© 2002 the Emergency Medicine Journal
Primary Survey
Emergency nurse practitioners are an increasingly common feature of UK practice, with a growing body of evidence to support their safety and effectiveness. In peripheral and minor injuries units, however, the formal standing of such nurses is often less well recognised despite the fact that they have often filled this role for many years. Telemedicine has recently been advocated as a way of providing support for such remote nursing staff, but will require them to request and provisionally interpret a range of peripheral limb radiographs. In this issue we publish a study in which nurses working independently in a small unit were able to request and provisionally interpret a defined set of radiographs. A gold standard was provided by the opinions of two doctors: one seeing the patient in person and the other via a telemedicine link. This paper shows that experienced nurses, working without continuous medical supervision in a
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