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Unexpected findings on trauma imaging. . . and other stories

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j589 (Published 09 February 2017) Cite this as: BMJ 2017;356:j589

Incidental findings on whole body computed tomography

Whole body computed tomography (CT) scanning for multiple trauma is carried out five times more often in major trauma units than in other trauma units and non-designated hospitals in England and Wales (Emerg Med J doi:10.1136/emermed-2016-205722). There are large variations within these groups too. But beware of what you request. Another study (Emerg Med J doi:10.1136/emermed-2016-205722), this time from Switzerland, found that in 2440 whole body CTs ordered for major trauma, incidental abnormalities were present in three quarters, with 8.4% considered as requiring urgent attention.

Was it really pneumonia?

“Pneumonia” on a patient's hospital summary becomes part of a registry. Registries then get used for epidemiology and quality control. The British …

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