Paul Bailey <[log in to unmask]> wrote:
So, my feeling is that CT in minor head injury has a
net positive influence
on your bed state, and I'd be very interested in
seeing any hard data that
any of the list has that proves otherwise............
Sorry I don't buy your arguement either! I would be
interested in any evidence you have that early CT scan
improves discharge rates. My experience of a CT rich
environement working in the US was that early CT scan
had no effect on discharge, they were all admitted for
a period of observation! Every head injury was scanned
- even those with very dubious histories of LOC.
Thinking of the sort of patients presenting with HI
and the times they attend, even if we scanned everyone
straight away there would still be a significant
number with problems that prevented their timely
discharge such as transport or lack of carer.
Cheers Fred.
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