Triage of inter-hospital transfers for patients with acute upper gastrointestinal bleeding, in response to Beaton et al

We read with interest the recent article by Beaton et al on improving triage in upper gastrointestinal bleeding (UGIB).1 A pertinent issue not included in this study is triage and transfer of patients with UGIB from sites without provisions for 24-hour endoscopy to tertiary out-of-hours (OOH) centres. The decision to transfer can be clinically and logistically challenging; hence, many centres use scoring systems to aid decision-making.