CXR is most inappropriate for which ED presenting complaint?
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CXR is most inappropriate for which ED presenting complaint?
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One of the Evidence 2011 poster submissions is a summary of the effects of the Royal College of Radiologists' MBUR (make best use of radiology) guidelines . http://www.rcr.ac.uk/content.asp
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Forums » BMJ » Evidence-based medicine » CXR is most inappropriate for which ED presenting complaint?
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CXR is most inappropriate for which ED presenting complaint?
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CXR is most inappropriate for which ED presenting complaint?
posted at 26/10/2011 2:33 PM BST
on bmj.com
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*Moderator*
Posts: 869
First: 10/9/2009 Last: 10/12/2011 |
One of the Evidence 2011 poster submissions is a summary of the effects of the Royal College of Radiologists' MBUR (make best use of radiology) guidelines. http://www.rcr.ac.uk/content.aspx?PageID=995 When ED clinicians at Doncaster Royal Infirmary received online MBUR training, the following was noted ... 4% reduction in CXR requests for URTI 6% reduction in CXR requests for exacerbation of asthma without localising signs in the chest 3% reduction in CXR requests for minor chest trauma without suspicion of pneumothorax 2% increase in CXR requests for non specific/non cardiac chest pain |
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Re: CXR is most inappropriate for which ED presenting complaint?
posted at 31/10/2011 2:39 AM GMT
on bmj.com
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Posts: 2072
First: 10/3/2009 Last: 16/5/2012 |
I'd tick MIGRAINE. The $ cost of each is usually equally mysterious.
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Re: CXR is most inappropriate for which ED presenting complaint?
posted at 31/10/2011 1:46 PM GMT
on bmj.com
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Posts: 682
First: 19/4/2010 Last: 16/5/2012 |
I did a bit of research nonsense last year - we asked 90 doctors in the hospital to estimate the radiation dose of CXR, CT brain, CT Chest/Abdo/Pelvis, USS abomen(!), MRI brain, backround radiation for Dundee..... Really shocking reponses. We even gave them the dose of radiation involved in a CXR (0.02 mSv) and asked for how many CXR equivalents a CT is - people varied in their answers by a factor of 10,000 (sic). Anyone want to venture a guess at the radiation dose associated with a helical CT of the chest and upper abdomen, as used to stage intra throacic malignancy?? Not you, Odysseus! |
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Helical CTs, scales and snails.
posted at 8/11/2011 2:51 AM GMT
on bmj.com
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Posts: 2072
First: 10/3/2009 Last: 16/5/2012 |
Now don't all rush at once. To put you all out of your misery and to put an end to your insomnia, the double helix is not the brain-child of Watson and Crick but of Leonardo da Vinci who designed the staircase in the Chateau de Blois in the Loire Valley. I scaled the stairs many years ago. A double-helix stair is more of an architectural challenge and in a fortress allows soldiers to go up and down with greater ease. At Blois it was just for aesthetics. The Greek word for a staircase is skala and hence our word, scale and French, escalier. Double is orginally Greek (diplos), and helix is the Ancient Greek word for a spirally-coiled snail. We owe a lot to the Greeks. Imagination is more important than information. Never cease to let the child in you wonder.
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Forums » BMJ » Evidence-based medicine » CXR is most inappropriate for which ED presenting complaint?
