Show 54 Preview

The Doctor Anonymous Show is pleased to welcome Tim to show number 54 which will be Thursday, October 30th, 2008 at 9pm eastern time. (see video post above) His blog and website is called "from Symtym: A Physician meandering medicine, law, and technology." Tim is an Emergency Department physician, and you can get a little glimpse of his day by checking out his twitter feed. I did want to highlight a recent post called "Pay Faux Performance: Trauma":

Thirty year old female has heavy shelving fall on top of head causing a scalp laceration. Due to ER crowding, the patient is seen rapidly by the physician–in–triage and has CT head and neck ordered. She is then placed in the waiting room for two hours, without a cervical collar, waiting for an exam room.

Should not the ordering of CT of the neck raise the possibility of neck injury? Is not the standard of basic trauma care to have the neck immobilized and the injured placed supine? Is this defensive medicine raising a faux concern and rendering a faux performance?

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