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head CT

Aviel Roy-Shapira avir at bgumail.bgu.ac.il
Sun Oct 9 21:40:28 BST 2005

Elderly patients are a trap.  In Israel, we do head CT on all patients > 70,
with any serious trauma, including those that fell at home. 
This is an administrative order of the ministry of health, which means that
missing this SDH could result in disciplinary action against the physician. 



> -----Original Message-----
> From: trauma-list-bounces at trauma.org 
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Maureen Canavan
> Sent: Sunday, October 09, 2005 7:31 PM
> To: trauma-list at trauma.org
> Subject: head CT
> Had a elderly lady PMH asthma, involved in a MVA  
> rollover,dx.  fracture pelvis..after twenty four hours she 
> was found unresponsive she was intubated and sent to CT with 
> a diagnosis of large SDH with midline shift. Unfortunately no 
> CT of head was done in the ER.  Should this be protocol and 
> is it protocol in other level one hospitals, when the MVA is 
> a rollover???
> --
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