I agree, missing an treatable SAH can be catastrophic for the patient,
their family and society.
The national audit (done quite a few years ago, Ann Clin Biochem 2007 44
443-448) showed that about half the labs were offering a 24/7 service.
These were often hospitals that referred patients to a neurology unit in
another hospital and so, as Ian Barlow says, they can be transferred and
have their further investigations in neurology. Those hospitals who do
not need to transfer their patients probably feel that 24/7 service is
not so necessary.
Kind regards
Ian
Ian Holbrook
Department of Clinical Biochemistry
York Hospital
Wigginton Road
York
YO31 8HE
01904 725786
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Paul Masters
Sent: 14 November 2012 18:16
To: [log in to unmask]
Subject: Re: Xanthochromia
So, a low risk (CT negative) patient appears to have a ~1% chance of
SAH. Multiply this by a potential lawsuit of millions, not to mention
being eviscerated in the Daily Mail for not offering a "simple and cheap
test, which could have prevented this tragedy" (their imagined words). I
don't like those odds.
On the other hand, the argument for not offering a 24/7 service would be
what? (And "next morning" might be fine for most of the year, but could
be four days if it's a bank holiday weekend.)
Regards
Paul
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