> I agree that the pick-up rate for skull fractures in adults is
> ludicrously
> low, and even worse in children. I also can accept that it may be CT or
> nothing, but I dont agree that just because you see a fracture, it
> mandates
> a CT. Surely (assuming no bleeding dyscrasias) you could observe many
> simple
> fractures ?
Is there not a cost and a benefit to each? Cost of a CT vs a night (or more) in hospital?
There is also the radiation cost, (particularly to the lens of the eye) but in my view one
only needs a few slices - say 10 at 2mm separated by 1 cm each.
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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