'Out of hours' non-contrast head CT scan interpretation by senior emergency department medical staff

EMA - Emergency Medicine Australasia

Volumn 19, Issue 2, 2007, Pages 122-128

  Khoo, Nee Chen ^a,b   Duffy, Martin ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b ST VINCENT S HOSPITAL   (Australia)

Author keywords

Agreement; Computed tomography; Emergency; Head; Interpretation

Indexed keywords

ADOLESCENT; ADULT; AGED; ANALYSIS; ARTICLE; BRAIN CONTUSION; COMPARATIVE STUDY; COMPUTER ASSISTED TOMOGRAPHY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; EMERGENCY PHYSICIAN; EMERGENCY WARD; FALSE NEGATIVE RESULT; FEMALE; HEAD; HUMAN; HUMAN TISSUE; MALE; MEDICAL EDUCATION; MEDICAL STAFF; PRIORITY JOURNAL; RADIOLOGIST; SAMPLE; SENSITIVITY AND SPECIFICITY; SUBDURAL HEMATOMA; TERTIARY HEALTH CARE;

ADULT; AGED; AGED, 80 AND OVER; CLINICAL COMPETENCE; CRANIOCEREBRAL TRAUMA; EMERGENCY SERVICE, HOSPITAL; FALSE NEGATIVE REACTIONS; FALSE POSITIVE REACTIONS; FEMALE; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; NEW SOUTH WALES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 34247241503     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2007.00914.x     Document Type: Article

References (16)

1. Alfaro D, Levitt M, English D, Williams V, Eisenberg R. Accuracy of interpretation of cranial computed tomography scans in an emergency medicine residency program. Ann. Emerg. Med. 1995; 25: 169-73.
2. Arendts G, Manovel A, Chai A. Cranial CT interpretation by senior emergency department staff. Australas. Radiol. 2003; 47: 368-74.
3. Roszler M, McCarroll K, Rashid T, Donovan K, Kling G. Resident interpretation of emergency computed tomography scans. Invest. Radiol. 1991; 26: 374-6.
4. Wysoki M, Nassar C, Koenigsberg R, Novelline R, Faro S, Faerber E. Head trauma: CT scan interpretation by radiology residents versus staff radiologists. Radiology 1998; 208: 125-8.
5. Lal N, Murray U, Eldevik O, Desmond J. Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents. AJNR Am. J. Neuroradiol. 2000; 21: 124-9.
6. Erly W, Berger W, Krupinski E, Seeger J, Guisto J. Radiology resident evaluation of head CT scan orders in the emergency department. AJNR Am. J. Neuroradiol. 2002; 23: 103-7.
7. Oertel M, Kelly D, McArthur D et al. Progressive hemorrhage after head trauma: predictors and consequences of the evolving injury. J. Neurosurg 2002; 96: 109-16.
8. Fearnside M, McDougall P. Moderate head injury: a system of neurotrauma care. Aust. N. Z. J. Surg. 1998; 68: 58-64.
9. Batchelor J, McGuiness A. A meta-analysis of GCS 15 head injured patients with loss of consciousness or post-traumatic amnesia. Emerg. Med. J. 2002; 19: 515-19.
10. Tomsick T. Intravenous thrombolysis for acute ischemic stroke. J. Vasc. Interv. Radiol. 2004; 15: S67-76.
11. Schriger D, Kalafut M, Starkman S, Krueger M, Saver J. Cranial computed tomography interpretation in acute stroke: physician accuracy in determining eligibility for thrombolytic therapy. JAMA 1998; 279: 1293-7.
12. Grotta J, Chiu D, Lu M et al. Agreement and variability in the interpretation of early CT changes in stroke patients qualifying for intravenous rtPA therapy. Stroke 1999; 30: 1528-33.
13. Levitt M, Dawkins R, Williams V, Bullock S. Abbreviated educational session improves cranial computed tomography scan interpretations by emergency physicians. Ann. Emerg. Med. 1997; 30: 616-21.
14. Perron A, Huff J, Ullrich C, Heafner M, Kline J. A multicenter study to improve emergency medicine residents' recognition of intracranial emergencies on computed tomography. Ann. Emerg. Med. 1998; 32: 554-62.
15. Erly W, Ashdown B, Lucio R II, Carmody R, Seeger J, Alcala J. Evaluation of emergency CT scans of the head: is there a community standard? AJR 2003; 180: 1727-30.
16. Mullins M, Lev M, Schellingerhout D, Koroshetz W, Gozalez R. Influence of availability of clinical history on detection of early stroke using unenhanced CT and diffusion-weighted MR imaging. AJR 2002; 179: 223-8.