reimaging transfer patients

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I have several issues with the comments on radiological quality here,  
but perhaps the US system is different.

However, when you have a 3hour wait for a retrieval team to arrive,  
would it not be sensible to use that time to complete any necessary  
radiology, as long as it can be done safely?

Of course imaging should not delay transfer, and I accept that  
transfer in suburban areas is probably more expeditious.

Fiona Wallace

Sent from my iPod


On 13/01/2009, at 1:31 AM, "Bjorn, Pret" <pbjorn at emh.org> wrote:

> Dr. Sclafani's are among the more reasonable and compelling reasons  
> for
> radio logic restraint at the primary hospital phase; but there are  
> also
> a host of practical, systems-related incentives to defer the scans to
> the Trauma Center, starting with the fact that many of these  
> facilities
> have a seductive and wholly distracting ability to identify injuries
> they can't begin to treat.
>
> Especially in the context of major injury, community-hospital CT (and
> indeed most plain radiography) is functionally low-yield, inefficient,
> and problem-prone.  It should be systematically discouraged.
>
> See also VOMIT and BARF syndromes.
>
> Pret Bjorn, RN
> Bangor, ME USA
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Rob Smith
> Sent: Sunday, January 11, 2009 10:44 AM
> To: 'Trauma &amp; Critical Care mailing list'
> Subject: RE: reimaging transfer patients
>
>
> Great stuff. The list at its' best. You completely turned my head  
> around
> from my original thoughts on this.
>
> Rob Smith
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org]
> On Behalf Of sjasmd at aol.com
> Sent: Sunday, January 11, 2009 9:34 AM
> To: trauma-list at trauma.org
> Subject: Re: reimaging transfer patients
>
> The issue is far from clear to most people, there are nuances, legal  
> and
> otherwise which have not been elaborated in this discussion.
>

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