Traditionally, emergency departments (EDs) provide initial lifesaving treatments, but basic patient care is not always a priority. Aims of the authors’ ED were to gain 100% completion of the Exeter Pressure Risk Assessment Tool — a tool designed to prevent tissue damage during a patient’s stay in ED — and ensure that every patient has the pressure-relieving equipment they require while they are in the ED. Over the past 18 months, there has been a massive change in attitude and culture towards caring for patients’ skin within the authors’ ED.