Response

Thank you for this interesting commentary and insight on our review. As you imply, it is essential that all investigations and clinical observations, such as measuring core temperature, are carried out in a manner that is tamper-proof. In the past it was not uncommon for patients to generate artefactually raised temperatures by placing their thermometer on the radiator, in a hot cup of tea, or under a hot tap. In most British hospitals temperatures are now measured electronically under direct observation at the same as recording other vital signs, so this reduces the risk of falsification of temperature.