This document discusses using SMS messaging to notify doctors of critically ill patients in the emergency department. It proposes sending automated SMS alerts to doctors with information about the patient's condition and need for urgent review. This system aims to help doctors reach patients within the golden hour and ensure accountability if a doctor fails to respond to an alert. By notifying doctors through SMS, nurses do not need to leave the patient to find the doctor in person. The SMS system has benefits like timely review of critical patients and record keeping but risks irritating doctors with repeated messages.