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Abstract
Over a 9-month period 3424 patients with a head injury were examined in the Accident
and Emergency Department of Monklands District General Hospital. Casualty officers
diagnosed 66 fractures of the skull on radiographs but 27 of these were subsequently
reported by a radiologist as not being fractures. Of the 45 fractures reported by
the radiologist 6 had been missed by the casualty officer. This study demonstrates
the performance of junior medical staff who have no formal training in radiology.
It emphasizes the need to instruct such staff when they are assigned to work in accident
and emergency departments.
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References
- Guidelines for initial management after head injury in adults.Br. Med. J. 1984; 288: 983
- Relationships between scalp wounds and skull fractures.IRCS Med. Sci. 1986; 14: 63
- The utility and futility of radiographic skull examination in trauma.N. Engl. J. Med. 1971; 284: 236
- Which head-injured patients have a skull fracture.Arch. Emerg. Med. 1986; 3: 41
- Post-traumatic skull radiographs: time for reappraisal.Lancet. 1978; ii: 85
- Acute traumatic intracranial haematoma without skull fracture.Lancet. 1976; i: 501
- Skull X-rays after recent head injury.Clin. Radiol. 1980; 31: 463
- Epidemiology of head injury.Br. Med. J. 1981; 282: 101
- Risks of intracranial haematoma in head injured adults.Br. Med. J. 1983; 287: 1173
- Head injuries in accident and emergency departments at Scottish Hospitals.Injury. 1978; 10: 154
- Head injuries at an inner city accident and emergency department.Injury. 1981; 12: 274
- A comprehensive review of every head-injured patient seen in two accident and emergency departments over a twelve-month period.Arch. Emerg. Med. 1986; 3: 41
Article info
Publication history
Accepted:
February 22,
1987
Identification
Copyright
© 1987 Published by Elsevier Inc.