In article <[log in to unmask]>, Jel Coward
<[log in to unmask]> writes
>Hi all
>
>On the scrounge
>
>Are their any guidelines generally accepted for the management of head
>injuries. In particular, who gets a CT now, who gets observed etc?
>
Thanks for all the replies.
I am in BC, Canada. The event happened about 40 minutes from our small
Emergency Dept - we have no beds. The nearest beds are about and hour
and 15 minutes away - and the nearest CT about 2 1/2 hours away (but in
the same direction as the nearest beds) on a good day (it was a freezing
foggy night here)
The doc owning the nearest beds and no CT said - 'he needs a CT now'.
The emerg doc owning the CT said 'we would not CT until the morning, if
at all, we have no beds currently and he would have to stay in the
waiting room (tying up the paramedics) until then'
My preferred plan was simply to have him observed overnight at the
centre with beds but no CT (which is in the direction of the CT
however). I finally managed to get this agreed
To be honest I think the varying opinions given to me were based on
workload management rather than medicine
Thanks for the input
Cheers :)
--
Jel
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