richard_smith_2014-150x150.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/12\\\/richard_smith_2014-150x150.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2018\\\/09\\\/11\\\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Richard Smith: A small insight into avoiding some of the pressure on A&E departments\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/","og_locale":"en_US","og_type":"article","og_title":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ","og_description":"At 8.15 on a Saturday morning while I\u2019m shopping with my grandson my wife at home receives a call to say my 89 year old mother with dementia, who lives [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2018-09-11T11:25:30+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments","datePublished":"2018-09-11T11:25:30+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/"},"wordCount":1040,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg","articleSection":["Richard Smith"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/","url":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/","name":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg","datePublished":"2018-09-11T11:25:30+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/richard_smith_2014-150x150.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/11\/richard-smith-a-small-insight-into-avoiding-some-of-the-pressure-on-ae-departments\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Richard Smith: A small insight into avoiding some of the pressure on A&E departments"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/43003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=43003"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/43003\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=43003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=43003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=43003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}