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> Most if not all of us, I'd reckon. Deciding whether to refer to > neurosurgeons I'm OK on; discharging patients is dodgier. I'd note that in > countries where they thrombolyse for stroke, it's usually a specialist > neuroradiologist, not a general radiologist who reports. > There is the DTIC or the delayed intracranial haemotoma which can be missed on the initial scan and this is in the order of 15%. Will also miss the acute as well as the chronic subdural. I frequently sit in the CT scanning suite and think the scans look normal and a sharp eyed radiologist picks up significant lessions. The radiation dose is phenomenal. I'm not sure of the millisiverts but equivalent to 350 chest x-rays I beleive for a brain scan. We also have the habitual self induced head injurer who frequently gets p*****'ed and bangs his head. CT scanning is not the panacea that we are led to beleive. Danny McGeehan Staffs (Not and never will be the A & E Czar) --------------------------------------------------------------- This message was sent using Internet Central's Web Based Email. http://www.internet-central.net/