TY - JOUR T1 - The ‘bulging fontanelle’ to be included in primary care algorithms JF - British Journal of General Practice JO - Br J Gen Pract SP - 802 LP - 803 VL - 55 IS - 519 AU - Christian de Goede Y1 - 2005/10/01 UR - http://bjgp.org/content/55/519/802.3.abstract N2 - 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 … ER -