mmmm.....bet your tongue was firmly in your cheek when
you put this up Vikki.....across the country, a
hundred Emergency Department doctors are now under
sedation after reading this.
Your hospitals' protocol sounds likely to increase the
risk of these injuries being missed and the risk
management committee should be informed. I don't know
where you work but it sounds like Jurassic Park.
You also don't say whether you are defending the
protocol.........go on, tell us, we've taken our beta
blockers!
Steve Meek
--- Vikki Chase <[log in to unmask]> wrote:
> You are welcome to request such views, but the
> radiographer may have to
> refuse to provide them, depending upon locally
> agreed protocols. The
> radiographer ( in addition to the requesting doctor)
> is potentially liable
> when deviating from written protocols ( IRMER 2000
> regs)- just because it is
> requested by a doctor ( or suitably qualified nurse)
> doesn't mean
> radiographers can do it. Where I currently work, we
> routinely provide
> lateral views for A and E requests if we spot
> something, otherwise only
> orthos can ask ( written protocol).
> Vikki Chase
> Diagnostic Radiographer
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]]On Behalf Of Ray
> McGlone
> Sent: 11 April 2002 22:30
> To: [log in to unmask]
> Subject: 5th metacarpal base fractures
>
>
> Lesson of the Week
>
> Some time ago a male patient presented with
> swelling and tenderness over
> the base of his 5th metacarpal (dominant hand)
> following trauma. A hand view
> was reported as being normal by the radiologist and
> doctor. Patient
> presented about 2 weeks later with continuing
> symptoms, he had a dislocation
> of the 5th metacarpal base. It was then successfully
> K-wired.
>
> These injuries are not uncommonly missed, I have a
> little collection in my
> library of films (usually picked up by the
> radiologist). If you are
> considering a dislocation of the 5th metacarpal base
> it is best to request a
> true lateral in addition to the other views.
>
> Any views?.. pardon the pun.
>
>
> Ray McGlone
>
> A&E Consultant
> Royal Lancaster Infirmary / Westmorland General
> Hospital
>
>
>
http://www.mbha.nhs.uk/morecambe_bay_hospitals_trust.htm
>
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