February - 2012
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Comparison of radiation exposure of trauma patients from diagnostic radiology procedures before and after the introduction of a panscan protocolStephen Asha, Kate Anne Curtis, Nicole Grant, Colman Taylor, Serigne Lo, Richard Smart, Katherine Compagnoni Emergency Medicine Australasia, 2012, Published online ahead of print This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
February |
Previous Comments
| 20 mSv is a massive radiation dose in a young person, and increases the risk of future haematological malignancy. And lawyers can read medical journals too - worth thinking twice whether you can justify it before exposing patients to this sort of radiation | |
| Ian Seppelt-12 Mar, 2012 05:21:03 PM | |
| Yes, indeed it is. The National Academy of Science from the US estimates an extra malignancy rate of 1/1000 for a 40 year old who has a dose in excess of 20mSv. Perhaps the point is that we need to be more circumspect and use the PanScan for appropriate indications. Defining what they are is the challenge at this point. | |
| Todd Fraser-13 Mar, 2012 03:08:45 PM | |
Comment
This paper raises the issue of risk:benefit of the "Pan-scan", a CT protocol widely accepted in the past decade for trauma patients in an attempt to reduce missed injury rates. The before-after study finds a very small reduction in missed injuries, many of which were not...