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Emergency Medicine Journal 2008;25:319
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

PRIMARY SURVEY

Primary survey

Jonathan Wyatt, Deputy Editor

The first 150 words of the full text of this article appear below.


Risks of CT

A few years ago, it was considered to be a bit of a novelty to manage to obtain an emergency computerised tomography scan. Today, you could be forgiven for the impression that CT is not infrequently used as an alternative for thorough clinical assessment. This is particularly true of patients who present following blunt trauma, where whole body screening appears to be increasingly pursued. Concerns about the potential radiation risks associated with a more widespread use of CT form the thrust of the second commentary in this issue. The figures presented relating to the additional lifetime risk of cancer are quite frightening (see page 323).


Time called on capillary refill

Most of us have become accustomed to routinely checking capillary refill time as part of clinical assessment to search for possible hypovolaemic shock. However, in a challenging commentary, Jonathan Lewin and Ian Maconochie review the evidence and suggest that there is little scientific . . . [Full text of this article]


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