ccml Sunday's Case - 4 days Later

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Ken

Maybe i'm just old fashioned, working in a country with much less (but not zero) litigation. The benefit of a test in the short-term muyst outweigh the longterm risk - In my book that is the answer: so if the possiblity of the pseudoaneurysm complicating and leading to morbidity in the short-term (we know this is possible) is high, then either treatment (in my book a stent) or follow-up outweigh the 1:2000 risk of a malignancy. That is how I would explain this to a patient. Then they can say yea or nay!

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
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Office: +27219389281 or 4911 pager 0302



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of KMATTOX at aol.com
Sent: Monday, January 29, 2007 4:32 AM
To: msouter at u.washington.edu; prasannasimha at gmail.com
Cc: trauma-list at trauma.org; ccm-l at ccm-l.org
Subject: Re: ccml Sunday's Case - 4 days Later


 
In a message dated 1/28/2007 8:29:34 P.M. Central Standard Time,  
msouter at u.washington.edu writes:

Do you have a reference for this  assertion - given that we do virtually 
daily CT's on our head injuries and  subarachnoid hemorrhages (not to mention the 
angiographies..), I'm interested  in the veracity of this statistic


Do a Google scan on Radiation complications of CT and you will markedly  
reduce your use of CT scanning unless it is for a specific purpose
 
k
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