While I agree that the CT radiation is real- remember that much if not
all of this data is extrapolation of nuclear bomb/ disaster data. This
troubles me personally - just how much do we know about this risk?
Todd - the quote I am familiar with is 'Over-reliance on one's
experience can lead to making the same mistakes with increasing levels
Sent from my iPhone
On Mar 31, 2009, at 4:26 PM, [log in to unmask] wrote:
> Hi Chuck, Hope all is well,
> I am actually looking into developing an informed consent for CT
> scans for
> children. It is a tedious task.
> I personally try to practice that if they have RLQ pain/tenderness,
> a WBC >
> 15K, a CRP > 7 or 8, they likely will have appendicitis. Equivocal
> cases get
> observed and/or CT with surgical consult. Our US techs are not
> proficient at
> US as of yet. I can only hope and pray.
> Interestingly, Peds Emergency Medicine Reports recently eluded to a
> sort of
> standard being to officially consult a surgeon prior to ordering a
> CT. We can
> all interpret this in many ways I can imagine.
> No set protocols, I think protocols can medical-legally get us into
> I DO like Guidelines however.
> I like the quote at the end of your note, I have a quote from
> someone as
> well, I'm not sure of the exact language, but it goes something like:
> "Experience in medicine allows you to come up with the wrong
> diagnosis with
> that much more confidence".
> I love that...
> Todd Z
> Dr. Todd Zimmerman
> message dated 3/31/2009 6:14:50 P.M. Central Daylight Time, [log in to unmask]
> This is an interesting question especially when extended to the
> ordered abdominal/pelvis CT (more radiation) for abdominal pain R/O
> clinical scenario.
> I think a discussion of radiation exposure should always be done,
> and a
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