> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Cosson, Philip
> Sent: 06 February 2008 14:19
> To: [log in to unmask]
> Subject: Re: Resus gantries / DR
>
>
> Forgot to say...
>
> The statscan is manufactured by a small company in south
> africa with a tiny marketing budget. CT scanners on the other
> hand are manufactured and marketed by Siemens, GE, Philips
> and Toshiba who have a rather large combined marketing
> budget. Several university hospitals in europe and the US are
> basically 'owned' by these companies. Publications are
> expected demonstrating favorable outcomes from high cost technology.
>
> Surely there are higher priority uses of circa 1 million quid
> capital and the additional recurring staff costs than
> putting a CT scanner in every resus? How many patients are
> dying due to the delay in getting a scan at the moment? If i
> was a lay member on a trust board, i would need some convincing.
>
> Philip
But given the next big thing is / will be the 'brain attack' approach
(and no doubt a CVENAP to mirror the experience with MIs ) approach to
strokes or what may appear to be strokes ... Suddenly the CT scanner In
the resus room doesn't look quite as out of place, and if we are
workforce planning for radiology to be able ot provide CT for 'brain
attacks' in a tight time frame Emergency Dept radiographers will be
working full shifts to provide both the traditional plain film service
and the 'brain attack' and 'trauma' CT service....
particularly in new builds with the 'critical clinical adjacencies' for
emergency medicine, acute medicine and critical care ... Iwith ED,
Acute Assessment Unit, CDU and critical care beds (CCU, HDU, ITU, NIV)
clustered geographically over one or two floors
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