Prof Mendelow, a Newcastle Neurosurgeon who sits on the NICE HI group gave a
brief summary of the new guidelines at the Trainees conference last week.
The adult guidelines essentially make a bit more sense so you don't CT
anyone of 65 immediately just because of their age. Unfortunately this has
come through on the actual guideline by different colours signifying
different time periods in which to do the scan - of course the NHS rarely
photocopies or prints in colour ...
The child guidelines essentially adopt the CHALICE rule, admitting there is
not much evidence for them but still having them in there. There is a
delightfully vague "Abnormal drowsiness" which gets you an immediate CT
scan.
Official publication of guidelines next week which is a miracle considering
it is the first NICE guideline to go through a 2nd process and Sept 2007 is
when they said it would be published. Wonders will never cease.
James
James McFetrich
SpR Emergency Medicine
Northern Deanery
[log in to unmask]
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Boyle
Sent: 18 September 2007 09:31
To: [log in to unmask]
Subject: Re: NICE Head Injury Guidelines
I hope they will be a bit more credible about CT scanning
in children and acknowledge the paucity of evidence.
On Tue, 18 Sep 2007 09:20:56 +0100
"McCormick Simon Dr, Consultant, A&E"
<[log in to unmask]> wrote:
> I understand the review of the NICE guidelines is due
>out any time soon.
> Does anyone expect any major changes from the current
>position?
> Will they be more, or less CT happy?
>
> Simon
>
>
>
>
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