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In message <[log in to unmask]>, Duncan Peacock <[log in to unmask]> writes >Sorry, obviously if a person has a decreased GCS or focal signs you should CT >asap. If you want an send home normal excludo-gram then CT at 6 hours > >Duncan PeacockGet more from the Web. FREE MSN Explorer download : >http://explorer.msn.com The global problem is radiologist agreement. We all agree that CT is the gold standard, but can we get them outside of the teaching hospitals?- Of course not! there is no CONTINOUS 24hr service. I say that because a 24 hour limited service will vary depending on the state of the radiologist through the night. Skull xray will not do and we are not offering a good service. Lets face up to it! -- Stephen Hughes Very disillusioned SpR, 12 years wasted, looking to business as a way out of this dismal specialty and abysmal profession full of liars, cheats, wasters and people who do well just by staying put despite their lack of ability.