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A new system for digital image acquisition, storage and presentation in an accident and emergency department
  1. G R Clegg1,
  2. S Roebuck2,
  3. D J Steedman1
  1. 1Department of Accident and Emergency Medicine, Edinburgh Royal Infirmary, Edinburgh EH3 9YW, UK
  2. 2ADOLOS, Software Development
  1. Correspondence to: Dr Clegg (gareth.clegg{at}


Objectives—To develop a computer based storage system for clinical images—radiographs, photographs, ECGs, text—for use in teaching, training, reference and research within an accident and emergency (A&E) department. Exploration of methods to access and utilise the data stored in the archive.

Methods—Implementation of a digital image archive using flatbed scanner and digital camera as capture devices. A sophisticated coding system based on ICD 10. Storage via an “intelligent” custom interface.

Results—A practical solution to the problems of clinical image storage for teaching purposes.

Conclusions—We have successfully developed a digital image capture and storage system, which provides an excellent teaching facility for a busy A&E department. We have revolutionised the practice of the “hand-over meeting”.

  • clinical images
  • computer based system

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  • Funding: this project is supported by a grant from the Medic One Trust.

  • Conflicts of interest: none.