Document Detail

The adequacy of cervical spine radiographs in the accident and emergency department.
MedLine Citation:
PMID:  8459376     Owner:  NLM     Status:  MEDLINE    
One hundred and twenty radiographs of the cervical spine were performed at the request of the Accident and Emergency (A & E) department over a 6 week period. These consecutive films were reviewed for adequacy of anatomical demonstration of the complete cervical spine. The initial series of three films presented to the A& E staff achieved this objective in only 55% of cases overall, although further radiographic examinations requested before the patient left the department raised this figure to 75% for the lateral view and to 70% for the combined anteroposterior (AP) views. From the data it can be predicted that if every patient whose first 3 films were inadequate had received further investigation, the cervical spine would have been well visualized on approximately 90% of radiographs in each plane. The availability of radiologists for advice and their involvement with senior A & E staff in teaching are important factors in improving this situation.
C Moulton; P D Griffiths
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal Society of Medicine     Volume:  86     ISSN:  0141-0768     ISO Abbreviation:  J R Soc Med     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-04-27     Completed Date:  1993-04-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7802879     Medline TA:  J R Soc Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  141-3     Citation Subset:  IM    
Department of Accident & Emergency Medicine, Hope Hospital, Salford.
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MeSH Terms
Aged, 80 and over
Cervical Vertebrae / injuries,  radiography*
Child, Preschool
Emergency Medicine*
Emergency Service, Hospital
Middle Aged
Quality Assurance, Health Care

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