> > My proposal: A&E doc decideds CT is needed - speaks to radiographer on
> > premises - process is initiated, patient brought over, CT done - NOW,
> > depending on skill/experience/confidence of A&E doc (could be a consultant
> > present) decision on whether radiologist needed and caklling him/her then.
> > It might be radically obvious on CT that patient needs to see a neurosurgeon
> > and, in that case, the neurosurgeon will make up his/her mind without a
> > radiologist anyway.
> >
> > What opinions???
Looks good. Should be part of SpR training. Why not put in the
safety net of next morning review of scan by radiologists (probably
useful for minor abnormalities which may not have been picked up
but which would not have altered management in the middle of the
night).
Tim.
Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.
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