head CT

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It depends. If the patient was comatose or had other injuries which could
not be immediately fixed at the transferring institution, it is a waste of
time to get the imaging. Just transfer the patient without delay. 

Don B
SJHMC
Detroit
bensonblues at comcast.net


-----Original Message-----
From: Maureen Canavan [mailto:scho26 at sbcglobal.net] 
Sent: Sunday, October 09, 2005 1:31 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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