x-ray work up

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>--- E C Thompson <ecthompson at msn.com> wrote:
>The literature is clear.  In blunt head trauma we CT
>  scan all patients with
>  loss of consciousness.
>
>I'm not so sure the literature is clear......multiple
>studies seem to have found that in the absence of
>findings on neurologic exam and in a nonintoxicated
>patients these scans may not be indicated....

OK... color me dense, but wouldn't a loss of consciousness qualify as a 
finding on neurologic exam?

Or, a patient who had a loss of consciousness would not fall under the 
"absence of findings on neurologic exam..."  Right?

It's been my observations that all patients in whom there has been a loss 
(or even a decreased level)  of consciousness get CT'd.  I've seen this at 
a multitude of hospitals, in several cities.  Is everyone doing it 
wrong?  Somehow, I don't think so.


Best,

Jeff Brosius
Paramedic, etc.
Denver, CO
"...deliver them that are drawn unto death."
Proverbs 24:11 (NIV)
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