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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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- 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
Accepted: February 22, 1987
© 1987 Published by Elsevier Inc.