EM reg or consultant can request CT Head (and c-spine if within nice recommendations) without discussion with radiologist. Also CTKUB and CTPA from 8am until 1am, after this through resident radiology SpR. Trauma CT goes through Radiology SpR to ensure meet hot reporting target. Also EM Consultant can request MRI for ?cauda equine until 2100. After this has to be Neurosurgical Consultant to Neuroradiology Consultant request (will they operate overnight or can it wait till morning).

Jules Blackham
Emergency Physician
Southmead hospital, North Bristol NHS Trust

Sent from my iPad

> On 1 Jul 2014, at 20:11, "Babak Allie" <[log in to unmask]> wrote:
>
> Mark
>
> Not in our ED. urgent head CT for Trauma, ? SAH, and CVAs just need a call to CT Radiologist for logistic purpose. anything else still a bit of up hill. All Trauma Series CT also just need informing the Radiologist to report it in timely manner.
> We are recently trying to even negotiate a Quota for our CTKUB and First Fitters CT. So far no success, but as you said CT is very much standard of care in the above and should not be overly scrutinised.
> I think entering negotiation with your "Friendly" Radiology Managers and radiology lead is a good starting point.
>
> BW
>
> Babak Allie
> Consultant Emergency Physician
> Tameside Hospital
>
>> On 1 Jul 2014, at 19:52, Mark Nicol <[log in to unmask]> wrote:
>>

>> I would be keen to hear from international & national UK colleagues on the old chestnut;
>>
>> In your dept do you have to speak with radiologist to get urgent head CT
>>
>> I thought we were making progress to move away from this 20th century approach , as we don't need to speak with radiologist overnight, we just submit written request on order comm.s & let radiographer know.
>> Mark @ macc
>>
>> Sent from my iPhone
>

> Babak Allie
> [log in to unmask]

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