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Boyle A et al. – All the missed abnormalities were around the base of the brain. The most commonly overdiagnosed abnormality was diffuse cerebral oedema. Emergency physicians should not interpret CT scans for trauma without extra training.

Exclusive Author Commentary
Dr A Boyle, 07/24/09

This study has identified that the widespread practice of untrained Emergency Physicians interpreting CT scans performed for head trauma is not safe. This is important because CT scanning is increasingly performed for head trauma. Currently in the UK, around 30% of Emergency Departments rely on Emergency Physicians interpreting CT scans out of hours. Either Emergency Physicians should undergo extra training to interpret CT scans or prompt Radiological support should be available.

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