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no experience of below but suggest a reliable tannoy system in all areas as good "sight lines " will be un achievable Phil Moss Newham University Hospital E13 ----- Original Message ----- From: "Brown, Ruth" <[log in to unmask]> To: <[log in to unmask]> Sent: Friday, August 27, 2004 7:54 AM Subject: Physical configuration of emergency departments > dear list > I am interested to know if there are any emergency departments in the UK or > abroad, which have either or both of the following features: > > a) the clinical facilities over two floors - with majors/resus on one and > minors/children's on another > b) the main reception and entrance on the 2nd floor - with ambulance > patients brought up by lift and ambulant patients going up an escalator or > lift (no ramp for either vehicular or pedestrian access) > > If anyone works in such a facility or knows of one and can give me a > contact, that would be great > > comments on the feasibility and pitfalls also welcomed > > many thanks Ruth > > > > Ruth Brown FRCS FFAEM > Emergency Medicine Consultant