New Intern, Resident, Internist, Family Practioner, -- CT Scan

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Mike: I totally agree with your post. It is so frustrating to CT
everything when the patient obviously needs intervention, not testing.
Wanda Eaves 

-----Original Message-----
From: Mike Smertka [mailto:medic0947969 at yahoo.com] 
Sent: Friday, August 17, 2007 2:33 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: New Intern, Resident, Internist, Family Practioner, -- CT
Scan

Dr. Mattox,
   
  it is my observations that physicians who can do a HX and PE without
relying on radiology are becoming few and farther between. Infact, many
of the physicians I worked under and my preceptors have reminded me that
there is no diagnosis without radiology, irregardless of physical
findings. It was shocking to see the comments about taking the pt to the
OR so fast. I can count the number of patients I have seen taken to the
OR from the ED in less than 45 minutes. The number I have seen go to
surgury without a head/chest/abd/pelvis CT scan is even less. Of course
I have a theory on this if you'd like, but I will spare the group from
it.
   
  Mike

KMATTOX at aol.com wrote:
  
In a message dated 8/17/2007 10:10:47 A.M. Central Daylight Time,
Krin135 at aol.com writes:

What was the patient doing in the "CT scan 2 hours after arrival " 
with a "systolic BP 0f 40-60" ??



What are MOST people that are in CT scans doing in them. I have been
tabulating just how many CT scans that are done in medicine, surgical,
pediatric , etc. patients actually produce data that alters decision
making over and above what SHOULD HAVE been discovered on the history
and physical, assuming a history and physical examination had been done
at all, More often than not, such findings (HX & PE) are not recorded on
the chart prior to the order of the CT scan. 

k



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