Post-Traumatic Skull Radiographs

Eyes, B; Evans, A.F.

doi:10.1016/s0140-6736(78)91395-8

Cited by 40 publications

(9 citation statements)

References 4 publications

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“…Another common misconception amongst radiologists is that all A & E attenders with head injury have a skull X-ray (Boulis et al, 1978;Evans, 1977;Eyes & Evans, 1978;Masters, 1980;Phillips, 1979). In the present study, less than half of head injury attenders underwent skull X-ray examination.…”

Section: Discussionmentioning

confidence: 62%

“…In Scotland, only 58% underwent this investigation (Strang et al, 1978) and, in Newcastle, 62% (Maitra, 1981), the same proportion as in Dumfries (Welch, 1983), whilst in an adult population 65% were Xrayed (Swann et al, 1980). It has often been alleged that the skull X-ray appearances all too infrequently affect management decisions (Anderson, 1978;Evans, 1977;Eyes & Evans, 1978;Masters, 1980;Phillips, 1979;Roberts & Shopfner, 1972). This allegation is not supported by the authors' findings.…”

Section: Discussionmentioning

confidence: 82%

“…Radiologists often imply that because few skull X-rays show the presence of a skull fracture this investigation is of little value (Bell & Loop, 1971;Boulis et al, 1978;De Campo & Petty, 1980;de Lacey et al, 1980;Evans, 1977;Eyes & Evans, 1978;Masters, 1980;Phillips, 1979;Roberts & Shopfner, 1972;Royal College of Radiologists, 1980. However, a low positive yield from an investigation does not necessarily mean that such an investigation is worthless.…”

Section: Discussionmentioning

confidence: 99%

“…Publications have appeared from Australia (De Campo & revealed a dichotomy of opinion. On the one hand, radiologists believe that skull X-rays are over-used in head-injured patients, rarely affect management decisions, rarely show positive findings and are generally wasteful of resources (Bell & Loop, 1971;Roberts & Shopfner, 1972;Eyes & Evans, 1978;Royal College of Radiologists, 1981;Phillips, 1979;Masters, 1980). The opposing view, usually expressed by neurosurgeons and accident surgeons, is that plain skull films are indispensable in that they help to identify patients at risk from complications such as intracranial haematoma (Jennett, 1980;Galbraith, 1976;Galbraith, 1973;Mendelow et al, 1983;Briggs et al, 1984) or infection (Miller & Jennett, 1968;Jennett & Miller, 1972;Sande et al, 1980, Briggs, 1974, and may allow the identification of patients requiring admission who would otherwise be discharged (Jennett, 1980;Mendelow et al, 1983;Briggs et al, 1984) or, conversely, allow the safer discharge of patients who might otherwise be admitted (Jennett, 1980;Mendelow et al, 1983;Briggs et al, 1984).…”

Section: Introductionmentioning

confidence: 99%

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The utility of post-traumatic skull X-rays.

Gorman¹

1987

Emergency Medicine Journal

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SUMMARYDuring two 12-month periods, 12 395 accident and emergency department attenders with head injury were collected. Those characteristics which were significantly more common in head-injured patients who had skull fractures on X-ray were identified. These characteristics were: recent alcohol consumption in adults, initial unconsciousness, amnesia of any duration, vomiting, neurological signs, injuries sustained by pedestrians, motorcyclists and cyclists. Such characteristics were then further examined and their power as diagnostic tests for the presence of skull fracture on X-ray was detailed. In individual patients and especially in children, these characteristics were generally of little value in identifying patients with fractures. It was considered that, in the majority of individual patients with head injuries, accurate clinical diagnosis of radiologically apparent fractures was not possible. In view of this and in the light of the known risks in patients with fractures, it was concluded that skull X-rays should continue to be used relatively freely in the management of these patients.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The utility of post-traumatic skull X-rays.

Gorman¹

1987

Emergency Medicine Journal

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“…Recently, there have been several publications reappraising the role of radiology in routine practices (Roberts et al, 1983;de Lacey et al, 1980a&b;Eyes & Evans, 1978).…”

Section: Discussionmentioning

confidence: 99%

'Hunt the thimble': a study of the radiology of ingested foreign bodies.

Boothroyd¹,

Carty²,

Robson³

1987

Emergency Medicine Journal

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SUMMARYThe role of radiology in the management of patients with a history of ingested foreign bodies is reviewed in a retrospective study over a 2-year period in a Children's Hospital. If radiography was confined to those children who have a clinical history suggestive of foreign body impaction in the oesophagus, a foreign body aspiration or having swallowed a button battery, the work load and unnecessary radiation arising from this practice could be halved. This study demonstrates another misuse of radiological services.

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Cost Containment in Emergency Medicine

Karas¹

1980

JAMA

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High-cost laboratory tests, roentgenograms, medications, and supplies were the focus of a voluntary cost-containment effort initiated in a community hospital emergency department. The department microcomputer determined that 100 of 1,560 possible chargeable items were responsible for 90.9% of the total cost to patients. Emphasis on cost containment in general and specific emphasis on the 100 high-cost items resulted in a 10.2% reduction in laboratory and radiology charges and a 3.3% total savings to patients.

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Post-Traumatic Skull Radiographs

Cited by 40 publications

References 4 publications

The utility of post-traumatic skull X-rays.

The utility of post-traumatic skull X-rays.

'Hunt the thimble': a study of the radiology of ingested foreign bodies.

Cost Containment in Emergency Medicine

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